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Author Wager, Karen A
Title Health Care Information Systems : A Practical Approach for Health Care Management
Imprint Somerset : John Wiley & Sons, Incorporated, 2013
©2013
book jacket
Edition 3rd ed
Descript 1 online resource (738 pages)
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
Note Cover -- Title page -- Copyright page -- Contents -- Tables, Figures, and Exhibits -- Foreword -- Dedication -- Preface -- Acknowledgments -- The Authors -- PART ONE: Health Care Information -- CHAPTER 1: Introduction to Health Care Information -- Types of Health Care Information -- Definitions of Health Care Information -- Health Care Data Framework -- Internal Data and Information: Patient Specific-Clinical -- Purpose of Patient Records -- Content of Patient Records -- Organization of Record Content -- Overview of a Patient Encounter -- Internal Data and Information: Patient Specific-Administrative -- Data Needed to Process Reimbursement Claims -- Other Uniform Data Sets -- Internal Data and Information: Patient Specific-Combining Clinical and Administrative -- ICD-10 -- CPT -- Internal Data and Information: Aggregate-Clinical -- Disease and Procedure Indexes -- Specialized Registers -- Internal Data and Information: Aggregate-Administrative -- Medicare Cost Reports -- Health Care Statistics -- Internal Data and Information: Aggregate-Combining Clinical and Administrative -- External Data and Information: Comparative -- Outcome Measures and Balanced Scorecards -- Comparative Health Care Data Sets -- External Data and Information: Expert Or Knowledge Based -- Summary -- Key Terms -- Learning Activities -- References -- CHAPTER 2: Health Care Data Quality -- Data Versus Information -- Problems with Poor-Quality Data -- Ensuring Data and Information Quality -- MRI Principles of Health Care Documentation -- AHIMA Data Quality Model -- Types and Causes of Data Errors -- Preventing, Detecting, and Fixing Data Errors -- Using IT to Improve Data Quality -- Summary -- Key Terms -- Learning Activities -- References -- CHAPTER 3: Health Care Information Regulations, Laws, and Standards -- Licensure, Certification, and Accreditation -- Licensure
Certification -- Accreditation -- Patient Safety Organizations -- Legal Aspects of Managing Health Information -- The Health Record as a Legal Document -- Retention of Health Records -- Authentication of Health Record Information -- Privacy and Confidentiality -- Release of Information -- Summary -- Key Terms -- Learning Activities -- References -- PART TWO: Health Care Information Systems -- CHAPTER 4: History and Evolution of Health Care Information Systems -- Definition of Terms -- History and Evolution -- 1960s: Billing Is the Center of the Universe -- Managing the Money -- Mainframes Roam the Planet -- 1970s: Clinical Departments Wake Up -- Debut of the Minicomputer -- 1980s: Computers for the Masses -- Age of the Cheap Machine -- Arrival of the Computer Utility -- 1990s: Round One of Health Care Reform -- Advent of the Internet -- 2000 to 2010: Health Care IT Arrives -- Patients Take Center Stage -- 2010 to Today: The Era of Accountability, Transparency, and Change -- Affordable Care Act, Meaningful Use, and ICD-10 All Kick in -- Summary -- Key Terms -- Learning Activities -- References -- CHAPTER 5: Clinical Information Systems -- The Electronic Health Record -- EHR Definition and Functions -- EHR Current Adoption and Use -- Factors Influencing EHR Adoption -- Value of EHR Systems -- Noteworthy EHR Implementations -- Other Major Hcis Types -- Computerized Provider Order Entry -- Medication Administration Systems Using Bar-Coding Technology -- Telemedicine and Telehealth -- Personal Health Record and Patient Portals -- Fitting Applications Together -- Overcoming Barriers to Adoption -- Financial Barriers -- Organizational and Behavioral Barriers -- Technical Barriers -- Privacy and Security Barriers -- Strategies for Overcoming Barriers -- Summary -- Key Terms -- Learning Activities -- References
CHAPTER 6: Federal Efforts to Enhance Quality of Patient Care through the Use of Health Information Technology -- Hitech Act -- An Overview of the Legislation -- Meaningful Use: Definition and Criteria -- Role of Office of the National Coordinator for Health Information Technology and CMS -- Health Care Reform: New Modes of Care and Payment Reform -- Accountable Care Organizations -- Patient-Centered Medical Homes -- New Forms of Payment for Health Services Delivery -- Health Information Exchange -- Nationwide Health Information Network -- State and Regional Health Information Exchange (HIE) Efforts -- The HIE Lessons -- Information Technology Ramifications of New Models of Care and Payment Reform -- Accurately Identify and Link Patient Data -- Other Important IT Considerations -- Summary -- Key Terms -- Learning Activities -- References -- CHAPTER 7: System Acquisition -- System Acquisition: A Definition -- Systems Development Life Cycle -- System Acquisition Process -- Establish a Project Steering Committee -- Define Project Objectives and Scope of Analysis -- Screen the Marketplace and Review Vendor Profiles -- Determine System Goals -- Determine and Prioritize System Requirements -- Develop and Distribute the RFP or RFI -- Explore Other Acquisition Options -- Evaluate Vendor Proposals -- Conduct a Cost-Benefit Analysis -- Prepare a Summary Report and Recommendations -- Conduct Contract Negotiations -- Project Management Tools -- Things That Can Go Wrong -- Summary -- Key Terms -- Learning Activities -- References -- CHAPTER 8: System Implementation and Support -- System Implementation Process -- Organize the Team and Identify a Champion -- Determine Project Scope and Expectations -- Establish and Institute a Project Plan -- Managing the Organizational Aspects -- Create an Appropriate Environment
Know Your Culture and Do Not Underestimate User Resistance -- Allocate Sufficient Resources -- Provide Adequate Training -- Manage Unintended Consequences -- Establish Strong Working Relationships with Vendors -- System Support and Evaluation -- Summary -- Key Terms -- Learning Activities -- References -- PART THREE: Information Technology -- CHAPTER 9: Technologies That Support Health Care Information Systems -- Information Technology Adoption Challenges -- Data Management and Access -- Database Models -- Database Operations -- Databases on the Web -- Clinical Data Repositories, Data Warehouses, and Data Marts -- Data Mining -- Networks and Data Communications -- Types of Networks -- Network Components and Performance -- Network Protocols and Standards -- Information Distribution Schemes -- Server-Based Distribution Schemes -- Cloud Computing -- Remote Access Technologies -- Internet and Web Concepts and Applications -- The Internet -- Intranets and Extranets -- Web Applications in Health Care -- E-Commerce in Health Care -- Clinical and Managerial Decision Support -- Decision-Support Systems -- Artificial Intelligence -- Information Systems Architecture -- A Definition of Architecture -- Architecture Perspectives -- Architecture Examples -- Observations about Architecture -- Summary -- Key Terms -- Learning Activities -- References -- CHAPTER 10: Health Care Information System Standards -- Standards Development Process -- Classification Standards -- Code on Dental Procedures and Nomenclature -- National Drug Codes -- Vocabulary and Terminology Standards -- Systematized Nomenclature of Medicine-Clinical Terms -- Logical Observation Identifiers Names and Codes -- Clinical Vaccines Administered -- RxNorm -- Unified Medical Language System -- Data Interchange Standards -- Health Record Content and Functional Standards -- HL7 EHR-S Functional Model
ASTM Health Record Content Standards -- Continuity of Care Document -- HITECH EHR Certification Criteria -- Federal Initiatives Affecting Health Care IT Standards -- Summary -- Key Terms -- Learning Activities -- References -- 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 -- Risk Analysis and Management -- Chief Security Officer -- System Security Evaluation -- Contingency, Business Continuity, and Disaster Recovery Planning -- Contingency Plan -- Challenges to the Health Care Organization Business Continuity Plan -- Physical Safeguards -- Assigned Security Responsibility -- Media Controls -- Physical Access Controls -- Workstation Security -- Technical Safeguards -- Access Control -- Entity Authentication -- Audit Trails -- Data Encryption -- Firewall Protection -- Virus Checking -- Security in a Wireless Environment -- Remote Access Security -- Summary -- Key Terms -- Learning Activities -- References -- PART FOUR: Senior Management IT Challenges -- CHAPTER 12: Organizing Information Technology Services -- Information Technology Functions -- IT Department Responsibilities -- Core Functions -- IT Senior Leadership Roles -- IT Staff Roles -- Staff Attributes -- Recruitment and Retention of IT Staff -- Organizing IT Staff and Services -- Definition and Formation of Major IT Units -- Degree of IT Centralization or Decentralization -- Core IT Competencies -- Departmental Attributes -- In-House versus Outsourced IT -- Evaluating It Effectiveness -- Governance -- Budget Development and Resource Allocation -- System Acquisition -- System Implementation -- IT Service Levels -- Summary -- Key Terms
Learning Activities
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
Description based on publisher supplied metadata and other sources
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2020. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
Link Print version: Wager, Karen A. Health Care Information Systems : A Practical Approach for Health Care Management Somerset : John Wiley & Sons, Incorporated,c2013 9781118173534
Subject Medical informatics.;Health services administration
Electronic books
Alt Author Lee, Frances W
Glaser, John P
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