Health Care Information Systems

A Practical Approach for Health Care Management
 
 
Standards Information Network (Verlag)
  • 4. Auflage
  • |
  • erschienen am 8. Februar 2017
  • |
  • 608 Seiten
 
E-Book | PDF mit Adobe DRM | Systemvoraussetzungen
978-1-119-33712-6 (ISBN)
 
BESTSELLING GUIDE, UPDATED WITH A NEW INFORMATION FOR TODAY'S HEALTH CARE ENVIRONMENT
Health Care Information Systems is the newest version of the acclaimed text that offers the fundamental knowledge and tools needed to manage information and information resources effectively within a wide variety of health care organizations.
It reviews the major environmental forces that shape the national health information landscape and offers guidance on the implementation, evaluation, and management of health care information systems. It also reviews relevant laws, regulations, and standards and explores the most pressing issues pertinent to senior level managers. It covers:
* Proven strategies for successfully acquiring and implementing health information systems.
* Efficient methods for assessing the value of a system.
* Changes in payment reform initiatives.
* New information on the role of information systems in managing in population health.
* A wealth of updated case studies of organizations experiencing management-related system challenges.
weitere Ausgaben werden ermittelt
KAREN A. WAGER is professor and associate dean for student affairs in the College of Health Professions at the Medical University of South Carolina. She teaches management and health information systems courses to graduate students. Wager is the past president of the South Carolina Health Information Management Association.
FRANCES WICKHAM LEE is professor and director of instructional operations for Healthcare Simulation South Carolina at the Medical University of South Carolina.
JOHN P. GLASER currently serves as the senior vice president of Population Health for Cerner. He joined Cerner as part of the Siemens Health Services acquisition, where he was CEO.
1 - Health Care Information Systems: A Practical Approach for Health Care Management [Seite 1]
2 - Contents [Seite 7]
3 - Tables, Figures, and Exhibits [Seite 13]
4 - Preface [Seite 17]
5 - Acknowledgments [Seite 25]
6 - The Authors [Seite 27]
7 - Part One: Major Environmental Forces That Shape the National Health Informat ion System Landscape [Seite 31]
7.1 - Chapter 1: The National Health Information Technology Landscape [Seite 33]
7.1.1 - Learning Objectives [Seite 33]
7.1.2 - 1990s: The Call for HIT [Seite 34]
7.1.2.1 - Institute of Medicine CPR Report [Seite 34]
7.1.2.2 - Health Insurance Portability and Accountability Act (HIPAA) [Seite 35]
7.1.3 - 2000-2010: The Arrival of HIT [Seite 35]
7.1.3.1 - IOM Patient Safety Reports [Seite 35]
7.1.3.2 - Transparency and Patient Safety [Seite 37]
7.1.3.3 - Office of the National Coordinator for Health Information Technology [Seite 38]
7.1.4 - 2010-Present: Health Care Reform and the Growth of HIT [Seite 38]
7.1.4.1 - HITECH and Meaningful Use [Seite 38]
7.1.4.2 - Other HITECH Programs [Seite 40]
7.1.4.3 - Affordable Care Act [Seite 42]
7.1.4.4 - HIT Interoperability Efforts [Seite 44]
7.1.5 - Summary [Seite 46]
7.1.6 - Key Terms [Seite 47]
7.1.7 - Learning Activities [Seite 48]
7.1.8 - References [Seite 48]
7.2 - Chapter 2: Health Care Data [Seite 51]
7.2.1 - Learning Objectives [Seite 51]
7.2.2 - Health Care Data and Information Defined [Seite 52]
7.2.3 - Health Care Data and Information Sources [Seite 54]
7.2.3.1 - Medical Record versus Health Record [Seite 54]
7.2.3.2 - Patient Record Purposes [Seite 55]
7.2.3.3 - Patient Records as Legal Documents [Seite 57]
7.2.3.4 - Personal Health Records [Seite 58]
7.2.3.5 - Patient Record Content [Seite 59]
7.2.3.6 - Claims Content [Seite 63]
7.2.3.7 - Diagnostic and Procedural Codes [Seite 67]
7.2.4 - Health Care Data Uses [Seite 72]
7.2.4.1 - Databases and Data Warehouses [Seite 73]
7.2.4.2 - Small versus Big Data [Seite 73]
7.2.4.3 - Small Data Examples [Seite 74]
7.2.4.4 - Big Data Examples [Seite 76]
7.2.5 - Health Care Data Quality [Seite 78]
7.2.5.1 - AHIMA Data Quality Characteristics [Seite 80]
7.2.5.2 - Weiskopf and Weng Data Quality Dimensions [Seite 82]
7.2.5.3 - Strategies for Minimizing Data Quality Issues [Seite 84]
7.2.6 - Summary [Seite 88]
7.2.7 - Key Terms [Seite 88]
7.2.8 - Learning Activities [Seite 89]
7.2.9 - References [Seite 91]
7.3 - Chapter 3: Health Care Information Systems [Seite 95]
7.3.1 - Learning Objectives [Seite 95]
7.3.2 - Review of Key Terms [Seite 96]
7.3.3 - Major Health Care Information Systems [Seite 97]
7.3.4 - History and Evolution [Seite 99]
7.3.5 - Electronic Health Records [Seite 102]
7.3.5.1 - Features and Functions [Seite 102]
7.3.5.2 - EHR Adoption Rates in US Hospitals [Seite 104]
7.3.5.3 - EHR Adoption in Office-Based Physician Practices [Seite 105]
7.3.5.4 - EHR Adoption in Other Settings [Seite 105]
7.3.5.5 - Impact of EHR Systems [Seite 107]
7.3.5.6 - Limitations and Need for Further Research [Seite 110]
7.3.6 - Personal Health Records [Seite 110]
7.3.7 - Key Issues and Challenges [Seite 113]
7.3.7.1 - Interoperability [Seite 113]
7.3.7.2 - Usability [Seite 118]
7.3.7.3 - Health IT Safety [Seite 121]
7.3.8 - Summary [Seite 123]
7.3.9 - Key Terms [Seite 123]
7.3.10 - Learning Activities [Seite 124]
7.3.11 - References [Seite 124]
7.4 - Chapter 4: Information Systems to Support Population Health Management [Seite 129]
7.4.1 - Learning Objectives [Seite 129]
7.4.2 - PHM: Key to Success [Seite 130]
7.4.2.1 - Understanding Population Health Management [Seite 131]
7.4.2.2 - New Care Delivery and Payment Models: The Link to PHM [Seite 132]
7.4.2.3 - Progress to Date: PCMHs [Seite 134]
7.4.2.4 - Progress to Date: ACOs [Seite 134]
7.4.2.5 - ACO Challenges [Seite 135]
7.4.2.6 - Implications for Health Care Leaders [Seite 137]
7.4.3 - Accountable Care Core Processes [Seite 138]
7.4.3.1 - Identifying, Assessing, Stratifying, and Selecting Target Populations [Seite 139]
7.4.3.2 - Providing High-Quality Care and Care Management Interventions across the Continuum [Seite 139]
7.4.3.3 - Managing Contracts and Financial Performance [Seite 140]
7.4.3.4 - Measuring, Predicting, and Improving Performance [Seite 141]
7.4.3.5 - Preparation and Automation Is Key [Seite 142]
7.4.4 - Data, Analytics, and Health It Capabilities and Tools [Seite 142]
7.4.4.1 - It's All about the Data [Seite 143]
7.4.4.2 - Beyond the EHR: Core PHM Solution Components [Seite 144]
7.4.5 - Transitioning from the Record to the Plan [Seite 159]
7.4.5.1 - Care Plan Attributes [Seite 159]
7.4.5.2 - The Plan-Centric EHR [Seite 160]
7.4.5.3 - Business Models in Other Industries [Seite 161]
7.4.6 - Summary [Seite 162]
7.4.7 - Key Terms [Seite 163]
7.4.8 - Learning Activities [Seite 163]
7.4.9 - References [Seite 164]
8 - Part Two: Selection, Implementati on, Evaluation, and Management of Health Care Information Systems [Seite 169]
8.1 - Chapter 5: System Acquisition [Seite 171]
8.1.1 - Learning Objectives [Seite 171]
8.1.2 - System Acquisition: A Definition [Seite 172]
8.1.3 - Systems Development Life Cycle [Seite 173]
8.1.4 - System Acquisition Process [Seite 176]
8.1.4.1 - Establish a Project Steering Committee [Seite 177]
8.1.4.2 - Define Project Objectives and Scope of Analysis [Seite 181]
8.1.4.3 - Screen the Marketplace and Review Vendor Profiles [Seite 182]
8.1.4.4 - Determine System Goals [Seite 183]
8.1.4.5 - Determine and Prioritize System Requirements [Seite 184]
8.1.4.6 - Develop and Distribute the RFP or RFI [Seite 185]
8.1.4.7 - Explore Other Acquisition Options [Seite 188]
8.1.4.8 - Option to Contract with Vendor for Cloud Computing Services [Seite 188]
8.1.4.9 - Option to Contract with a System Developer or Build In-House [Seite 190]
8.1.4.10 - Evaluate Vendor Proposals [Seite 190]
8.1.4.11 - Develop Evaluation Criteria [Seite 191]
8.1.4.12 - Hold Vendor Demonstrations [Seite 191]
8.1.4.13 - Make Site Visits and Check References [Seite 192]
8.1.4.14 - Other Strategies for Evaluating Vendors [Seite 193]
8.1.4.15 - Prepare a Vendor Analysis [Seite 193]
8.1.4.16 - Conduct a Cost-Benefit Analysis [Seite 194]
8.1.4.17 - Prepare a Summary Report and Recommendations [Seite 194]
8.1.4.18 - Conduct Contract Negotiations [Seite 195]
8.1.5 - Project Management Tools [Seite 195]
8.1.6 - Things That Can Go Wrong [Seite 197]
8.1.7 - Information Technology Architecture [Seite 199]
8.1.7.1 - A Definition of Architecture [Seite 199]
8.1.7.2 - Architecture Perspectives [Seite 201]
8.1.7.3 - Architecture Examples [Seite 202]
8.1.7.4 - Observations about Architecture [Seite 203]
8.1.8 - Summary [Seite 204]
8.1.9 - Key Terms [Seite 206]
8.1.10 - Learning Activities [Seite 206]
8.1.11 - References [Seite 207]
8.2 - Chapter 6: System Implementation and Support [Seite 209]
8.2.1 - Learning Objectives [Seite 209]
8.2.2 - System Implementation Process [Seite 211]
8.2.2.1 - Organize the Implementation Team and Identify a Champion [Seite 212]
8.2.2.2 - Clearly Define the Project Scope and Goals [Seite 213]
8.2.2.3 - Identify Accountability for the Successful Completion of the Project [Seite 215]
8.2.2.4 - Establish and Institute a Project Plan [Seite 217]
8.2.2.5 - Workflow and Process Analysis [Seite 218]
8.2.2.6 - System Installation [Seite 223]
8.2.2.7 - Staff Training [Seite 224]
8.2.2.8 - Conversion [Seite 226]
8.2.2.9 - Communications [Seite 227]
8.2.2.10 - Preparation for System Go-Live [Seite 228]
8.2.2.11 - System Downtime Procedures [Seite 228]
8.2.3 - Managing Change and the Organizational Aspects [Seite 228]
8.2.3.1 - Effecting Organizational Change [Seite 229]
8.2.3.2 - Leadership [Seite 229]
8.2.3.3 - Language and Vision [Seite 230]
8.2.3.4 - Connection and Trust [Seite 230]
8.2.3.5 - Incentives [Seite 231]
8.2.3.6 - Planning, Implementing, and Iterating [Seite 231]
8.2.4 - System Support and Evaluation [Seite 240]
8.2.5 - Summary [Seite 241]
8.2.6 - Key Terms [Seite 242]
8.2.7 - Learning Activities [Seite 242]
8.2.8 - References [Seite 243]
8.3 - Chapter 7: Assessing and Achieving Value in Health Care Information Systems [Seite 245]
8.3.1 - Learning Objectives [Seite 245]
8.3.2 - Definition OF IT-Enabled Value [Seite 246]
8.3.2.1 - Tangible and Intangible [Seite 246]
8.3.2.2 - Significant [Seite 248]
8.3.2.3 - Variable [Seite 249]
8.3.2.4 - Diverse across Proposals [Seite 249]
8.3.2.5 - Diverse in a Single Investment [Seite 250]
8.3.2.6 - Different Analyses for Different Objectives [Seite 250]
8.3.2.7 - Infrastructure [Seite 251]
8.3.2.8 - Mandated [Seite 253]
8.3.2.9 - Cost Reduction [Seite 253]
8.3.2.10 - Specific New Products and Services [Seite 253]
8.3.2.11 - Quality Improvement [Seite 254]
8.3.2.12 - Major Strategic Initiative [Seite 254]
8.3.3 - The IT Project Proposal [Seite 255]
8.3.3.1 - Sources of Value Information [Seite 255]
8.3.3.2 - Formal Financial Analysis [Seite 256]
8.3.3.3 - Comparing Different Types of Value [Seite 258]
8.3.3.4 - Tactics for Reducing the Budget [Seite 260]
8.3.3.5 - Common Proposal Problems [Seite 262]
8.3.3.6 - Fractions of Effort [Seite 262]
8.3.3.7 - Reliance on Complex Behavior [Seite 262]
8.3.3.8 - Unwarranted Optimism [Seite 263]
8.3.3.9 - Shaky Extrapolations [Seite 263]
8.3.3.10 - Underestimating the Effort [Seite 264]
8.3.3.11 - Fairy-Tale Savings [Seite 264]
8.3.3.12 - Failure to Account for Post-Implementation Costs [Seite 264]
8.3.4 - Ensuring the Delivery of Value [Seite 265]
8.3.4.1 - Make Sure the Homework Was Done [Seite 265]
8.3.4.2 - Require Formal Project Proposals [Seite 266]
8.3.4.3 - Increase Accountability for Investment Results [Seite 266]
8.3.4.4 - Manage the Project Well [Seite 267]
8.3.4.5 - Manage Outcomes [Seite 269]
8.3.4.6 - Conduct Post-Implementation Audits [Seite 270]
8.3.4.7 - Celebrate Value Achievement [Seite 270]
8.3.4.8 - Leverage Organizational Governance [Seite 271]
8.3.4.9 - Shorten the Deliverables Cycle [Seite 271]
8.3.4.10 - Benchmark Value [Seite 271]
8.3.4.11 - Communicate Value [Seite 272]
8.3.5 - Analyses of the IT Value Challenge [Seite 272]
8.3.5.1 - Factors That Hinder Value Return [Seite 272]
8.3.5.2 - The Investment-Performance Relationship [Seite 273]
8.3.5.3 - The Value of the Overall Investment [Seite 274]
8.3.5.4 - Progressive Realization of IT Value [Seite 274]
8.3.5.5 - Companies with Digital Maturity [Seite 276]
8.3.6 - Summary [Seite 276]
8.3.7 - Key Terms [Seite 278]
8.3.8 - Learning Activities [Seite 278]
8.3.9 - References [Seite 278]
8.4 - Chapter 8: Organizing Information Technology Services [Seite 281]
8.4.1 - Learning Objectives [Seite 281]
8.4.2 - Information Technology Functions [Seite 282]
8.4.2.1 - IT Department Responsibilities [Seite 283]
8.4.2.2 - Core Functions [Seite 283]
8.4.2.3 - IT Senior Leadership Roles [Seite 286]
8.4.2.4 - IT Staff Roles [Seite 292]
8.4.2.5 - Staff Positions in High Demand [Seite 296]
8.4.2.6 - Staff Attributes [Seite 296]
8.4.3 - Organizing IT Staff Members and Services [Seite 297]
8.4.3.1 - Degree of IT Centralization or Decentralization [Seite 297]
8.4.3.2 - Core IT Competencies [Seite 299]
8.4.3.3 - Departmental Attributes [Seite 301]
8.4.4 - In-House Versus Outsourced IT [Seite 302]
8.4.5 - Evaluating IT Effectiveness [Seite 305]
8.4.5.1 - Governance [Seite 305]
8.4.5.2 - Budget Development and Resource Allocation [Seite 305]
8.4.5.3 - System Acquisition [Seite 306]
8.4.5.4 - System Implementation [Seite 306]
8.4.5.5 - IT Service Levels [Seite 306]
8.4.6 - Summary [Seite 311]
8.4.7 - Key Terms [Seite 311]
8.4.8 - Learning Activities [Seite 312]
8.4.9 - References [Seite 312]
9 - Part Three: Laws, Regulations, and Standards That Affect Health Care Information Systems [Seite 315]
9.1 - Chapter 9: Privacy and Security [Seite 317]
9.1.1 - Learning Objectives [Seite 317]
9.1.2 - Privacy, Confidentiality, and Security Defined [Seite 318]
9.1.3 - Legal Protection of Health Information [Seite 319]
9.1.3.1 - The Privacy Act of 1974 [Seite 319]
9.1.3.2 - Confidentiality of Substance Abuse Patient Records [Seite 320]
9.1.3.3 - HIPAA [Seite 320]
9.1.3.4 - HIPAA Privacy Rule [Seite 322]
9.1.3.5 - The HIPAA Security Rule [Seite 325]
9.1.3.6 - The HIPAA Security Rule [Seite 326]
9.1.3.7 - HIPAA Breach Notification Rule [Seite 330]
9.1.3.8 - HIPAA Enforcement and Violation Penalties [Seite 331]
9.1.4 - Threats to Health Care Information [Seite 335]
9.1.5 - The Health Care Organization's Security Program [Seite 336]
9.1.5.1 - Step 1: Lead Your Culture, Select Your Team, and Learn [Seite 337]
9.1.5.2 - Step 2: Document Your Process, Findings, and Actions [Seite 338]
9.1.5.3 - Step 3: Review Existing Security of ePHI (Perform Security Risk Analysis) [Seite 338]
9.1.5.4 - Step 4: Develop an Action Plan [Seite 339]
9.1.5.5 - Step 5: Manage and Mitigate Risks [Seite 341]
9.1.5.6 - Step 6: Attest for Meaningful Use Security Related Objective [Seite 341]
9.1.5.7 - Step 7: Monitor, Audit, and Update Security on an Ongoing Basis [Seite 341]
9.1.6 - Beyond Hipaa: Cybersecurity for Today's Wired Environment [Seite 342]
9.1.6.1 - Protect Mobile Devices [Seite 343]
9.1.6.2 - Maintain Good Computer Habits [Seite 343]
9.1.6.3 - Use a Firewall [Seite 344]
9.1.6.4 - Install and Maintain Antivirus Software [Seite 344]
9.1.6.5 - Plan for the Unexpected [Seite 344]
9.1.6.6 - Control Access to PHI [Seite 345]
9.1.6.7 - Use Strong Passwords [Seite 346]
9.1.6.8 - Limit Network Access [Seite 347]
9.1.6.9 - Control Physical Access [Seite 347]
9.1.6.10 - National Institute of Standards and Technology (NIST) Cybersecurity Framework [Seite 347]
9.1.7 - Summary [Seite 349]
9.1.8 - Key Terms [Seite 350]
9.1.9 - Learning Activities [Seite 350]
9.1.10 - References [Seite 351]
9.2 - Chapter 10: Performance Standards and Measures [Seite 353]
9.2.1 - Learning Objectives [Seite 353]
9.2.2 - Licensure, Certification, and Accreditation [Seite 354]
9.2.2.1 - Licensure [Seite 355]
9.2.2.2 - Certification [Seite 355]
9.2.2.3 - Accreditation [Seite 357]
9.2.3 - Measuring the Quality of Care [Seite 364]
9.2.3.1 - Types of Measures [Seite 365]
9.2.3.2 - Data Sources for Measures [Seite 365]
9.2.3.3 - Measurement Development [Seite 366]
9.2.3.4 - Comparative Health Care Data Sets [Seite 372]
9.2.4 - Federal Quality Improvement Initiatives [Seite 374]
9.2.4.1 - The Patient Safety Act [Seite 375]
9.2.4.2 - National Quality Strategy [Seite 375]
9.2.4.3 - CMS Quality Programs [Seite 377]
9.2.5 - Summary [Seite 380]
9.2.6 - Key Terms [Seite 381]
9.2.7 - Learning Activities [Seite 382]
9.2.8 - References [Seite 383]
9.3 - Chapter 11: Health Care Information System Standards [Seite 387]
9.3.1 - Learning Objectives [Seite 387]
9.3.2 - HCIS Standards Overview [Seite 389]
9.3.3 - Standards Development Process [Seite 390]
9.3.4 - Federal Initiatives Affecting Health Care IT Standards [Seite 394]
9.3.4.1 - HIPAA [Seite 394]
9.3.4.2 - Centers for Medicare and Medicaid E-prescribing [Seite 394]
9.3.4.3 - Centers for Medicare and Medicaid EHR Incentive Programs [Seite 395]
9.3.4.4 - Office of the National Coordinator for Health Information Technology [Seite 395]
9.3.5 - Other Organizations Influencing Health Care IT Standards [Seite 397]
9.3.5.1 - ASTM International [Seite 398]
9.3.5.2 - HL7 International [Seite 398]
9.3.5.3 - IHE [Seite 399]
9.3.6 - Health IT Standards [Seite 399]
9.3.7 - Vocabulary and Terminology Standards [Seite 400]
9.3.7.1 - Code on Dental Procedures and Nomenclature [Seite 401]
9.3.7.2 - National Drug Codes [Seite 402]
9.3.7.3 - Systematized Nomenclature of Medicine-Clinical Terms [Seite 402]
9.3.7.4 - Logical Observation Identifiers Names and Codes [Seite 403]
9.3.7.5 - Clinical Vaccines Administered [Seite 403]
9.3.7.6 - RxNorm [Seite 404]
9.3.7.7 - Unified Medical Language System [Seite 405]
9.3.8 - Data Exchange and Messaging Standards [Seite 406]
9.3.8.1 - Health Level Seven Standards [Seite 407]
9.3.8.2 - Digital Imaging and Communications in Medicine Standards [Seite 407]
9.3.8.3 - National Council for Prescription Drug Program Standards [Seite 407]
9.3.8.4 - ANSI ASC X12N Standards [Seite 408]
9.3.8.5 - Continuity of Care Document (CCD) [Seite 411]
9.3.8.6 - Fast Health Interoperability Resources (FHIR) [Seite 414]
9.3.9 - Health Record Content and Functional Standards [Seite 414]
9.3.9.1 - HL7 EHR-S Functional Model [Seite 415]
9.3.10 - Summary [Seite 417]
9.3.11 - Key Terms [Seite 417]
9.3.12 - Learning Activities [Seite 418]
9.3.13 - References [Seite 419]
10 - Part Four: Senior-Level Management Issues Related to Health Care Information Systems Management [Seite 423]
10.1 - Chapter 12: IT Alignment and Strategic Planning [Seite 425]
10.1.1 - Learning Objectives [Seite 425]
10.1.2 - IT Planning Objectives [Seite 426]
10.1.3 - Overview of Strategy [Seite 428]
10.1.3.1 - Formulation [Seite 428]
10.1.3.2 - Implementation [Seite 429]
10.1.3.3 - Vectors for Arriving at IT Strategy [Seite 430]
10.1.3.4 - IT Strategies Derived from Organizational Strategies [Seite 431]
10.1.3.5 - IT Strategies to Continuously Improve Core Processes and Information Management [Seite 431]
10.1.3.6 - IT Strategies That Rely on New IT Capabilities [Seite 433]
10.1.3.7 - IT Strategies Based on Assessment of Strategic Trajectories [Seite 434]
10.1.4 - The IT Assest [Seite 435]
10.1.4.1 - Applications [Seite 436]
10.1.4.2 - Infrastructure [Seite 437]
10.1.4.3 - Data [Seite 437]
10.1.4.4 - IT Staff Members [Seite 438]
10.1.5 - A Normative Approach to Developing Alignment and IT Strategy [Seite 438]
10.1.5.1 - Strategy Discussion Linkage [Seite 439]
10.1.5.2 - IT Liaisons [Seite 440]
10.1.5.3 - New Technology Review [Seite 441]
10.1.5.4 - Synthesis of Discussions [Seite 443]
10.1.6 - IT Strategy and Alignment Challenges [Seite 447]
10.1.6.1 - Planning Methodologies [Seite 447]
10.1.6.2 - Persistence of the Alignment Problem [Seite 448]
10.1.6.3 - The Limitations of Alignment [Seite 449]
10.1.6.4 - Alignment at Maturity [Seite 449]
10.1.6.5 - IT Strategy Is Not Always Necessary [Seite 451]
10.1.6.6 - The Challenge of Emerging Technology [Seite 451]
10.1.7 - Summary [Seite 453]
10.1.8 - Key Terms [Seite 455]
10.1.9 - Learning Activities [Seite 456]
10.1.10 - References [Seite 456]
10.2 - Chapter 13: IT Governance and Management [Seite 457]
10.2.1 - Learning Objectives [Seite 457]
10.2.2 - IT Governance [Seite 458]
10.2.2.1 - Governance Characteristics [Seite 460]
10.2.2.2 - IT, User, and Senior Management Responsibilities [Seite 461]
10.2.2.3 - IT Department Responsibilities [Seite 461]
10.2.2.4 - User Responsibilities [Seite 463]
10.2.2.5 - Senior Management Responsibilities [Seite 463]
10.2.2.6 - Specific Governance Structures [Seite 466]
10.2.2.7 - The Board [Seite 466]
10.2.2.8 - Senior Leadership Organizational Forum [Seite 467]
10.2.2.9 - IT Liaison Relationships [Seite 468]
10.2.2.10 - Variations [Seite 468]
10.2.3 - IT Budget [Seite 470]
10.2.3.1 - Basic Budget Categories [Seite 471]
10.2.3.2 - Budget Targets [Seite 472]
10.2.3.3 - IT Budget Development [Seite 472]
10.2.4 - Management Role in Major IT Initiatives [Seite 475]
10.2.4.1 - Lack of Clarity of Purpose [Seite 476]
10.2.4.2 - Lack of Belief in the Project [Seite 476]
10.2.4.3 - Insufficient Leadership Support [Seite 476]
10.2.4.4 - Organizational Inertia [Seite 477]
10.2.4.5 - Organizational Baggage [Seite 477]
10.2.4.6 - Lack of an Appropriate Reward System [Seite 477]
10.2.4.7 - Lack of Candor [Seite 478]
10.2.4.8 - Project Complexity [Seite 478]
10.2.4.9 - Failure to Respect Uncertainty [Seite 479]
10.2.4.10 - Initiative Undernourishment [Seite 479]
10.2.4.11 - Failure to Anticipate Short-Term Disruptions [Seite 480]
10.2.4.12 - Lack of Technology Stability and Maturity [Seite 481]
10.2.4.13 - How to Avoid These Mistakes [Seite 481]
10.2.5 - IT Effectiveness [Seite 482]
10.2.5.1 - Individuals and Leadership Matter [Seite 483]
10.2.5.2 - Relationships Are Critical [Seite 484]
10.2.5.3 - The Technology and the Technical Infrastructure Both Enable and Hinder [Seite 484]
10.2.5.4 - The Organization Must Encourage Innovation [Seite 484]
10.2.5.5 - True Innovation Takes Time [Seite 485]
10.2.5.6 - Evaluation of IT Opportunities Must Be Thoughtful [Seite 485]
10.2.5.7 - Processes, Data, and Business Model Change Form the Basisof an IT Innovation [Seite 485]
10.2.5.8 - Alignment Must Be Mature and Strong [Seite 485]
10.2.5.9 - The IT Asset Is Critical [Seite 486]
10.2.6 - The Competitive Value of IT [Seite 488]
10.2.6.1 - Sources of Advantage [Seite 488]
10.2.6.2 - Observations on IT Use for Competitive Advantage [Seite 490]
10.2.7 - Summary [Seite 493]
10.2.8 - Key Terms [Seite 495]
10.2.9 - Learning Activities [Seite 495]
10.2.10 - Notes [Seite 495]
10.2.11 - References [Seite 496]
10.3 - Chapter 14: Health IT Leadership Case Studies [Seite 497]
10.3.1 - Case 1: Population Health Management in Action [Seite 498]
10.3.1.1 - Bon Secours's Care Team Model [Seite 500]
10.3.1.2 - Bon Secours's eHealth Strategies [Seite 501]
10.3.1.3 - Challenges and Lessons Learned [Seite 502]
10.3.1.4 - Innovation Impact [Seite 503]
10.3.1.5 - Discussion Questions [Seite 503]
10.3.2 - Case 2: Registries and Disease Management in the PCMH [Seite 504]
10.3.2.1 - UHC's Care Team Model [Seite 504]
10.3.2.2 - UHC's eHealth Strategies [Seite 504]
10.3.2.3 - Challenges and Lessons Learned [Seite 505]
10.3.2.4 - Innovation Impact [Seite 506]
10.3.2.5 - Discussion Questions [Seite 506]
10.3.3 - Case 3: Implementing a Capacity Management Information System [Seite 507]
10.3.3.1 - Information Systems Challenge [Seite 507]
10.3.3.2 - Discussion Questions [Seite 508]
10.3.4 - Case 4: Implementing a Telemedicine Solution [Seite 508]
10.3.4.1 - Information Systems Challenge [Seite 509]
10.3.4.2 - Discussion Questions [Seite 510]
10.3.5 - Case 5: Selecting an EHR for Dermatology Practice [Seite 510]
10.3.5.1 - Information Systems Challenge [Seite 511]
10.3.5.2 - Discussion Questions [Seite 511]
10.3.6 - Case 6: Watson's Ambulatory EHR Transition [Seite 512]
10.3.6.1 - EHR Project Plan [Seite 513]
10.3.6.2 - Conclusion [Seite 517]
10.3.6.3 - Discussion Questions [Seite 517]
10.3.7 - Case 7: Concerns and Workarounds With a Clinical Documentation System [Seite 517]
10.3.7.1 - Information Systems Challenge [Seite 518]
10.3.7.2 - Discussion Questions [Seite 519]
10.3.8 - Case 8: Conversion to an EHR Messaging System [Seite 520]
10.3.8.1 - Information Systems Challenge [Seite 520]
10.3.8.2 - Discussion Questions [Seite 521]
10.3.9 - Case 9: Strategies for Implementing CPOE [Seite 522]
10.3.9.1 - Information Systems Challenge [Seite 523]
10.3.9.2 - Discussion Questions [Seite 524]
10.3.10 - Case 10: Implementing a Syndromic Surveillance System [Seite 524]
10.3.10.1 - Information Systems Challenge [Seite 525]
10.3.10.2 - Discussion Questions [Seite 525]
10.3.11 - Case 11: Planning an EHR Implementation [Seite 526]
10.3.11.1 - Information Systems Challenge [Seite 526]
10.3.11.2 - Discussion Questions [Seite 527]
10.3.12 - Case 12: Replacing a Practice Management System [Seite 527]
10.3.12.1 - Information Systems Challenge [Seite 528]
10.3.12.2 - Discussion Questions [Seite 528]
10.3.13 - Case 13: Implementing Tele-Psychiatry in a Community Hospital Emergency Department [Seite 528]
10.3.13.1 - The Challenge [Seite 529]
10.3.13.2 - Tele-psychiatry as a Strategy [Seite 530]
10.3.13.3 - Implementation Plan [Seite 531]
10.3.13.4 - Discussion Questions [Seite 532]
10.3.14 - Case 14: Assessing the Value and Impact of CPOE [Seite 532]
10.3.14.1 - Information Systems Challenge [Seite 533]
10.3.14.2 - Discussion Questions [Seite 533]
10.3.15 - Case 15: Assessing the Value of Health IT Investment [Seite 534]
10.3.15.1 - Discussion Questions [Seite 535]
10.3.16 - Case 16: The Admitting System Crashes [Seite 536]
10.3.16.1 - Information Systems Challenge [Seite 536]
10.3.16.2 - Discussion Questions [Seite 537]
10.3.17 - Case 17: Breaching the Security of an Internet Patient Portal [Seite 537]
10.3.17.1 - Information Systems Challenge [Seite 538]
10.3.17.2 - Discussion Questions [Seite 539]
10.3.18 - Case 18: the Decision to Develop an IT Strategic Plan [Seite 539]
10.3.18.1 - Information Systems Challenge [Seite 539]
10.3.18.2 - Discussion Questions [Seite 540]
10.3.19 - Case 19: Selection of a Patient Safety Strategy [Seite 540]
10.3.19.1 - Information Systems Challenge [Seite 541]
10.3.19.2 - Discussion Questions [Seite 542]
10.3.20 - Case 20: Strategic is Planning for the Hospital ED [Seite 542]
10.3.20.1 - Information Systems Challenge [Seite 544]
10.3.20.2 - Organizational Factors [Seite 544]
10.3.20.3 - IT System Factors [Seite 544]
10.3.20.4 - Discussion Questions [Seite 545]
10.3.21 - Case 21: Board Support for a Capital Project [Seite 545]
10.3.21.1 - Information Systems Challenge [Seite 546]
10.3.21.2 - Discussion Questions [Seite 547]
10.3.22 - Supplemental Listing of Related Case Studies and Webinars [Seite 548]
10.3.22.1 - Enabling Change in Health Care [Seite 548]
10.3.22.2 - The Road to Accountable Care: Building Systems for Population Health Management [Seite 548]
10.3.22.3 - Webinar: Engaging Physicians in the Health Care Revolution [Seite 549]
10.3.22.4 - Uber: Changing the Way the World Moves [Seite 549]
10.3.22.5 - Inciting a Computer Revolution in Health Care: Implementing the Health Information Technology Act [Seite 550]
10.3.22.6 - Information Technology and Clinical Operations at Beth Israel Deaconess Medical Center [Seite 551]
10.3.22.7 - Partners Healthcare System: Transforming Health Care Services Delivery through Information Management [Seite 551]
10.3.22.8 - Mount Auburn Hospital: Physician Order Entry [Seite 552]
10.3.22.9 - Moore Medical Corporation [Seite 552]
10.3.22.10 - CareGroup [Seite 553]
10.3.22.11 - University Health Network: The MOE-MAR Initiative [Seite 553]
10.3.22.12 - STARS Air Ambulance: An Information Systems Challenge [Seite 554]
10.3.22.13 - Secrets of HIE Success Revealed: Lessons from the Leaders [Seite 554]
11 - Appendix A: Overview of the Health Care IT Industry [Seite 555]
11.1 - The Health Care IT Industry [Seite 555]
11.1.1 - Transition of the Health Care IT Market [Seite 557]
11.1.2 - Major Suppliers of Health Care IT Products and Services [Seite 559]
11.1.3 - Size of the Industry [Seite 561]
11.2 - Sources of Industry Information [Seite 562]
11.2.1 - Periodicals [Seite 562]
11.2.2 - Books [Seite 563]
11.2.3 - Industry Research Firms [Seite 563]
11.3 - Health Care IT Associations [Seite 564]
11.3.1 - American Health Information Management Association (AHIMA) [Seite 564]
11.3.2 - American Medical Informatics Association (AMIA) [Seite 565]
11.3.3 - College of Healthcare Information ManagementExecutives (CHIME) [Seite 565]
11.3.4 - Healthcare Information and Management Systems Society (HIMSS) [Seite 565]
11.3.5 - Other Industry Groups and Associations [Seite 566]
11.4 - Summary [Seite 566]
11.5 - Learning Activities [Seite 567]
11.6 - References [Seite 567]
12 - Appendix B: Sample Project Charter, Sample Job Descriptions, and Sample User Satisfaction Survey [Seite 569]
12.1 - Sample Project Charter [Seite 569]
12.2 - Foreword [Seite 570]
12.3 - Business Requirements [Seite 571]
12.3.1 - Background [Seite 571]
12.3.2 - Project Overview [Seite 571]
12.3.3 - Project Objectives [Seite 572]
12.3.4 - Value Provided to Customers [Seite 572]
12.3.5 - Business Risks [Seite 572]
12.4 - Vision of the Solution [Seite 573]
12.4.1 - Vision Statement [Seite 573]
12.4.2 - Major Features [Seite 574]
12.4.3 - Assumptions and Dependencies [Seite 574]
12.4.4 - Related Projects [Seite 574]
12.5 - Scope and limitations [Seite 575]
12.5.1 - Scope of Initial Release [Seite 575]
12.5.2 - Interface Scope [Seite 575]
12.5.3 - Organizational Scope [Seite 575]
12.5.4 - Conversion Scope [Seite 575]
12.5.5 - Scope of Subsequent Releases [Seite 575]
12.5.6 - Out of Scope [Seite 575]
12.6 - Project Success Factors [Seite 576]
12.7 - Budget Highlights [Seite 576]
12.8 - Timeline [Seite 577]
12.9 - Project Organization [Seite 577]
12.10 - Project Management Strategies [Seite 577]
12.10.1 - Project Meetings [Seite 577]
12.10.2 - Issue Management [Seite 578]
12.10.3 - Scope Change Management [Seite 578]
12.10.4 - Training Strategy [Seite 578]
12.10.5 - Documentation Development Strategy [Seite 580]
12.10.6 - Project Work Paper Organization and Coordination [Seite 580]
12.11 - Sample Job Descriptions [Seite 581]
12.12 - Sample User Satisfaction Survey [Seite 588]
13 - Index [Seite 589]
14 - End User License Agreement [Seite 611]

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