Health Care Information Systems: A Practical Approach for Health Care Management

738 Pages·2013·10.947 MB·English

by  Wager, Karen A;Lee, Frances Wickham;Glaser, John P

Health Care
Information Systems

Health Care
Information Systems
A Practical Approach for
Health Care Management
Third Edition
Karen A. Wager
Frances Wickham Lee
John P. Glaser
Cover design by JPuda
Cover image: © Michael Adendorff/Getty
Copyright © 2013 by John Wiley & Sons, Inc. All rights reserved.
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Library of Congress Cataloging-in-Publication Data
Wager, Karen A., 1961– author.
Health care information systems : a practical approach for health care management / Karen
A. Wager, Frances W. Lee, John P. Glaser. – Third editon.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-17353-4 (paperback), ISBN 978-1-118-41936-6 (ePDF), ISBN 978-1-118-42093-5
(ePub)
I. Lee, Frances Wickham, 1953– author. II. Glaser, John P. (John Patrick), 1955–
author. III. Title.
[DNLM: 1. Health Information Systems–organization & administration. W 26.55.I4]
R858
610.68–dc23
2013019370
Printed in the United States of America
THIRD EDITION
PB Printing 10 9 8 7 6 5 4 3 2 1
Contents
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
v
vi · CONTENTS
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
CONTENTS · vii
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
viii · CONTENTS
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