HIT or Miss for the Student: Lessons Learned from Health Information Technology Projects PDF
Preview HIT or Miss for the Student: Lessons Learned from Health Information Technology Projects
STUDENT EDITION HIT or Miss for the Student Lessons Learned from Health Information Technology Projects HIMSS Book Series Participatory Healthcare: A Person-Centered Approach to Healthcare Transformation Jan Oldenburg The Journey Never Ends: Technology’s Role in Helping Perfect Health Care Outcomes David Garets and Claire McCarthy Garets Glaser on Health Care IT: Perspectives from the Decade that Defined Health Care Information Technology John P. Glaser Leveraging Data in Healthcare: Best Practices for Controlling, Analyzing, and Using Data Rebecca Mendoza Saltiel Busch STUDENT EDITION HIT or Miss for the Student Lessons Learned from Health Information Technology Projects Jonathan Leviss Edited by CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2019 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-0-367-18568-8 (Hardback) This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. 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CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging‑in‑Publication Data Names: Leviss, Jonathan, author. Title: HIT or miss for the student : lessons learned from health information technology projects / Jonathan Leviss. Description: Boca Raton : Taylor & Francis, 2019. | “A CRC title, part of the Taylor & Francis imprint, a member of the Taylor & Francis Group, the academic division of T&F Informa plc.” | Includes bibliographical references and index. Identifiers: LCCN 2019006081 (print) | LCCN 2019008494 (ebook) | ISBN 9780429196850 (e-Book) | ISBN 9780367185688 (hardback : alk. paper) Subjects: LCSH: Health services administration—Information technology—Vocational guidance. | Medical records—Data processing—Vocational guidance. Classification: LCC R858 (ebook) | LCC R858 .L48 2019 (print) | DDC 610.285—dc23 LC record available at https://lccn.loc.gov/2019006081 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com To Emmy and Becca—keep doing good stuff … keep learning from your stumbles … and keep making it fun! To Perri—my best friend, wife, and most important source of support. Thanks for everything, especially for your love. Much aloha. Contents Foreword ..................................................................................................xiii Acknowledgments ..................................................................................xix Introduction and Methodology .............................................................xxi Editor .....................................................................................................xxvii Associate Editors ..................................................................................xxix Contributing Experts, Authors, and Author Teams .........................xxxi SeCtion i HoSPitAL CARe FoCUS 1 Build It with Them, Make It Mandatory, and They Will Come: Implementing CPOE .........................................................3 EDITOR: BONNIE KAPLAN 2 One Size Does Not Fit All: Multihospital EHR Implementation .....7 EDITOR: PAM CHARNEY 3 Putting the Cart before the Horse: IDN Integration .................11 EDITOR: CHRISTINA STEPHAN 4 Hospital Objectives versus Project Timelines: An Electronic Medication Administration Record ............................................15 EDITOR: BRIAN GUGERTY 5 Clinical Quality Improvement or Administrative Oversight: Clinical Decision Support Systems ............................................19 EDITOR: JONATHAN LEVISS 6 A Legacy Shortfall Reinforces a New Endeavor: Business Intelligence .................................................................23 EDITOR: JONATHAN LEVISS vii viii ◾ Contents 7 When Value Endures: Legacy Data Viewer ................................27 EDITOR: MELISSA BAYSARI 8 Usability Reigns Supreme: Medication Alerts ...........................29 EDITOR: CHRISTINA STEPHAN 9 A Mobile App That Didn’t: Antibiotic Approvals .......................33 EDITOR: DAVID LEANDER 10 Disruptive Workflow Disrupts the Rollout: Electronic Medication Reconciliation ..........................................................35 EDITOR: GAIL KEENAN 11 Anatomy of a Preventable Mistake: Unrecognized Workflow Change in Medication Management ..........................39 EDITOR: JONATHAN LEVISS 12 Failure to Plan, Failure to Rollout: Bar Code Medication Verification Failure ....................................................................43 EDITOR: PAM CHARNEY 13 Fitting a Square Peg into a Round Hole: Enterprise EHR for Obstetrics .....................................................................47 EDITOR: CHRISTOPHER CORBIT 14 Basic Math: HL7 Interfaces from CPOE to Pharmacy to eMAR ...51 EDITORS: LARRY OZERAN AND JONATHAN LEVISS 15 In with the New Does Not Mean Out with the Old: Mobile Devices ...........................................................................55 EDITOR: RICHARD SCHREIBER 16 First-Time Failures Ensured Later Success: Pharmacy System Upgrade .........................................................................59 EDITOR: ERIC ROSE 17 Device Selection: No Other Phase Is More Important: Mobile Nursing Devices .............................................................63 EDITOR: GAIL KEENAN 18 How Many Is Too Many: ICU Data Capture ...............................67 EDITOR: KAI ZHENG 19 Simultaneous Systems Migration: Fetal Monitoring ..................71 EDITOR: CHRISTINA STEPHAN 20 Notification Failure: Critical Laboratory Result .........................75 EDITOR: KARL POTERACK Contents ◾ ix 21 Collaboration Is Essential: Care Planning and Documentation ...79 EDITOR: JONATHAN LEVISS 22 Lessons Beyond Bar Coding: Laboratory Automation and Custom Development .................................................................83 EDITOR: EDWARD WU 23 A Single Point of Failure: Protecting the Data Center ...............87 EDITOR: BONNIE KAPLAN 24 Vendor and Customer: Single Sign-On .......................................91 EDITOR: JUSTIN GRAHAM 25 The Phone’s On, but Nobody’s Home: Communications Upgrade .....................................................................................95 EDITOR: MELISSA BAYSARI 26 Ready for the Upgrade: Upgrading a Hospital EHR for Meaningful Use ..........................................................................99 EDITOR: EDWARD WU 27 Effective Leadership Includes the Right People: Informatics Expertise ..............................................................103 EDITOR: GAIL KEENAN 28 Culture Eats Implementation for Lunch: Chronic Care Model ........................................................................... 107 EDITOR: MELISSA BAYSARI 29 Shortsighted Vision: CPOE after Go-Live .................................109 EDITOR: CHRISTOPHER CORBIT 30 Committing Leadership Resources: A CMIO and CPOE Governance ..............................................................................113 EDITOR: GAIL KEENAN 31 When to Throw in the Towel…ED Downtime .........................117 EDITOR: RICHARD SCHREIBER 32 When Life Throws You Lemons, Make Lemonade: Voice Recognition ....................................................................119 EDITOR: CHRISTOPHER CORBIT SeCtion ii AMBULAtoRY CARe FoCUS 33 All Automation Isn’t Good: CPOE and Order Sets ...................125 EDITOR: PAMELA CHARNEY
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