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The paperless hospital : healthcare in a digital age PDF

345 Pages·2002·3.261 MB·English
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THE PAPERLESS HOSPITAL —————— Healthcare in a Digital Age Management Series Editorial Board Virginia V. Cohen, fache Children’s Hospital Medical Center Terence T. Cunningham, III, fache Ben-Taub General Hospital Mark A. Dame, che Memorial Hospital Marie de Martinez, che St. Francis Medical Center Kenneth C. DeBoer Avera St. Luke’s Hospital John Di Perry, Jr., che Mercy Medical Center Redding Irene Fleshner, che Genesis Health Ventures Michael R. Gloor, fache St. Francis Medical Center Maj. Michael S. Heimall, che North Atlantic Regional Medical Command Kathryn S. Maginnis, che Department of Veterans A=airs Karolee M. Sowle, fache Desert Regional Medical Center Katherine W. Vestal, Ph.D., fache Cap Gemini Ernst Alan M. Zuckerman, fache Health Strategies & Solutions THE PAPERLESS HOSPITAL —————— Healthcare in a Digital Age Russell C. Coile, Jr. Health Administration Press HIMSS ACHEManagement Series Your board, sta=, or clients may also benefit from this book’s insight. For more informa- tion on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424-9470. This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The statements and opinions contained in this book are strictly those of the author(s) and do not represent the o;cial positions of the American College of the Healthcare Executives or of the Foundation of the American College of Healthcare Executives. Copyright © 2002 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher. 05 04 03 02 01 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Coile, Russell C. The paperless hospital : healthcare in a digital age / by Russell C. Coile, Jr. p. cm. Includes bibliographical references. isbn1-56793-162-6 (alk. paper) 1. Hospitals—Administration. 2. Computer networks. 3. Internet. I. Title. [dnlm: 1. Delivery of Health Care—organization & administration. 2. Computer Communication Networks. 3. Hospital Administration—trends. 4. Internet. W 84.1C679p 2001] RA971.23 .C65 2001 362.1'1'068—dc21 2001039442 The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ansiZ39.48-1984. ™ Acquisitions manager: Audrey Kaufman; Project manager: Joyce Sherman; Text and cover design: Matt Avery Health Administration Press Healthcare Information and A division of the Foundation of the American Management Systems Society College of Healthcare Executives 230 East Ohio Street 1 North Franklin Street, Suite 1700 Suite 500 Chicago, il60606-3491 Chicago, il60611-3269 (312) 424-2800 A project like this takes me away from my family more than I like to be reminded. I want to dedicate this book to my family, Nancy, Amanda, and Ariel, who will live in the digital future. This Page Intentionally Left Blank Table of Contents Foreword ix Preface xiii 1 Introduction: The Digital Transformation of 1 Healthcare 2 Cyber-Health: Transforming Legacy Systems into 23 Enterprise Application Infrastructures 3 Report Cards: Competing in a Consumer-Driven 49 Marketplace 4 Connecting Businesses 77 5 E-Solutions: Harnessing the Internet for Business 105 Improvement 6 Web Strategies: The Internet and Customer 127 Relationship Management 7 Outsourcing: A Better, Faster, Cheaper Solution for 155 Technology Management 8 Call Centers: Managing Demand to Manage Care 177 9 Telemedicine: A New Foundation for Healthcare 201 Delivery 10 Medical Errors and the Science of Care Management 227 11 HIPAA, Electronic Privacy, and Internet Transactions 253 12 Managing Healthcare’s E-Organizations 283 Index 309 vii This Page Intentionally Left Blank Foreword to The Paperless Hospital: Healthcare in a Digital Age Like any revolution, the digital transformation of healthcare began almost imperceptibly many years ago. I witnessed one of its ear- liest events without having any special awareness of what was to come. The 400-bed hospital where I worked as a photographer installed its first computer in the late 1960s, and I was asked to take pictures for the press release announcing the hospital’s entry into the new world of electronic data processing. The computing machine was more note- worthy for its size than for its function. I remember the hospital’s pub- lic relations director asking me to take pictures to showcase the half- dozen new,refrigerator-sized boxes that filled anair-conditioned room in the basement. The automation of financial record keeping was not the big story. The important message was that our hospital’s computer was literally bigger than the neighboring hospital’s computer. A few employees joked about being “replaced by a button,” but if anything was pre- sumably foreshadowed by our new data processor, it was that even bigger machines were coming. Indeed, the president of International Business Machines (ibm) predicted at the time that the world would soon be run by a handful of very big supercomputers. As best I can re- member, all the attention was focused on computers as business ma- chines. They were going to make traditional business more e;cient, ix

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