Transforming Health Care Through Information PDF
Preview Transforming Health Care Through Information
LTFPR 10/11/2004 8:31 AM Page i Health Informatics (formerly Computers in Health Care) Kathryn J. Hannah Marion J. Ball Series Editors LTFPR 10/11/2004 8:31 AM Page ii Health Informatics Series (formerly Computers in Health Care) Series Editors Kathryn J. Hannah Marion J. Ball Dental Informatics Integrating Technology into the Dental Environment L.M. Abbey and J. Zimmerman Ethics and Information Technology A Case-Based Approach to a Health Care System in Transition J.G. Anderson and K.W. Goodman Aspects of the Computer-Based Patient Record M.J. Ball and M.F. Collen Performance Improvement Through Information Management Health Care’s Bridge to Success M.J. Ball and J.V. Douglas Strategies and Technologies for Healthcare Information Theory into Practice M.J. Ball, J.V. Douglas, and D.E. Garets Nursing Informatics Where Caring and Technology Meet, Third Edition M.J. Ball, K.J. Hannah, S.K. Newbold, and J.V. Douglas Healthcare Information Management Systems A Practical Guide, Second Edition M.J. Ball, D.W. Simborg, J.W. Albright, and J.V. Douglas Clinical Decision Support Systems Theory and Practice E.S. Berner Strategy and Architecture of Health Care Information Systems M.K. Bourke Information Networks for Community Health P.F. Brennan, S.J. Schneider, and E. Tornquist Informatics for the Clinical Laboratory A Practical Guide D.F. Cowan Introduction to Clinical Informatics P. Degoulet and M. Fieschi Behavioral Healthcare Informatics N.A. Dewan, N.M. Lorenzi, R.T. Riley, and S.R. Bhattacharya (continued after Index) LTFPR 10/11/2004 8:31 AM Page iii Nancy M. Lorenzi Joan S. Ash Jonathan Einbinder Wendy McPhee Laura Einbinder Editors Transforming Health Care Through Information Second Edition With 11 Illustrations LTFPR 10/11/2004 8:31 AM Page iv Nancy M. Lorenzi, PhD Joan S. Ash, PhD Jonathan Einbinder, MD, Professor of Biomedical Division of Medical MPH Informatics Informatics and Outcomes Corporate Manager, Quality Assistant Vice Chancellor for Research Data Management Health Affairs Oregon Health & Science Clinical Informatics Research Vanderbilt University University School of and Development Medical Center Medicine Partners HealthCare System Informatics Center Portland, OR 97201, USA Wellesley, MA 02481, USA Nashville, TN 37232, USA Wendy McPhee, MA, MITHI Laura Einbinder, MBA Director, Health Informatics President Education Einbinder & Associates Monash Institute of Health Medfield, MA 02052, USA Services Research Monash University Clayton, Victoria 3168 Australia Series Editors: Kathryn J. Hannah, PhD, RN Marion J. Ball, EdD Adjunct Professor, Department of Vice President, Clinical Solutions Community Health Science 2 Hamill Road Quadrangle 359 West Faculty of Medicine Healthlink, Inc. The University of Calgary Baltimore, MD 21210 Calgary, Alberta T2N 4N1, Canada and Adjunct Professor The Johns Hopkins University School of Nursing Baltimore, MD 21205, USA Cover illustration: Bek Shakirov/images.com Library of Congress Cataloging-in-Publication Data Transforming health care through information / Nancy M. Lorenzl . . . [et al.], editors.—2nd ed. p. ; cm.—(Health informatics) Includes bibliographical references and index. ISBN 0-387-21447-X (alk. paper) 1. Health facilities—Administration—Data processing—Case studies. 2. Medical care—Data processing—Case studies. 3. Information storage and retrieval systems—Medical care—Case studies. 4. Medical informatics—Case studies. 5. Organizational change—Case studies. I. Lorenzi, Nancy M. II. Series. [DNLM: 1. Health Facilities—organization & administration. 2. Medical Informatics—organization & administration. 3. Organizational Case Studies. 4. Organizational Innovation. WX 26.5 T772 2005] RA971.6.T74 2005 362.11¢068—dc22 2004056534 ISBN 0-387-21447-X Printed on acid-free paper. © 1995, 2005 Springer Science+Business Media, Inc. All rights reserved. This work may not be translated or copied in whole or in part without the written permis- sion of the publisher (Springer Science+Business Media, Inc., 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar method- ology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to pro- prietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omis- sions that may be made. The publisher makes no warranty, express or implied, with respect to the material con- tained herein. Printed in the United States of America. (BS/EB) 9 8 7 6 5 4 3 2 1 SPIN 10967171 springeronline.com LTFPR 10/11/2004 8:31 AM Page v Robert T. Riley PhD June 26, 1937–January 18, 2003 Bob Riley was not only one of the original editors of the first edition of Transforming Health Care Through Information: Case Studies, he was the managing editor! In that role he personally edited all the cases and ensured that they were more readable and had a sense of balance and humor. Bob was a tenured faculty member at the University of Cincinnati, College of Busi- ness Administration, until he founded Riley Associates, a successful international con- sulting and training firm. He was nationally and internationally acclaimed for his presentations, his management development seminars, and his consulting skills. He authored several books and numerous articles on management and on managing tech- nological change. Bob was known for his humor, his constant quest for new knowledge, his ability to understand and solve problems, his ability to make friends, and his ability to teach others. Bob was active in the early stages of planning this book. Tragically on January 18, 2003, he lost his two-year battle with cancer. We miss his presence very much. Nancy M. Lorenzi Joan S. Ash Jonathan Einbinder Wendy McPhee Laura Einbinder LTFPR 10/11/2004 8:31 AM Page vi To all those who realize that informatics is transforming health care and to those who soon will LTFPR 10/11/2004 8:31 AM Page vii Series Preface This series is directed to healthcare professionals who are leading the transformation of health care by using information and knowledge. Launched in 1988 as Computers in Health Care, the series offers a broad range of titles: some addressed to specific pro- fessions such as nursing, medicine, and health administration; others to special areas of practice such as trauma and radiology. Still other books in the series focus on inter- disciplinary issues such as the computer-based patient record, electronic health records, and networked healthcare systems. Renamed Health Informatics in 1998 to reflect the rapid evolution in the discipline now known as health informatics, the series will continue to add titles that contribute to the evolution of the field. In the series, eminent experts, serving as editors or authors, offer their accounts of innovations in health informatics. Increasingly, these accounts go beyond hardware and software to address the role of information in influencing the transformation of healthcare delivery systems around the world. The series will also increasingly focus on “peopleware” and the organizational, behavioral, and societal changes that accompany the diffusion of information technology in health services environments. These changes will shape health services in the next millennium. By making full and creative use of the technology to tame data and to transform information, health infor- matics will foster development of the knowledge age in health care. As coeditors, we pledge to support our professional colleagues and the series readers as they share advances in the emerging and exciting field of health informatics. Kathryn J. Hannah Marion J. Ball vii LTFPR 10/11/2004 8:31 AM Page ix Preface Thorough understanding of, and careful attention to, people and organizational issues are essential for successful healthcare information technology initiatives. Despite this, very few case studies about healthcare information technology—either successes or failures—have been published. For instance, the case collections at Harvard Business School and the Darden School of the University of Virginia contain virtually no cases about healthcare information technology. As a result, students and faculty have turned to other sources, though these vary considerably in content, length, format, and suit- ability for use in the classroom. One of the more frequently cited examples is Massaro’s1 description of a difficult order entry implementation. In 1995, Lorenzi and colleagues2 published a book of case studies—the first edition of Transforming Health Care Through Information. At the same time, rapid and groundbreaking developments in information technol- ogy, presentation, and processing have translated into an increased interconnection between business and policy issues and healthcare informatics. As a result, the value of informatics is becoming recognized outside traditional departments, and informatics trainees are assuming positions outside academic settings. Case studies may be useful for many readers but are particularly valuable in the classroom where learners can become active participants in the learning process by experiencing thought-provoking discussions with their colleagues. The case study method uses reports of “real-life” experiences “to narrow the gap between theory and practice,” pressing students to analyze real situations, come to conclusions, and defend these conclusions among their peers.3 The purpose of the second edition of Trans- forming Health Care Through Information is to continue to fill this gap in the health- care informatics literature. Jonathan Einbinder References 1. Massaro TA. Introducing physician order entry at a major academic medical center. I. Impact on organizational culture and behavior. Academic Medicine 1993;68(1)20–25. 2. Lorenzi NM, Riley RT, Ball MJ, Douglas JV, eds. Transforming Health Care Through Infor- mation: Case Studies. New York: Springer-Verlag, 1995. 3. Ash JS,Anderson JG, Gorman PN, Zielstorff RD, Norcross N, Pettit J,Yao P. Managing change: analysis of a hypothetical case. Journal of the American Medical Informatics Association 2000;7(2):125–134. ix LTFPR 10/11/2004 8:31 AM Page xi Acknowledgments Many thanks to all those who made contributions to this book. Many were graduate students who submitted case studies as group projects. As the health informaticians of the future, we support your continued efforts in this profession. A special thanks to Lisa Miller, Tom Campion, and Alayne Ford of Vanderbilt Uni- versity, Lynne Schwabe of the Oregon Health Sciences University, and Michelle M. Schmitt of Springer for their support in this endeavor. To those who have waited for the publication of this book, we thank you for your continued interest and support. Special acknowledgment is made to Marion Ball and Judith Douglas who were both instrumental in the inception of the first casebook on medical informatics and were encouraging of this new direction. Special acknowledgment also is made to Laura Einbinder who so very capably managed the entire process. If not for Laura, this book would not have been published. Nancy M. Lorenzi Joan S. Ash Jonathan Einbinder Wendy McPhee Laura Einbinder xi
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