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    Health informatics (Saint Louis, Mo.)
    Health informatics : an interprofessional approach / Ramona Nelson, Nancy Staggers.

    • Title:[Health informatics (Saint Louis, Mo.)]
      Health informatics : an interprofessional approach / Ramona Nelson, Nancy Staggers.
    •    
    • Author/Creator:Nelson, Ramona, author.
    • Other Contributors/Collections:Staggers, Nancy, author.
    • Published/Created:St. Louis, Missouri : Elsevier Mosby, [2014]
    • Holdings

       
    • Library of Congress Subjects:Medical informatics.
    • Medical Subjects: Medical Informatics.
    • Description:xxiii, 535 pages : illustrations (some color) ; 28 cm
    • Summary:Covering a wide range of skills and systems, this title prepares you for work in today's technology-filled clinical field. Topics include clinical decision support, clinical documentation, provider order entry systems, system implementation, adoption issues, and more. Case studies, abstracts, and discussion questions enhance your understanding of these crucial areas of the clinical space. New to this edition: 31 chapters written by field experts give you the most current and accurate information on continually evolving subjects like evidence-based practice, EHRs, PHRs, disaster recovery, and simulation. Case studies and attached discussion questions at the end of each chapter encourage higher level thinking that you can apply to real world experiences. Objectives, key terms and an abstract at the beginning of each chapter provide an overview of what each chapter will cover. Conclusion and Future Directions section at the end of each chapter reinforces topics and expands on how the topic will continue to evolve. Open-ended discussion questions at the end of each chapter enhance your understanding of the subject covered.
    • Notes:Includes bibliographical references and index.
    • ISBN:9780323100953 (pbk.)
      0323100953 (pbk.)
    • Contents:Machine generated contents note: UNIT 1 BACKGROUND AND FOUNDATIONAL INFORMATION
      1. Introduction: The Evolution of Health Informatics / Ramona Nelson
      Introduction
      Roots of Informatics within "the Computer and Information Sciences
      Computer Science
      Information Science
      Health Informatics
      Establishing the Specialty of Health Informatics
      Books
      Journals
      Professional Organizations
      Educational Programs
      Certification
      Recognition of the Specialty
      Naming the Specialty
      -Naming the Discipline
      Conclusion and Future Directions
      2. Theoretical Foundations of Health Informatics / Nancy Staggers
      Introduction
      Theories and Models Underlying Health Informatics
      Systems Theory
      Chaos Theory
      Complexity Theory
      Information Theory
      Learning Theory
      Change Theory
      Systems Life Cycle Model
      Staggers and Nelson Systems Life Cycle Model (SLCM)
      Additional Informatics-Related Models
      Conclusion and Future Directions
      3. Evidence-Based Practice and Informatics / Sandra A. Mitchell
      Introduction
      Evidence-Based Practice (EBP) Models
      ACE Star Model of Knowledge Transformation
      Point 1 Discovery Research
      Point 2 Evidence Summary
      Point 3 Translation to Guidelines
      Point 4 Practice Integration
      Point 5 Evaluation
      Conclusion and Future Directions
      4. Knowledge Discovery, Data Mining, and Practice-Based Evidence / Susan D. Horn
      Introduction
      Research Designs for Knowledge Discovery
      EHRs and Knowledge Discovery
      Knowledge Building Using Health IT
      Knowledge Discovery and Data Mining
      Retrieving a Dataset for Analysis
      Sampling and Partitioning
      Data Mining
      Evaluating Data Mining Models
      Practice-Based Evidence
      PBE Features and Challenges
      Steps in a PBE Study
      Limitations and Strengths of PBE Studies
      Conclusion and Future Directions
      5. Program Evaluation and Research Techniques / Charlene R. Weir
      Introduction
      Purposes of Evaluation
      Formative versus Summative Evaluation
      Generalizability and Scope
      Program Continuance versus Growth
      Theories and Frameworks
      Social Science Theories
      Information Technology Theories
      Program Implementation Models
      Program Theory Models
      Methods, Tools, and Techniques
      Quantitative versus Qualitative Questions
      Qualitative Methods
      Quantitative Methods
      Instruments
      Conclusion and Future Directions
      UNIT 2 INFORMATION SYSTEMS IN HEALTHCARE DELIVERY
      6. Electronic Health Records, and Applications for Managing Patient Care / Charlotte Seckman
      Introduction
      Early Terms and Definitions
      Electronic Medical Record (EMR) versus Electronic Health Record (EHR)
      EHR Components, Functions, and Attributes
      Sociotechnical Perspectives
      EHR Adoption
      Meaningful Use
      EMR Adoption Model
      Health Practitioner Role in EHR Adoption and Meaningful Use
      EHR Applications Used in the Clinical Setting
      Computerized Provider Order Entry (CPOE)
      Electronic Medication Administration Record (eMAR)
      Bar Code Medication Administration
      (BCMA)
      Clinical Documentation
      Specialty Applications
      Clinical Decision Support (CDS)
      Ancillary Systems
      EHR Benefits
      Cost
      Access
      Quality, Safety, and Efficiency of Care Delivery
      Stakeholder Perspectives
      Consumers
      Nurses
      Healthcare Providers
      Healthcare Organizations
      Insurance Payers
      State and National Governments
      Key Issues
      Cost
      Ownership
      Data Integrity
      Privacy and Confidentiality
      Standards
      Organizational Culture
      Human Factors
      Conclusion and Future Directions
      7. Applications for Managing Institutions Delivering Healthcare / Gerald R. Ledlow
      Introduction
      Vendor Resource Guides
      Major Types of Applications
      Financial Systems
      Practice Management Systems
      Materials Management
      Human Resources Information Systems
      Business Intelligence Systems
      Conclusion and Future Direction
      8. Telehealth and Applications for Delivering Care at a Distance / Antonia Arnaert
      Introduction
      Examples of Successful Telehealth Programs
      Telehealth Historic Milestones
      Leading TeleKealth Organizations
      Telehealth Technologies
      Synchronous or "Real-Time"
      Technologies
      Asynchronous or "Store-and-Forward" Technology
      Technical Standards in Telehealth
      Telehealth (Clinical Practice Considerations for Healthcare Professionals
      Equal to or Better Than In-Person Care?
      Telehealth Clinical Competency
      Confidentiality, Privacy, and Informed Patients
      Scope of Clinical Practice
      Types of Clinical Telehealth Applications
      Telehealth Operational and Organizational Success Factors and Barriers
      B.E.L.T. Frame work
      Operationalizing Telehealth
      Telehealth Acceptance and Training
      Telehealth Implementation
      Telehealth Challenges: Licensure and Regulatory Issues for Healthcare Professionals
      Licensure
      Credentialing and Privileging
      Reimbursement
      Malpractice and Liability
      Telehealth and Direct Patient Health Services
      Patient-to-Provider Telehealth-Delivered Care
      Remote Telehealth Home Visits and Biosensors
      Telehealth Technology and Healthcare Consumers
      Conclusion and Future, Directions
      Telehealth Industry Growth
      Telehealth to uHealth
      Improve Healthcare Provider Shortages and Access to Care
      9. Home Health and Related Community-Based Systems / Karen B. Utterback
      Introduction
      Evolution and Milestones
      Practice Models
      Home Health
      Palliative Care and Hospice
      Public Health
      Nurse-Managed Health Centers
      Other Practice Sites
      Similarities among Practice Models
      Standardized Datasets
      Outcome and Assessment Information Set (OASIS)
      Continuity Assessment Record and Evaluation (CARE) Tool
      Hospice Quality Measures
      Patient Experience Surveys
      Supporting Home Health with Electronic Health Records and Health Information Technology
      Billing Solutions
      Point-of-Care Solutions
      Clinical Decision Support (CDS) Systems
      Standardized Terminologies
      Omaha System
      Description
      Clinical Example front Practice
      Conclusion and Future Directions
      10. Clinical Decision Support Systems in Healthcare / Guilherme Del Fiol
      Introduction
      Definition of CDS
      History
      CDS Types and Examples
      Medication Dosing Support
      Order Facilitators
      Point-of-Care Alerts and Reminders
      Relevant Information Display
      Expert Systems
      Workflow Support
      CDS Impact
      Evidence of Effectiveness
      Examples of CDS Impact Studies
      Financial Impact of CDS
      CDS Adoption
      Challenges and Barriers to CDS Adoption
      CDS Best Practices
      Recent Progress toward Disseminating CDS on a National Level
      Value-Based Payment Models
      Meaningful Use Incentives for EHR and CDS Adoption
      Statewide Health Information Exchanges
      CDS Standards
      National CDS and Knowledge Management Initiative
      Open Source, Freely Available Resources
      Research Challenges
      Conclusion and Future Directions
      11. Public Health Informatics / Leslie Lenert
      Introduction
      Public Health: A Population Perspective
      Social and Political Challenges That Affect Public Health Informatics
      Sociological Context of Public Health
      Value of Informatics for the Domain of Public Health
      Surveillance
      Immunization Information, Systems
      Health Information Exchange
      Public Health Reporting
      Conclusions and Future Public Health Informatics Strategies
      Transforming Practice with New Strategies
      Advancing the Technical Infrastructure
      12. Technical Infrastructure to Support Healthcare / Scott P. Narus
      Introduction
      EHR Component Model
      Clinical Data Repository
      Master Person Index
      Clinical Applications
      Data Dictionary
      Knowledge Base
      Clinical Decision Support System
      System Integration and Interoperability
      Interface Engine
      Interoperability Standards
      Networking Systems
      RHIOs, HIEs, and HIOs
      Nationwide Health Information Network (NwHIN)
      Other Infrastructure Models
      Application Service Provider
      Cloud Computing
      Current Challenges
      Conclusion and Future Directions
      Mobile Apps
      Service-Oriented Architecture
      Open Source Software
      Smart
      UNIT 3 PARTICIPATORY HEALTHCARE INFORMATICS AND HEALTHCARE ON THE INTERNET
      13. Evolving ePatient / Christine A. Caligtan
      Historical Background and Drivers of the ePatient Evolution
      ePatient as a Pioneering Concept
      Technology, Policy, and Legislative Influences
      Characteristics of Online Healthcare Consumers
      Convergence of ePatients, Clinicians, Patient-Centered Models of Care, and Informatics
      Participatory Patient-Centered Healthcare
      New Role of Clinicians and Informaticists in ePatient Care
      Health Informatics and ePatients
      Personal Health Records, Transparency, and Access to Data
      Evolution of Health 2.0 and Beyond
      Health 2.0 Environment
      Health 2.0 and the Creation of Virtual Patient Communities
      Conclusion and Future, Directions
      Moving toward Health 3.0
      14. Social Networking and Other Web-Based Applications in Healthcare / Elizabeth S. Dickson
      What Is Social Media?
      Social Media Tools
      Social Networking
      Blogging and Wikis
      Microblogging (Twitter)
      Social Bookmarking
      User-Generated Content
      Social Media Statistics
      Benefits of Social Media
      Challenges of Social Media
      Privacy and Confidentiality
      Inappropriate Behaviors
      Security
      Contents note continued: Regulatory Issues
      Market Pressure
      Policy
      Guidelines for Writing Policies
      Resources for Policy Development
      Conclusion and Future Directions
      15. Personal Health Records (PHRs) / Bryan Gibson
      Definitions of the Personal Health Record
      Development of the Electronic Personal Health Record
      Principles of an Ideal Personal Health Record
      Proposed Benefits of an Ideal PHR
      Types of Personal Health Records
      Examples of Existing Personal Health Records
      Current Evidence of Benefits of PHR Use
      Experience of Care
      Quality of Care
      Cost and Utilization
      Current PHR USe
      Barriers to PHR Adoption
      Awareness
      Usability
      Privacy Concerns
      Digital Divide
      Interoperability
      Law and Policy
      Conclusion and Future Directions
      UNIT 4 PROJECT MANAGEMENT TOOLS AND PROCEDURES
      16. Identifying and Selecting an Information System Solution / Mical DeBrow
      Introduction
      Strategic Vision and Alignment
      Systems Development Life Cycle
      Analysis and Requirements Definition
      Project Planning
      Develop or Purchase
      Conclusion and Future Directions
      17. Implementing and Upgrading an Information System Solution / Christine D. Meyer
      Introduction
      Reasons to Implement or Upgrade a Healthcare Information System
      New Implementation versus an Upgrade
      Decision Factors to Implement or Upgrade a System
      Implementation and the Systems Life Cycle
      Project Planning
      Preparing for Go-Live
      Big Bang or Incremental Go-Lives
      Detailed Go-Live Plan
      Education and Training
      Go-Live
      Postlive Maintenance
      Conclusion and Future Directions
      18. Health Information Systems: Downtime and Disaster Recovery / Ann Lyons
      Introduction
      Downtime Risk Assessment
      Downtime and Response Planning
      Clinical Impact and Planning: Acute Care Focus
      Redundant Systems
      Downtime Policies and Procedures
      IT Impact and Planning
      Disaster Planning
      Disaster Recovery
      Business Continuity
      Communication
      Responsibilities
      Conclusion and Future Directions
      UNIT 5 QUALITY, USABILITY, AND STANDARDS IN INFORMATICS
      19. Privacy, Confidentiality, Security, and Data Integrity / Ramona Nelson
      Introduction
      Definitions and Concepts
      Legal and Historical Context
      Caregiver Requirements
      Patient Rights
      Fair Information Practice Principles
      Code of Ethics for Health Informatics Professionals
      Principles, Laws, and Regulations Guiding Practice
      National Privacy and Security Framework for Health Information
      Laws and Regulations
      Secondary Uses of Electronic Health Data
      Importance of Information Security
      Public Trust
      Legal Requirements and Fines
      Increasing Security Threats to Healthcare Data
      Recent Changes in Health Data Practices
      Current Security Vulnerabilities
      External Events
      Internal Vulnerabilities
      Current Security Challenges
      Managing Security Risks with Security Controls
      Administrate
      Technical
      Physical
      Resources
      Conclusion and Future Directions
      20. Patient Safety and Quality Initiatives in Informatics / Kumiko Ohashi
      Introduction
      Definitions
      National Initiatives Driving Adoption and Use of Health IT
      National Efforts Related to Quality Data Standards
      Evaluating Quality and Patient Safety
      Conceptual Framework for Patient Safety and Quality
      Medication Safety
      Chronic Illness Screening and Management
      Nursing Sensitive Quality Outcomes: Patient Falls and Pressure Ulcers
      Success Factors and Lessons Learned
      Conclusion and Future Directions
      21. Improving the User Experience for Health Information Technology Products / Nancy Staggers
      Introduction to Improving the User Experience
      Current User Experience with Health IT Products
      Potential Benefits of Improving the User Experience
      Definitions of Terms and Their Relationships
      User Experience
      Human Factors
      Ergonomics
      Human-Computer Interaction
      Usability
      Goals of Usability
      User-Centered Design
      Human-Computor Interaction Frameworks for Health Informatics
      Human-Computer Interaction Frameworks
      Health Human-Computer Interaction Framework
      Essential Components for Improving the User Experience
      Selecting Methods to Improve the User Experience
      Discount Usability Methods
      Traditional Usability Methods
      Usability Measures and Tests
      Usability Questionnaires
      Selecting a Type of Usability Test
      Determining User Needs and Requirements
      Exploratory Test
      Assessment Test
      Validation Test
      Comparison Study
      Identifying Usability Issues with Fielded Products
      Steps for Conducting Usability Tests
      Conclusion and Future Directions
      22. Standards / Susan A. Matney
      Introduction
      Healthcare Data Standardization
      Definitions
      Evaluation of the Quality of Terminology
      Multidisciplinary Terminologies
      Nursing Terminologies
      Data Exchange Efforts
      HL7 Standards
      Terminology Harmonization
      Application of Standardized Terminologies
      Designing User Interface Using Terminologies
      Supporting Data Retrieval and Exchange
      Monitoring the Quality of Care
      Discovering Knowledge through Research
      Conclusion and Future Directions
      UINII 6 GOVERNANCE AND ORGANIZATIONAL STRUCTURES FOR INFORMATICS
      23. Health Information Technology Governance / Kensaku Kawamoto
      Introduction
      Health IT Governance: Need and Core Components
      Key Insights
      Respect Current Decision-Making Structures
      Shift in Organizational Mindset
      Continual Increase in Demand for Health IT
      Governance Does Not Depend on Specific Technology Choices
      Coordination and Collaboration with Diverse Stakeholders
      Recommendations
      Conduct a Health IT Capability Maturity Assessment
      Investigate Peer Informatics Governance Models
      Design, Implement and Iteratively Enhance Informatics Governance
      Conclusion and Future Directions
      24. Legal Issues, Federal Regulations, and Accreditation / Michele Person Madison
      Introduction
      Federal Initiatives to Drive Health IT
      Executive Order 13335
      American Recovery and Reinvestment Act of 2009
      Federal Financial Incentives
      Eligible Entities and Eligible Professionals
      Medicare arid Medicaid Payments
      Meaningful Use
      HIPAA Security Rule and Privacy Rules
      Administrative Safeguards
      Physical Safeguards
      Technical Safeguards
      Business Associates
      Breach and Notification
      Patient Rights
      Enhanced Penalties
      Federal Self-Referral Laws
      Anti-Kickback Statute
      Accreditation Standards
      Conclusion and Future Directions
      25. Health Policy and Informatics / Judy Murphy
      Introduction
      Key Health Policy Issues for Informatics
      EHR Adoption
      Patient Safety
      Impact Informatics on Health Policy
      Meaningful "Meaningful Use"
      Quality Initiatives
      Process of Developing and Implementing Informatics Policy
      Ensuring That Health Practitioners Are Positioned on Key Committees and Boards
      Providing Expert Testimony
      Responding to Requests for Comments
      Developing Position Statements
      Leading Policy Activities through Organizational Work and Leadership
      Strategies
      Discipline-Specific Policies: Nursing
      Use of Health IT to Advance the Future of Nursing
      Conclusion and Future Directions
      UNIT 7 EDUCATION AND INFORMATICS
      26. Informatics in the Curriculum for Healthcare Professionals / E. LaVerne Manos
      Introduction and Background
      Overview of Informatics and Health Information Technology
      Education Reform Initiatives
      Challenges of Technology-Enhanced Education
      Teaching and Learning in an Evolving Healthcare and Technology Environment
      Role of Informatics in the Curriculum
      Science of Informatics and Curriculum Design
      Framework for Informatics Curriculum
      Pedagogy
      Teaching Tools and Learning Strategies
      It Takes a Village: Roles and Competencies
      Educating the Generalist
      Educating Healthcare Specialists at the Graduate Level
      Educating the Informatics Specialist
      Educating the Informatics Researcher and Innovator
      Continuing Professional Development
      Conclusion and Future Directions
      27. Distance Education: Applications, Techniques, and Issues / Irene Joos
      Introduction
      Historical Development
      Evolving Terms
      Course Management Systems (CMSs): Major Vendors and Players
      Campus-Based Portals
      Proprietary CMSs and LMSs
      Open Source
      Partnerships
      Selection Criteria and Role of the Faculty
      Future of CMS
      Instructional Design for Distance Education and Learning
      Learners and How They Learn
      Goals and Objectives (Outcomes)
      Instructional and Learner Activities
      Evaluation
      Student (Learner) Support Services
      Library
      Tutoring Services
      Online Textbook Distributors
      Help Desk
      Administrative Services, Academic - Support, and Community Building
      Issues
      Legal
      Disability Issues
      Quality
      Readiness
      Conclusion and Future Directions
      28. Informatics Tools for Educating Health Professionals / Kay M. Sackett
      Introduction
      Comprehensive Education Information System (CEIS)
      Computerized Teaching Tools
      Hardware
      Educational Software
      Impact on the Teaming and Learning Process
      National and International Perspectives on Education
      Impact on the Faculty Role
      Conclusion and Future Directions
      29. Simulation in Healthcare Education / Teresa Gore
      Introduction
      Types of Simulations
      Contents note continued: Fidelity
      Benefits of Simulation
      Challenges and Opportunities
      Simulation Process
      Learning Theories Applied to Simulation
      Summary of Standards of Best Practice: Simulation
      Standards and Their Application to the Simulation Process
      Application of Simulation
      General Application of Simulation to Education
      Application of Simulation to Interprofessional Education
      Example
      Simulation Resources
      Organizations
      Leaders
      Conclusion and Future Directions
      UNIT 8 INTERNATIONAL INFORMATICS EFFORTS
      30. International Efforts, Issues, and Innovations / Hyeoun-Ae Park
      Introductipn
      Key Initiatives in Wqrld Regions
      eHealth Initiatives in Europe
      eHealth Initiatives in the APEC Region
      eHealth Initiatives in the Pan American Health Organization (PAHO) Region
      eHealth Initiatives in Africa
      International Organizations with Informatics Implications
      eHeaJth qjid Health Informatics at WHO
      International Medical Informatics Association (IMIA)
      International Standards Efforts
      International Organization for Standardization (ISO)
      International Council of Nurses
      Health Level Seven (HL7)
      International Health Terminology Standards Development Organisation (IHTSDO)
      Global Challenges to eHealth
      Global Interoperability
      Human Resources for eHealth
      Information and Communications Technology Infrastructure
      Legal and Regulatory Framework for eHealth
      Conclusion and Future Directions
      UNIT 9 PRESENT AND FUTURE
      31. Future Directions and Future Research in Health Informatics / David E. Jones
      Introduction
      Futures Research or Futurology
      Defining Futures Research or Futurology
      Future Directions and Level of Change
      Challenge of Anticipating Future Directions
      Approaches for Predicting
      Application of Futures Research
      Future of Informatics
      Consumerism and Informatics
      EHRs 2.0
      Usability and Improving the User Experience for Health IT
      Big Data and Data Visualization
      Nanotechnology
      Conclusion and Future Directions.
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