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Health informatics (Saint Louis, Mo.)
Health informatics : an interprofessional approach / Ramona Nelson, Nancy Staggers.
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Title:[Health informatics (Saint Louis, Mo.)]
Health informatics : an interprofessional approach / Ramona Nelson, Nancy Staggers.
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Author/Creator:Nelson, Ramona, author.
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Other Contributors/Collections:Staggers, Nancy, author.
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Published/Created:St. Louis, Missouri : Elsevier Mosby, [2014]
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Holdings
Holdings Record Display
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Location:BMB LIBRARY (VGH) stacksWhere is this?
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Call Number: W26.5 .N429h 2014
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Number of Items:1
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Status:Available
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Location:WOODWARD LIBRARY stacksWhere is this?
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Call Number: W26.5 .N429h 2014
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Number of Items:1
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Status:c.1 Lost - 01-31-2019
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Location:BMB LIBRARY (VGH) stacksWhere is this?
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Library of Congress Subjects:Medical informatics.
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Medical Subjects: Medical Informatics.
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Description:xxiii, 535 pages : illustrations (some color) ; 28 cm
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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.
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Notes:Includes bibliographical references and index.
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ISBN:9780323100953 (pbk.)
0323100953 (pbk.)
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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.