Health Informatics – serie

Person-Centered Health Records: Toward HealthePeople provides essential information on person-centered healthcare systems that will serve individuals throughout their lifetime, enabling a new approach to wellness that goes far beyond outpatient visits to the physician?s office or hospitalizations. These health systems represent a profound transformation from the present healthcare system because they will enable individuals to protect and promote their own personal health. The center of the healthcare system will be those individuals ? not the entities such as hospitals or physician groups. And the circle will encompass the full range of activities that contribute to wellness and to fighting disease ? not just those services traditionally defined as "healthcare."The book consists of three important sections. Section I addresses how the new person-centered system will change the way individuals care for their own health, giving them health records that accompany them throughout their lives, across the full range of experiences that affect their health.Section II lays out considerations involved in building new systems, including the need to address human factors such as control and ownership and the difficulties involved in relearning and learning to function in changed workflow environments. The third section focuses on approaches to transformation including focuses on delivering change, open source health systems, critical standards convergence, and person-centered systems now in place outside the United States. Chapter highlights include Clinical Impact, Human Factors, Health Security and Privacy, Critical Standards Convergence, and much more.To represent the book?s depth and breadth, the editors have brought together contributors from varied health care sectors in the United States and elsewhere ? public and private, not-for-profit and for-profit ? to explicate the concept of the electronic health record and to define the technological enablers that can make it a reality.The editors describe the concept involved in transformation, define the architectural issues and tools involved in building new person-centered systems, and describe the approaches that make it possible to integrate concept, architecture, and tools into person-centered health systems. Person-Centered Health Records: Toward HealthePeople is a must-have for those with an interest in person-centered health systems that can be built using the Web and Web-based tools. Both business and technical leaders will benefit from reading this book.

Edited by five leaders in the field of health informatics, Consumer Health Informatics explores all aspects of this evolving science. This comprehensive volume will be an indispensable tool for both professionals and students as it details the broad scope of consumer health informatics and its impact on today's progressive and ever-changing world of health care. The inclusion of several case studies serves to examine pertinent topics, namely computer-based information for cancer; National Library of Medicine initiatives; and web-based patient preferences and utilities. Designed for use by medical IT specialists, physicians, nurses, healthcare providers, and professors and students of medical informatics, the book's chapter highlights include patient empowerment; frameworks and models for health behavior change and patient education; patient to patient communication; patient to provider communication; privacy and confidentiality; ethical issues; evaluation methods, and more.

This series is directed to healthcare professionals who are leading the tra- formation 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 professions such as nursing, medicine, and health administration; others to special areas of practice such as trauma and radi- ogy. Still other books in the series focus on interdisciplinary 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 - perts, serving as editors or authors, offer their accounts of innovations in health informatics. Increasingly, these accounts go beyond hardware and so- ware to address the role of information in influencing the transformation of healthcare delivery systems around the world. The series also increasingly focuses on “peopleware” and the organizational, behavioral, and societal changes that accompany the diffusion of information technology in health services environments.

Evaluating the Organizational Impact of Health Care Information Systems, Second Edition, is heavily updated and revised from its First Edition, which is entitled Evaluating Health Care Information Systems: Methods and Applications. The much-needed Second Edition is a guide for evaluating the organizational impacts of computer systems in health care institutions.It provides a practical guide for determining the appropriate questions to ask based on underlying models of change and the most effective methods available. An introduction to various methods is provided, as well as appendices containing survey instruments usable in research and evaluation, computer programs for data analyses, and other evaluation resources. The book provides a critical overview of current research and evaluation to date with numerous bibliographic references from health care and other fields.The methods and instruments described are applicable to a wide variety of other organizations that utilize information technology and they emphasize the importance of clearly specifying the purpose of the evaluation, recognizing assumptions about organizational change and using a multi-method approach to system evaluation. The material presented is drawn from a variety of social and health science disciplines in order to integrate the study of information system with social science theory and methods. Chapter highlights include Cognitive Approaches to Evaluation, Computer Simulation as an Evaluation Tool, and Research and Evaluation: Future Directions.Evaluating the Organizational Impact of Health Care Information Systems, Second Edition is timely since annual investment in information technology by health care organization in the U.S. now exceeds USD15 billion. It will prove valuable to physicians, nurses, other health care providers, health care administrators, information systems personnel and consultants who are involved in planning, developing, implementing, utilizing and evaluating computer-based health care systems.

Evaluation Methods in Medical Informatics, Second Edition is a heavily updated and revised volume based on editors Friedman and Wyatt's successful first edition. This book incorporates the solid foundation of evaluation theories, methods, and techniques laid out in the first edition, and builds on it to include case studies from real world situations. Designed as a guide for both the informatics novice and the seasoned professional seeking a comprehensive resource, this book explores information systems evaluation from the ground up. Critique and discussion of actual evaluation efforts will guide the reader through real world application of the techniques described.Just like its first edition, this volume is an unparalleled reference for a broad range of health information professionals. From those in training for careers in informatics to on-site medical information systems staff, Evaluation Methods in Medical Informatics, Second Edition is an invaluable guide to successful evaluation of information technology in health care.

As adoption of Electronic Health Record Systems (EHR-Ss) shifts from early adopters to mainstream, an increasingly large group of decision makers must assess what they want from EHR-Ss and how to go about making their choices. The purpose of this book is to inform that decision. This book explains typical needs of a variety of stakeholders, describes current and imminent technologies, and assesses the available evidence regarding issues in implementing and using EHR-Ss.Divided into four important sections--Needs, Current State, Technology, and Going Forward--the book provides the background and general notions regarding the EHRS and lays out the framework; delves into the historical review; presents a high-level view of EHR systems, focused on the needs of different stakeholders in the health care and the health enterprise; offers practical views of existing systems and current (and short-term future) issues in specifying a EHR system and deciding how to approach the institution of such a system; deals with technology issues, from front- to back-end; and describes where we are and where we should be going with EHR systems.Designed for use by chief information officers, chief medical informatics officers, medical liaisons to hospital systems, private practitioners, and business managers at academic and non-academic hospitals, care management organizations, and practices. The book could be used in any medical or health informatics course, at any level (undergrad, fellowship, MBA).

Unable to consult a library for information, the healthcare practitioner must learn to effectively manage knowledge while thinking on their toes.Knowledge Management (KM) holds the key to this dilemma in the healthcare environment.

Strategic Information Management In Hospitals: An Introduction To Hospital Information Systems is a definitive volume written by four authoritative voices in medical informatics.

This comprehensive volume explores the evolving fields of consumer informatics and telemedicine as envisioned by the Institute of Medicine in its landmark reports on the electronic medical record, patient safety, and quality care. Each chapter describes the role of computers, technology, and telecommunications as enablers within a specific application focused on the needs of consumers. The applications covered are ones which empower consumers as they seek information, analyze their health care needs, and make decisions about their own health care. Such applications empower professionals in their efforts to serve patients, while increasing the knowledge of the consumer. Richly illustrated with detailed examples, this volume speaks to a wide range of audiences as it addresses issues raised by consumer informatics, the use of technology, research and development effects, and telemedicine. Chapter highlights include: Patient-Centered Communication; Using the Internet Toward Reliable Consumer Health Information; Disease Management and Home Telehealth; and Biothreats and Disaster Management.The book's audience includes all healthcare professionals, healthcare administrators, IT professionals, health informaticians, and students.

This book will be an indispensable tool and a practical guide for nurses and health care professionals as it details the implementation processes of both small and large clinical computer systems used in various health care settings. Combining theory and research, this book will explain system implementation, with material drawn from multiple specialties, such as nursing informatics, information technology, and project management. User-friendly and written in a conversational style, this book will feature practical analogies and case studies to illustrate concepts as it guides the user in the successful execution and management of system implementation, thereby improving the delivery of health care. Designed for use by nurses and health care professionals, the book's chapter highlights include: system selection, the role of the informatics nurse in computer system implementation, project scope, implementation timeline, risk and barrier identification, project management, customization of product, plan for roll-out of product, evaluation of product and implementation process, data protection and legal considerations, and more.

As the Internet's presence in health care grows more pervasive, an increasing number of health care providers have begun to implement eHealth innovations in their practice. The interactive health communication system (IHCS), one such eHealth solution, provides consumers with information, informal support, and a venue for communication. Investing in eHealth: What it Takes to Sustain Consumer Health Informatics examines the evolution of the IHCS and the significant changes in organizational culture and operational systems that may be required for successful and sustained implementation.This book explores the development of a model (funded by the Agency for Healthcare Research and Quality in 1998) to predict and explain the degree of success of such implementation efforts. This model allows an institution to benchmark its progress towards IHCS implementation and advises administrators where to invest resources to increase the chance of successful implementation. A set of case studies highlights key features of the model; each study describes an attempt by an organization to implement the Comprehensive Health Enhancement Support System (CHESS), a proven IHCS. After examining the success or failure of each particular implementation, the book suggests steps that could have been taken to address weaknesses identified by the model. Investing in eHealth culminates in a set of general guidelines for any health care provider striving to successfully employ the model, and suggests directions for future research.

The project management process can be utilized to facilitate these and many other nursing projects.Project Management for Healthcare Informatics will provide an explanation of the project management process tailored for nurses through its use of real clinical examples.

The ability to interface patient monitors directly to a computer, and generate a clinical record has existed for over 20 years. However, the acceptance of comprehensive electronic medical records in anesthesia has been slow to develop. Experts anticipate this reluctance is changing because of enhanced patient care through the use of detailed health information record systems. Anesthesia Informatics provides the health informatician and administrator with a comprehensive overview of this blossoming technology. With contributions from leaders in the field, this user-friendly guide addresses how this technology has enhanced both the need for and the ability to collect and apply data in an acute care setting. It also offers invaluable insight on the business implications and the rationales required to make a purchase decision. Each section outlines need to know information to help the reader with the implementation and utilization of an Anesthesia Information Management System.  Useful case scenarios focus on the ideal components (anesthesia record, business rationale, communication, collaboration, and training) of a fully automated record-keeping system.

Now is a critical time in pediatric informatics. As information technologies—electronic health records (EHRs), personal health records (PHRs), computerized physician order entry (CPOE)—and standards (HL7) are developed to improve the quality of health care, it is imperative for policy makers and pediatricians to be aware of their impact on pediatric care and child health. Informed child advocates must be at the planning table as national and regional health information networks are developed to insure the unique health care needs of children are being met. Pediatric Informatics: Computer Applications in Child Health is a current digest of the important trends in pediatric informatics, written by leading experts in the field. This book explores how the management of biomedical data, information, and knowledge can optimize and advance child health. The contributors investigate the specific importance of pediatric informatics is derived from the biological, psychological, social and cultural needs that the distinguish children from other populations. These distinctions create complexities in the management of pediatric data and information that make children a vulnerable population and require the development of a new body of knowledge in pediatric informatics.

This series is directed to healthcare professionals who are leading the transfor- tion of health care by using information and knowledge to advance the quality of patient care. Launched in 1988 as Computers in Health Care, the series offers a broad range of titles: some are addressed to speci?c professions such as nursing, medicine, and health administration; others to special areas of practice such as trauma and radiology. Still other books in this series focus on interdisciplinary issues, such as the computer-based patient record, electronic health records, and networked healthcare systems. Renamed Health Informatics in 1998 to re?ect the rapid evolution in the discipline now known as health informatics, the series continues to add titles that contribute to the evolution of the ?eld. In this series, eminent experts, serving as editors or authors, offer their accounts of innovation in health informatics. Incre- ingly, these accounts go beyond hardware and software to address the roleof information in in?uencing the transformation of healthcare delivery systems around the world. The series also increasingly focuses on “peopleware” and the organi- tional, behavioral, and societal changes that accompany the diffusion of infor- tion technology in health services environments.

In the current era of health care reform, the pressures to truly manage patient care and to build effective integrated delivery systems are generating intense interest in patient care information systems. Health care institutions cannot provide seamlees access to care without seamless access to information, and they cannot manage and improve care without improved information management. Patient Care Information Systems examines how to design and implement these systems so they successfully meet the needs of physicians, nurses, and other health care providers. In one convenient reference, the authors summarize and synthesize previously disparate research and case experiences on these systems and suggest future directions based on the evolving demands of administrators and caregivers.

The medical discipline is uniquely linked to the speed and real time environment of computer mediated information management. The three phases of trauma care (pre-hospital; hospital; and post- acute/rehabilitation) are based upon a philosophy of a continuum of care, which in turn necessitates a continuum of information. Trauma Informatics will be the first book to cover the subject of information systems in the treatment of trauma patients through the three phases of trauma. Since the book covers Trauma from incident through return to work, any of the providers, managers, and support staff who are involved in using, collecting or managing information will benefit from this comprehensive approach to trauma informatics. Contents include: urban pre-hospital phase; rural pre-hospital phase; vehicle crash investigation; informatics in the emergency department; informatics in emergency radiology; informatics in the intensive care unit; rehabiliation; and hospital, state, and national trauma registries.

Today medical schools in the United States are making informatics a part of their curriculum, with required medical informatics blocks at the onset of training serving as the base for problem-based learning throughout the course of study.

The computerization activi­ ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA.

This book focuses on current federal sector efforts to shape healthcare, i.e., to improve performance while containing costs. The solutions offered include redesigning processes and, where appropriate, the use of enabling technologies to do so. Since historically, innovations in the federal sector have often migrated to and profoundly changed practices in the private sector, many of the initiatives described involve some degree of partnering between the public and private sector. Others represent work in the federal sector that address the same problems confronted in the private sector and offer valuable and transferable solutions and approaches. The major strength of this book is its use of concrete examples that show how process redesign and the integration of enabling technologies have led to performance improvement and cost reduction in the largest healthcare system in the world. The contributors--all acknowledged experts in their fields--draw upon their knowledge of the healthcare industry and their expertise in working within and with the federal sector health system.They focus on exciting changes and improvements, and they elaborate on strategies for the future that will reshape federal sector healthcare. The book does not intend to give "correct answers," but to demonstrate mature thinking in shaping healthcare in general. In the years ahead, engineering healthcare to meet the demands of newly knowledgeable consumers will be critical. In addition to giving insights into what the federal sector leadership is doing to address the challenges of population health, each chapter will highlight the perspective of employers, payers, and deliverers of health services.

Medical Data Management is a systematic introduction to the basic methodology of professional clinical data management. It emphasizes generic methods of medical documentation applicable to such diverse tasks as the electronic patient record, maintaining a clinical trials database, and building a tumor registry. This book is for all students in medical informatics and health information management, and it is ideal for both the undergraduate and the graduate levels. The book also guides professionals in the design and use of clinical information systems in various health care settings. It is an invaluable resource for all health care professionals involved in designing, assessing, adapting, or using clinical data management systems in hospitals, outpatient clinics, study centers, health plans, etc. The book combines a consistent theoretical foundation of medical documentation methods outlining their practical applicability in real clinical data management systems. Two new chapters detail hospital information systems and clinical trials.There is a focus on the international classification of diseases (ICD-9 and -10) systems, as well as a discussion on the difference between the two codes. All chapters feature exercises, bullet points, and a summary to provide the reader with essential points to remember. New to the Third Edition is a comprehensive section comprised of a combined Thesaurus and Glossary which aims to clarify the unclear and sometimes inconsistent terminology surrounding the topic.

New and expanded to reflect changes on the Internet, especially the explosive growth of the World Wide Web, this best-selling book is primer to the Internet for those who have little or no computer experience and a time-saving guide to resources for the more experienced surfer. In plain language it describes the Internet, how it works, and how to use various Internet tools. In addition, it provides an extensive listing of health-related Internet resources accompanied by reviews and descriptions - not just URLs - of dozens of health-related topics. From the online "American Journal of Nursing" to the "Virtual Nursing Centre," this third edition contains hundreds of new sites, as well as an expanded section devoted to the use of search engines. The third edition will also include a CD-ROM. The reader will find this directory a treasure trove of information resources available for health care professionals on the Internet. When you need to have up-to-the-minute information at your fingertips, when you need to know about the latest changes in health care reform - that's when you discover the real power of the Internet.It allows you to exchange information with peers around the world instantly, giving you the knowledge edge to keep your nursing or health care practice professional and progressive.

This book will provide an overview of the state of the art in behavioral health care informatics as well as discussing the challenges on the horizon, such as organizational issues, human-centered issues, educating healthcare executives about technology issues, educating clinicians about behavioral informatics systems, and consumer issues. In addition to significant contributions by the editors, the book will contain contributions from a small number of acknowledged experts within their respective fields.As daily living becomes more stressful, socio-psychological or behavioral related problems become more intense. Informatics has the potential to transform the world of behavioral practitioners to enable them to assist people more easily. This book will focus on informatics-related topics that all disciplines connected to the behavioral health will find very useful for their day-to-day practice.

This book presents 130 case studies illustrating ethical and social issues that arise from the increasing use of computers in medicine, nursing, psychology, pharmacy, and the allied health professions. The rapid development of health informatics offers a rich array of issues and challenges to academics, clinicians, and system developers. These issues involve threats to privacy and confidentiality, misuse of clinical and genetic information, risks to patients of bias and discrimination, erosion of the practitioner-patient relationship, threats to the autonomy of the health professional, and compromises to the quality of care provided. The use of case studies is well known in medicine, nursing, public health, epidemiology, and other health education programs. This book presents selected cases with annotation and commentaries that illustrate ethical concerns and social problems in the use of computers in medicine.

Cancer Informatics chronicles the development of the National Cancer Institute's new Cancer Informatics Infrastructure (CII) - an information management system infrastructure designed to faciliate clinical trials, provide for reliable, secure information exchange, and improve patient care. The book details the challenges involved in creating and managing such a knowledge base, including technologies, standards, and current, state-of-the-art applications.The ultimate goal of CII is to function as an enabler of clinical trials, expediting the clinical trials lifecycle, faciliating faster and safer drug development and more appropriate treatment choices for cancer patients. Contributors address the role the CII must play in converting the growing knowledge of genes, proteins, and pathways into appropriate preventative, diagnostic, and therapeutic measures. Presented in four sections, the first provides an overview of the processes involved in moving the infrastructure for cancer from theory into practice. Sections two through four offer the latest work done in the areas of technology, cancer-specific and national standards, and applications to faciliate clinical trials.

This text is designed to enhance patient care by providing the primary care practitioner with contemporary up-to-date information on the wide variety of topics they will confront in their practice. With the rapid and wide-spread technological advances of recent years, no single aspect of medicine has become as daunting as informatics. Physicians are now confronted with a broad and enormous range and volume of information. Accessing, managing and implementing this information is a serious task.This text has a practical, reader-friendly approach that provides access to key issues. It will provide the primary care physician with the fundamentals of informatics, including electronic medical record (EMR), electronic scheduling, billing and using scientific databases.As information continues to make the rapid leap from paper to bytes, this book is essential for staying current. It shows how to most effectively implement the changes to the advantage of both the physician and patient.

This book will highlight all aspects of laboratory informatics, with a focus on information management and the corresponding hardware and technical processes involved. In addition to a comprehensive introduction on laboratory informatics, the book emphasizes the importance of information and resource management as opposed to simply covering the role of computers that support the information system. As a Professor of Pathology and the Director of Laboratory Information Services at the University of Texas Medical Branch at Galveston, Dr. Cowan has witnessed the shift in focus in the laboratory from the information generation to information management, and increasing resource limitations demand a higher level of management precision than can be gained from manual methods. The American Board of Pathology now requires an increasing sophistication in information management from candidates for certification. Thus, this book is intended for pathologists and residents in pathology, clinical laboratory scientists, and laboratory and information managers.Following the broad-based introduction on laboratory informatics, the book's topics include: computer basics; development and validation of the laboratory information system; computer networks; security and confidentiality on computer systems and networks; total cost of ownership; essential software; interfaces; process modeling; artificial intelligence and expert systems; bar coding in the laboratory; image analysis and computer-assisted quantitation; and telepathology.

This book examines the use of state-of-the-art technology to achieve filmless radiology, describing its impact on healthcare systems and providing valuable insights into reengineering healthcare. Sharing expertise developed in implementing Picture Archival and Communications System (PACS) technology capable of supporting filmless radiology, it relates experiences at the Baltimore Veterans Administration Medical Center (VAMC), the first site to have a fully operational filmless radiology system. The book will provide an overview of filmless radiology with advice on acquiring PAC systems. Also included are sections on its impact on the practice of radiology and the delivery of health care (filmless radiology is central to teleradiology), clinical uses of computed radiography, technological issues, and case studies from both inside and outside the VA system.

The importance of hospital information systems (HIS) is unquestionable: they are an integral tool in facilitating the management of a hospital's medical and administrative information, thereby improving the quality of health care. Drs. Van de Velde and Degoulet's book, Clinical Information Systems: A Component-Based Approach, will detail the many components involved in the implementation of HIS. The book will feature several case studies from North America and Europe that serve to illustrate these components. The book will detail the extension of HIS to multi-site environments, which are implemented in an effort to better serve the public. Such extended networks are called community health information systems (CHIS) or networks (CHIN). Clinical information systems (CIS) is used in the direct management of the patient, and this book focuses on the implementation of an integrated and comprehensive CIS.Designed for use by all healthcare professionals, the book's chapter highlights include: Introduction: The Evolution of Health Information Systems; Frameworks: A Collection of Business Objects; The Patient Component; The Medical Record Component; The Knowledge Component; The Resource Management Component; The Security Component; and Imaging Management and Integration. The addition of case studies illustrates the role of these components, and a Glossary provides invaluable definitions for the reader's easy reference.