Adaptive Health Management Information Systems Concepts Cases and Practical Applications 3rd Edition by Joseph Tan ISBN 0763756911 9780763756918

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ISBN 10: 0763756911
ISBN 13: 9780763756918
Author: Joseph Tan

Adaptive Health Management Information Systems Concepts Cases and Practical Applications 3rd Table of contents:

PART I Foundation Concepts of Health Management Information Systems
CHAPTER 1 Health Management Information Systems: A Managerial Perspective
CHAPTER OUTLINE
Scenario: Key Trends Contributing to the Merging of Enterprise and Health Information Exchange Models1
I. Introduction
II. Evolution of HMIS
III. HMIS Components and Basic Functions
HMIS Components
FIGURE 1.1 A Data/Information/Knowledge Decision System
Table 1.1 HMIS Text: Content and Organization
HMIS Basic Functions
FIGURE 1.2 Basic Functions of a Health Management Information System
FIGURE 1.3 A Sample Abstract for a Computerized Patient Medical Record System
IV. HMIS Cultures
V. Conclusion
Notes
Chapter Questions
Mini-Case: Minute Clinic
Mini-Case Questions
CHAPTER 2 Health Management Information System Executives: Roles and Responsibilities of Chief Executive Officers and Chief Information Officers in Healthcare Services Organizations
CHAPTER OUTLINE
Scenario: Managing Waiting Time in Emergency Rooms1
I. Introduction
II. Vision
III. Strategy
FIGURE 2.1 Taxonomies of Strategies
IV. Execution
FIGURE 2.2 McKinsey’s 7-S Strategic Fit Framework
V. Senior Executives in Healthcare Services Organizations
Table 2.1 Executive Roles and Responsibilities for Healthcare Services Organizations
A Trustworthy Leader
An Inspirational Manager and Motivator of Others
An Effective Communicator
VI. Specific CIO Role and Responsibilities
VII. Conclusion
Notes
Additional Readings
Chapter Questions
Mini-Case: predicting Future HMIS Trends by Chief Information Officers
Mini-Case Questions
RESEARCH BRIEF I Personal Digital Assistants Enhance Data Collection Efficiency during a Study of Waiting Times in an Emergency Department
ABSTRACT
Introduction
Methods
Results
Discussion
FIGURE RB1.1 Comparison of Mean Waiting Times (with Their 95% CIs) between the Two Different Methods Used in the Study
Table RB1.1 Comparison of Data Collection Methodologies
Notes
CHAPTER 3 Online Health Information Seeking: Access and Digital Equity Considerations
CHAPTER OUTLINE
Scenario: A New RHIO in DC1
I. Introduction
II. Emotional Support and Empowerment of Health Information Seekers
III. Profiling Health Information Seekers
FIGURE 3.1 Online Activities, 2001 and 2003 (percent of Online Activities for Internet Users Age 15 and Over)
Table 3.1 Health Seekers from Pew Internet and American Life project
Table 3.2 Health Topics Searches from the 2006 Pew Internet and American Life Project
IV. Accessing Health Information beyond the Internet
V. Alternative Means of Accessing Health Information
VI. Future Directions
Notes
Chapter Questions
TECHNOLOGY BRIEF I Fundamentals of Internet and Associated Technologies for Healthcare Services Organizations
Introduction
World Wide Web
Web 2.0 and 3.0
Applications of Internet-Related Technologies in the Healthcare Services Industry
Notes
PART II Health Management Information Systems Technology and Applications
CHAPTER 4 Health Management Information Systems Enterprise Software: The New Generation of HMIS Administrative Applications
CHAPTER OUTLINE
Scenario: Customer Relations Management with Blue Cross Blue Shield of Minnesota1
I. Introduction
II. Supply Chain Management
III. Customer Relationship Management
IV. Enterprise Resource Planning
FIGURE 4.1 The Enterprise Resource Planning (ERP) Conceptualization
FIGURE 4.2 The Service Model Value Chain
Table 4.1 Services Processes and Acknowledgment Actions Taxonomy
Table 4.2 Services Processes and Delivery Actions Taxonomy
V. Conclusion
Notes
Chapter Questions
TECHNOLOGY BRIEF II Basic Hardware, Software, and Interface Concepts for Healthcare Services Organizations
Introduction
Hardware
Central Processing Unit
Primary and Secondary Storage
Input/Output Devices
Software
Systems Management Software
Applications Software
User–Computer Interface
How Hardware/Software and Interface Design Affect the Healthcare Services Industry
Notes
CHAPTER 5 Community Health Information Networks: Building Virtual Communities and Networking Health Provider Organizations
CHAPTER OUTLINE
Scenario: Designing an Intelligent Community Health Information Network1
I. Introduction
II. Previous Community Health Information Networks
III. From CHIN to RHINO
IV. Prospects for RHINO
V. HL7 Standard Health Data Exchange
Community Management Systems
VI. Mayo Clinic CASE Study
FIGURE 5.1 Mayo Clinic Health Information Network
VII. Conclusion
Notes
Chapter Questions
TECHNOLOGY BRIEF III Telecommunications and Network Concepts for Healthcare Services Organizations1
Introduction
Consolidation versus Complementation
Key Healthcare Communication Configuration and System Architecture
Hub-and-Wheel
Open Systems and Intranets
Group Communications Support Systems
Executive Information Systems
Other Configuration
A Case of Wireless Networking in the Ingalls Health System
Notes
CHAPTER 6 Trending toward Patient-Centric Management Systems
CHAPTER OUTLINE
Scenario: Google Health, a Portal for Personal Health Records and Health Decision Support1
I. Introduction
II. Definitions of EHR, CPOE, and CDSS
III. Historical Evolution of EHR, CPOE, and CDSS
IV. Electronic Health Records
V. Computerized Physician Order Entry
VI. Clinical Decision Support Systems
VII. Benefits and Challenges of EHR, CPOE, and CDSS
Benefits
Challenges
VIII. Conclusion
Notes
Chapter Questions
TECHNOLOGY BRIEF IV Database, Data-Mining, and Data-Warehousing Concepts for Healthcare Services Organizations
Introduction
Healthcare Data and Data Sources
Healthcare Databases
E-R Model
FIGURE TB4.1 An Example of an Entity–Relationship Diagram for the Multicommunity Health Promotion Project
Data Models
FIGURE TB4.2 An Example of the Hierarchical Model
FIGURE TB4.3 An Example of the Network Model
FIGURE TB4.4 An Example of the Relational Model
Normalization
Data Mining
Conclusion
Notes
CHAPTER 7 Health Management Information System Integration: Achieving Systems Interoperability with Web Services
CHAPTER OUTLINE
Scenario: The SAPHIRE Project1
I. Introduction
II. Current HMIS Interoperability Issue
III. Web Services: The Interoperability Solution
FIGURE 7.1 A Detailed Architecture of Web Service
FIGURE 7.2 Interaction between Applications/Consumers and Web Services
IV. WSIHIS Case
Background of WSIHIS
WSIHIS Interoperability
Web Service–Based Solution for WSIHIS Interoperability
User Interfaces
Data Repository
WSIHIS Core System
FIGURE 7.3 General Concept of a Web Service–Based Solution for the Interoperability Issue of WSIHIS
FIGURE 7.4 The Way of Web Service Working in WSIHIS with the Support of Microsoft .NET Technologies
System Assessment on WSIHIS Interoperability
FIGURE 7.5 Web Service–Based Data Exchange between HMIS
FIGURE 7.6 Web Service–Based System Interoperability between HMIS
V. Conclusion
Notes
Chapter Questions
PART III Health Management Information System Planning and Management
CHAPTER 8 Health Management Strategic Information System Planning/Information Requirements
CHAPTER OUTLINE
Scenario: Open Health Tools1
I. Introduction
II. The Essence of Management
III. The PODC Model
FIGURE 8.1 The Planning, Organizing, Directing, and Controlling (PODC) Model
Table 8.1 Example Vision and Mission Statements
Exhibit 8.1 Strategic Planning Focus
FIGURE 8.2 Levels of Feedback Loops for Organizational Thinking
IV. HMSISP
Exhibit 8.2 PDA E-Prescribing Focus
FIGURE 8.3 Partial Framework for HMIS Strategic Planning: A Top-Down Stages Planning Model
V. Information Requirements
Information Sources
Business Systems Planning
Table 8.2 BSP Example for an E-Prescribing System
Table 8.3 Data Classes/Health Service Processes E-Prescribing System Matrix
Critical Success Factors
FIGURE 8.4 Bullen-Rockart’s (1981) Five Prime Sources of Critical Success Factors Applied to Health Care
In-Depth Interviews
Exhibit 8.3 Semistructured Interview Focus
VI. Conclusion
Notes
Chapter Questions
Chapter Appendix: Glossary of Terms
CHAPTER 9 System Development: Health Management Information System Analysis and Developmental Methodologies
CHAPTER OUTLINE
Scenario: Richmond Township
FIGURE 9.1 A Rich Picture of a Multicommunity Health Promotion Project
FIGURE 9.2 Main Menu Subsystem for Multicommunity Health Promotion Project Community Site A
FIGURE 9.3 An Example of an Entity-Relationship Diagram for the Multicommunity Health Promotion Project
FIGURE 9.4 The Main and New Event Screens for Community Site A
FIGURE 9.5 The New Participant Screen for Community Site A
I. Introduction
II. HMIS Analysis and Development Methodologies
FIGURE 9.6 Conventional Data Flow Diagram Symbols
FIGURE 9.7 Surgical Interdepartmental Data Flows at a University Hospital
FIGURE 9.8 The Process of “Review and Implement Physician’s Orders for Work Request” in Detail
III. SDLC-Based Methodologies
FIGURE 9.9 The Waterfall Model
Table 9.1 Traditional Methodologies Based on SDLC (Second-Generation Development Models)
IV. Structured Methodologies
Table 9.2 Structured Methodologies (Third-Generation Systems Development Models)
FIGURE 9.10 Example of an Information Structure Diagram
V. Prototyping
Table 9.3 Prototyping (Fourth-Generation System Development Models)
VI. Contemporary Models
Computer-Assisted Software Engineering (CASE) Tools
Table 9.4 Three Types of CASE Tools
Multiview
FIGURE 9.11 A Layered Multiview Framework for HMIS Design and Development
Table 9.5 The Stages of the Multiview Framework
Stage 1: Analysis of Human Activity
Stage 2: Analysis of Information
Stage 3: Analysis and Design of Sociotechnical Aspects
Stage 4: Design of Human–Computer Interface
Stage 5: Design of Technical Components
Open-Source Software
VII. Conclusion
Notes
Chapter Questions
CHAPTER 10 Data Stewardship: Foundation for Health Management Information System Design, Implementation, and Evaluation
CHAPTER OUTLINE
Scenario: The Metropolitan Medical Group
FIGURE 10.1 Current Network Diagram. (All offices have individual databases like Office 1.)
I. Introduction
II. The Change Continuums
Technology
Processes
People
III. Data Stewardship
Data Quality Implications
Data Management Implications
Data Security Implications
Business Intelligence Implications
IV. Implementation Process
Step 1: Assessing the Available Resources
Step 2: Assessing Data and Data Inventory
Step 3: Profiling Data and Determining the Valid Values for Each Attribute
Step 4: Reviewing Processes
FIGURE 10.2 Metropolitan Medical Group Accounts Payable Process
Step 5: Reviewing Personnel Responsibilities
FIGURE 10.3 New Network Diagram
Post-Implementation Review
Notes
Chapter Questions
Mini-Case: The Metropolitan Medical Group (MMG)
CHAPTER 11 Managing Health Management Information System Projects: System Implementation and Information Technology Services Management
CHAPTER OUTLINE
Scenario: Louisiana Rural Health Information Exchange1
I. Introduction
FIGURE 11.1 The Implementation Process
II. Critical Success Factors for Systems Implementation
FIGURE 11.2 Characteristics of Implementation Success Factors
User Characteristics
Systems Design Characteristics
Organizational Characteristics
III. Strategic Planning and Management Issues
Staffing Issues
FIGURE 11.3 Planning and Management Issues
Organizational Project Management
FIGURE 11.4 A System Implementation Schedule in a Network Representation for the Critical Path Determination
FIGURE 11.5 Possible Paths through the Critical Path Network in Figure 11.4
FIGURE 11.6 A Gannt Chart Representation of the System Implementation Schedule in Figure 11.4
Reengineering Considerations
End-User Involvement
Vendor Involvement
Additional Considerations
IV. Systems Implementation
Pre-Implementation Preparation
Proposal Evaluation and Selection
FIGURE 11.7 Sample Evaluation Sheet for HMIS Proposal
Physical Implementation
FIGURE 11.8 Common Steps of Initial Implementation of an HMIS
FIGURE 11.9 Common Approaches to Online Implementation
Post-Implementation Upkeep
FIGURE 11.10 A Sample Maintenance Cycle for HMIS
FIGURE 11.11 The Overall Schema of an HMIS Implementation
V. IT Services Management Concepts
VI. Conclusion
Notes
Chapter Questions
PART IV Health Management Information System Standards, Policy, Governance, and Future
CHAPTER 12 Health Management Information System Standards: Standards Adoption in Healthcare Information Technologies
CHAPTER OUTLINE
Scenario: HHS to Form Standards, Operability Group to Spur Health IT Adoption1
I. Introduction
II. HMIS Standards
III. HIPAA to Spur Data Standards Adoption
Table 12.1 A Summary of Coding Systems Representing Healthcare Concepts
Table 12.2 Layers of Open-Systems Interconnection (OSI) and Other Standard Protocols
IV. HL7: Health Level Seven
The Vocabulary Problem
HL7 Development
HL7 Adoption
V. DICOM: Digital Imaging and Communication in Medicine
Purpose of DICOM
Adoption of DICOM Standards
VI. Web Standards
VII. Conclusion
Notes
Chapter Questions
POLICY BRIEF I HIPAA, Privacy, and Security Issues for Healthcare Services Organizations
Introduction
HIPAA
Privacy and Confidentiality
Security
FIGURE TB5.1 Levels of Security Controls
Conclusion
Notes
CHAPTER 13 Health Management Information System Governance, Policy, and International Perspectives: HMIS Globalization through E-Health
CHAPTER OUTLINE
Scenario: TriZetto and TeleDoc Alliance1
I. Introduction
II. Tele-Care, Telemedicine, Tele-Health, and E-Health
Table 13.1 Definitions of Tele-Care, Telemedicine, and Tele-Health
III. Types of Telemedicine
Tele-Consultation
Tele-Education
Tele-Monitoring
Tele-Surgery
E-Health
IV. The Economic Perspectives of ICT and E-Health
FIGURE 13.1 Tele-Care, Telemedicine, Tele-Health, and E-Health in Perspective
FIGURE 13.2 Rogers’s S-Curve Representing Rate of Adoption of an Innovation over Time. Source: Adapted from Rogers, 2003. The S-curve diagram has been adapted from Rogers’ (1962) written work. E. M. Rogers, Diffusion of innovation (New York: Free Press, 1962)
Production Possibility Frontier
FIGURE 13.3 Production Possibility Frontier between Quality and Quantity in Health Care Delivery System at the First and Second Periods
Positive Externality
FIGURE 13.4 E-Health as a Good with Positive Externality
V. Factors Influencing the Adoption of E-Health
Technology Acceptance Model
Theory of Planned Behavior
Diffusion of Innovation Theory
Technology-Organization-Environment Model
VI. Barriers to E-Health Adoption
Financial Barriers
Technological Barriers
Social and Cultural Barriers
Legal Barriers
VII. Stakeholder Analysis
International Organizations
Government
Physicians/Clinical Providers
Hospitals
Patients
Application Vendors
Third-Party Payors
VIII. WHO’s Strategic Framework for E-Health Development
FIGURE 13.5 Framework for Strategic-Health Development
IX. Flow of Resources between Developed and Developing Countries
X. Conclusion
Notes
Chapter Questions
Mini-Case: M&P Cardiovascular Center Inc
Mini-Case Questions
Chapter Appendix: Glossary of Terms
CHAPTER 14 Health Management Information System Innovation: Managing Innovation Diffusion in Healthcare Services Organizations
CHAPTER OUTLINE
Scenario: MedeFile International1
I. Introduction
FIGURE 14.1 Current Service Model in Healthcare Services Organizations (Complaint Push Model)
FIGURE 14.2 Future Service Model in Healthcare Services Organizations (Data Pull Model)
II. Background
Table 14.1 Discussed Technologies in the Healthcare Sector
Table 14.2 Barriers for Innovation Diffusion in the Healthcare Sector
III. Complex Adaptive Systems
General Systems Theory
Complex Adaptive Systems
Handling Complexity in Healthcare Services Organizations
IV. Practice
Table 14.3 Barriers for HMIS Adoption and Diffusion—Mitigation Approach
V. Conclusion
Notes
Chapter Questions
PART V Health Management Information Systems Practices and Cases
CASE 1 Emergency Medical Transportation Resource Deployment
I. Introduction
The Problem
Types of Trips
II. Levels of Ambulance Capability
Basic Life Support Ambulance
Advanced Life Support Ambulance
III. Factors to Consider in Assigning Resources
System Considerations
Assignment of Vehicles to Trips
Appropriate Response Times
System Drive Time
Work Load Distribution
Assignment of Basic Life Support to Basic Life Support Crews
IV. The Information System
System Performance Auditing
System Performance Improvement
V. Conclusion
Note
Case Study Questions
CASE 2 The Clinical Reminder System
I. Introduction
FIGURE C2.1 CRS Client-User Interface
FIGURE C2.2 CRS v3 Main Workplace
FIGURE C2.3 Model Logic & Sample
Table C2.1 Selected Guideline Implementations
II. Acceptance and Adoption of the CRS by Clinician Users
III. Results of User and Usability Studies
IV. Conclusion
Notes
Case Study Questions
CASE 3 Integrating Electronic Medical Records and Disease Management at Dryden Family Medicine1
I. Introduction
II. Background
III. The Vendor Selection Process
EMR Vendors Selection Criteria
Technological Specifications
IV. Stages of EMR Implementation
Table C3.1 Timeline for Phased Conversion to EMR
FIGURE C3.1 EMR Implementation Stages
V. Impact on Job Responsibilities
VI. Financial Impact
Table C3.2 Impact of EMR on Time Allocation for Various Tasks
VII. Cost–Benefit Analysis and EMR
VIII. Conclusion
Lessons Learned
An Update: Two Years On
Notes
Case Study Questions
CASE 4 Delivering Enterprisewide Decision Support through E-Business Applications
I. Introduction
II. Overview of Decision Support
Table C4.1 Characteristics of the Three Generations of Decision Support Systems
III. Implementation
Sponsorship
Managing Change
Rapid Application Development
Outsourcing
Integrating Existing Tools
Data Standards Migration
FIGURE C4.1 HCHS Online Analytic Processing
Project Management
IV. Challenges and Barriers to Implementation
Valuing the Utility of the DSS Resource
Understanding the Data
Evolving Role of Decision Support Services
Measuring Return on Investment
Data Security and Privacy
FIGURE C4.2 HCHS Network Infrastructure
Notes
Case Study Questions
CASE 5 Mapping the Road to the Fountain of Youth
I. Introduction
II. Home-Based First-Aid System Technology
FIGURE C5.1 H-FAST: Home-Based First-Aid System Technology
H-FAST Basic Functions
H-FAST Advance Functions
III. H-FAST Potential Impacts on the Healthcare Services Delivery System

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