Essentials of Health Information Systems and …

1 Johan Swanepoel/Shutterstock, of Health Information Systems and TechnologyJean A. BalgroskyLecturerField School of Public HealthUniversity of California at Los AngelesLos Angeles, CaliforniaFounderBootstrap Incubation, LLCS olana Beach, CaliforniaChief Information OfficerMD RevolutionLa Jolla, 103/07/14 10:32 AMWorld HeadquartersJones & Bartlett Learning5 Wall StreetBurlington, MA & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount Information , contact the special sales department at Jones & Bartlett Learning via the above contact Information or send an email to 2015 by Jones & Bartlett Learning, LLC, an Ascend Learning CompanyAll rights reserved.

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3 Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies throughout this product may be real or fictitious, but are used for instructional purposes publication is designed to provide accurate and authoritative Information in regard to the Subject Matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the service of a competent professional person should be CreditsExecutive Publisher: William BrottmillerPublisher: Michael BrownAssociate Editor: Chloe FaliveneProduction Editor: Sarah BayleSenior Marketing Manager: Sophie Fleck TeagueArt Development Editor: Joanna LundeenArt Development Assistant: Shannon SheehanManufacturing and Inventory Control Supervisor: Amy BacusComposition: diacriTechCover Design: Kristin E. ParkerRights and Photo Research Coordinator: Ashley Dos SantosCover Image: John Swanepoel/Shutterstock, and Binding: Edwards Brothers MalloyTo order this product, use ISBN: 978-1-284-0-3611-4 Library of Congress Cataloging-in-Publication DataBalgrosky, Jean A.

4 , author. Essentials of Health Information Systems and technology / Jean A. Balgrosky. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4496-4799-5 I. Title. [DNLM: 1. Health Information Systems . 2. Medical Informatics. W ] R858 dc23 20140110746048 Printed in the United States of America18 17 16 15 14 10 9 8 7 6 5 4 3 2 203/07/14 10:32 AM Johan Swanepoel/Shutterstock, book is dedicated to the Information technology professionals working day after day in and on behalf of healthcare organizations across the country without whose work, nothing described in this book would be 303/07/14 10:32 403/07/14 10:32 AM Johan Swanepoel/Shutterstock, of ContentsPreface xiPrologue xvAcknowledgments xviiAbout the Author xixContributors xxiSection I Understanding Health Information Systems and technology 1 Chapter 1 Alignment.

5 Health Information Systems and Current Challenges in Health Care 3 Learning Objectives 3 Introduction 3 Healthcare Cost and Quality Issues 4 Motivation 5 HIS and the Government s Role and Goals in Health Care 6 The Quality Crisis Furthers Government Involvement in HIS 7 Consumer Expectations and Engagement 9 Uses of HIS in Other Countries 9 Protecting the Public s Health 10 Summary 10 Key Terms 10 Discussion Questions 11 References 503/07/14 10:32 AMTable of ContentsviChapter 2 HIS Scope, Definition, and Conceptual Model 13 Learning Objectives 13 Introduction 13 HIS Uses in Organizational and Community Settings 16 Summary 22 Key Terms 23 Discussion Questions 24 References 25 Section II Systems and Management 27 Chapter 3 HIS Strategic Planning 29 Learning Objectives 29 Introduction 29 HIS Strategy: Organizational Strategy as Its Roadmap 29 HIS Strategy: Where Do We Begin?

6 34 Why HIS Strategy Matters 40 HIS and technology Strategy: Advancing Public Health 45 HIS and technology Strategy: Architecture Builds a Strong House 46 HIS and technology Support of Organizational Goals 50 HIS and technology Strategy and Plans: Follow-up with Tactical Details 51 Issues of Change and the Need for Governance 52 Summary 54 Key Terms 54 Discussion Questions 55 References 56 Chapter 4 HIS Application Systems and technology 57 Learning Objectives 57 Introduction 57 HIS Applications 58 technology 62 Summary 81 Key Terms 81 Discussion Questions 83 References

7 84 Chapter 5 Managing HIS and technology Services: Delivering the Goods 85 Learning Objectives 85 Introduction 85 Managing Process 86 Managing People 102 Summary 603/07/14 10:32 AMTable of ContentsviiKey Terms 107 Discussion Questions 108 References 109 Chapter 6 Implementation 111 Learning Objectives 111 Introduction 111 Stages in Implementation 114 Reasons for HIS and technology Project Successes and Failures 126 Summary 133 Key Terms 134 Discussion Questions 135 References 136 Chapter 7 Leadership and Adoption of HIS and technology 137 Learning Objectives 137 Introduction

8 137 HIS Leadership from an Organizational Perspective 139 Realizing the Value from HIS and technology Investments 144 Presidential/Political/National Leadership Perspective in HIS and technology 146 Leadership from Public Health Researchers and Scientists 147 Leadership of Professional Organizations in HIS and technology 147 Adoption of HIS and technology 149 Summary 157 Key Terms 158 Discussion Questions 159 References 160 Section III Health Informatics 161 Chapter 8 Health Informatics 163 Learning Objectives 163 Introduction 163 Health Informatics Definition and Purpose 163 Additional Motivation to Pursue Health Informatics 167 Relationship of Health Informatics to Donabedian s Healthcare Quality Framework 172 Informatics Capabilities and Disciplines 176 Unintended Consequences of Current Uses of HIS and technology 178 Summary 178 Key Terms 179 Discussion Questions 180 References 703/07/14 10.

9 32 AMTable of ContentsviiiSection IV Data, Analytics, and Business Intelligence/Clinical Intelligence (BI/CI) 183 Chapter 9 Data 185 Learning Objectives 185 Introduction 185 Data Sources 186 Velocity, Volume, and Variety (Three V s) and Big Data 190 Data Challenges 192 Data Security and Protection 194 Summary 195 Key Terms 195 Discussion Questions 196 References 197 Chapter 10 Business and Clinical Intelligence 199 Learning Objectives 199 Introduction 199 Healthcare Business and Clinical Intelligence 200 History of BI and CI 202 Current Challenges for Analytics 203 Models for Data Architecture and Strategy 204 Examples of BI/CI at Work 207 The Future of BI/CI 208 Summary 208 Key Terms 209 Discussion Questions

10 210 References 211 Section V Research, Policy, and Public Health 213 Chapter 11 HIS and Research, Policy, and Public Health 215 Learning Objectives 215 Introduction 215 HIS Model: Research, Policy, and Public Health Relationships to HIS 217 Types of Research and Sources of Data from HIS 222 Areas Deserving Special Attention That Rely on HIS Management 230 Summary 232 Key Terms 233 Discussion Questions 234 References 803/07/14 10:32 AMTable of ContentsixSection VI New Directions for HIS and technology 237 Chapter 12 What Lies Beyond the Current State of HIS and technology ?