Develop a HIT Strategic Plan for Your Own Company

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Library of Congress Cataloging-in-Publication Data

Balgrosky, Jean A., 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 26.55.I4]

R858

610.285—dc23

2014011074

6048

Printed in the United States of America

18 17 16 15 14 10 9 8 7 6 5 4 3 2 1

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Dedication

This 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

possible.

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Table of Contents

Preface

Prologue

Acknowledgments

About the Author

Contributors

Section I Understanding Health Information Systemsand Technology

Chapter 1 Alignment: Health Information Systems and CurrentChallenges in Health Care

Learning Objectives

Introduction

Healthcare Cost and Quality Issues

Motivation

HIS and the U.S. Government’s Role and Goals in Health Care

The Quality Crisis Furthers U.S. Government Involvement inHIS

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Consumer Expectations and Engagement

Uses of HIS in Other Countries

Protecting the Public’s Health

Summary

Key Terms

Discussion Questions

References

Chapter 2 HIS Scope, Definition, and Conceptual Model

Learning Objectives

Introduction

HIS Uses in Organizational and Community Settings

Summary

Key Terms

Discussion Questions

References

Section II Systems and Management

Chapter 3 HIS Strategic Planning

Learning Objectives

Introduction

HIS Strategy: Organizational Strategy as Its Roadmap

HIS Strategy: Where Do We Begin?

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Why HIS Strategy Matters

HIS and Technology Strategy: Advancing Public Health

HIS and Technology Strategy: Architecture Builds a StrongHouse

HIS and Technology Support of Organizational Goals

HIS and Technology Strategy and Plans: Follow-up withTactical Details

Issues of Change and the Need for Governance

Summary

Key Terms

Discussion Questions

References

Chapter 4 HIS Application Systems and Technology

Learning Objectives

Introduction

HIS Applications

Technology

Summary

Key Terms

Discussion Questions

References

Chapter 5 Managing HIS and Technology Services: Delivering theGoods

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Learning Objectives

Introduction

Managing Process

Managing People

Summary

Key Terms

Discussion Questions

References

Chapter 6 Implementation

Learning Objectives

Introduction

Stages in Implementation

Reasons for HIS and Technology Project Successes and Failures

Summary

Key Terms

Discussion Questions

References

Chapter 7 Leadership and Adoption of HIS and Technology

Learning Objectives

Introduction

HIS Leadership from an Organizational Perspective

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Realizing the Value from HIS and Technology Investments

Presidential/Political/National Leadership Perspective in HISand Technology

Leadership from Public Health Researchers and Scientists

Leadership of Professional Organizations in HIS andTechnology

Adoption of HIS and Technology

Summary

Key Terms

Discussion Questions

References

Section III Health Informatics

Chapter 8 Health Informatics

Learning Objectives

Introduction

Health Informatics Definition and Purpose

Additional Motivation to Pursue Health Informatics

Relationship of Health Informatics to Donabedian’s HealthcareQuality Framework

Informatics Capabilities and Disciplines

Unintended Consequences of Current Uses of HIS andTechnology

Summary

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Key Terms

Discussion Questions

References

Section IV Data, Analytics, and BusinessIntelligence/Clinical Intelligence (BI/CI)

Chapter 9 Data

Learning Objectives

Introduction

Data Sources

Velocity, Volume, and Variety (Three V’s) and Big Data

Data Challenges

Data Security and Protection

Summary

Key Terms

Discussion Questions

References

Chapter 10 Business and Clinical Intelligence

Learning Objectives

Introduction

Healthcare Business and Clinical Intelligence

History of BI and CI