Glaser John P. - Health care information systems: a practical approach for health care management

Third Edition

Karen A. Wager

Frances Wickham Lee

John P. Glaser

Cover design by JPuda
Cover image: Michael Adendorff/Getty
Copyright 2013 by John Wiley & Sons, Inc. All rights reserved.

Published by Jossey-Bass
A Wiley Brand
One Montgomery Street, Suite 1200, San Francisco, CA 94104-4594www.josseybass.com

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, or on the Web at www.copyright.com. Requests to the publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, 201-748-6011, fax 201-748-6008, or online at www.wiley.com/go/permissions.

Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. Readers should be aware that Internet Web sites offered as citations and/or sources for further information may have changed or disappeared between the time this was written and when it is read.

Jossey-Bass books and products are available through most bookstores. To contact Jossey-Bass directly call our Customer Care Department within the U.S. at 800-956-7739, outside the U.S. at 317-572-3986, or fax 317-572-4002.

Wiley publishes in a variety of print and electronic formats and by print-on-demand. Some material included with standard print versions of this book may not be included in e-books or in print-on-demand. If this book refers to media such as a CD or DVD that is not included in the version you purchased, you may download this material at http://booksupport.wiley.com. For more information about Wiley products, visit www.wiley.com.

Library of Congress Cataloging-in-Publication Data

Wager, Karen A., 1961 author.

Health care information systems : a practical approach for health care management / Karen A. Wager, Frances W. Lee, John P. Glaser. Third editon.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-17353-4 (paperback), ISBN 978-1-118-41936-6 (ePDF), ISBN 978-1-118-42093-5 (ePub)
I. Lee, Frances Wickham, 1953 author. II. Glaser, John P. (John Patrick), 1955 author. III. Title.
[DNLM: 1. Health Information Systemsorganization & administration. W 26.55.I4]
R858
610.68dc23
2013019370

1. Examples of types of patient encounter data/information
2. Some causes of poor health care data quality
3. Common types of administrative and clinical information systems
4. Timeline of major events + advances in information technology = HCIS
5. Health information technology definitions
6. Functions of an EHR system as defined by the IOM
7. Functions defining the use of EHRs
8. Differences between Medicare and Medicaid EHR Incentive Programs
9. Sample criteria for evaluation of RFP responses
10. Differences between OLTP databases and data warehouses
11. TCP/IP layer illustration
12. Ethernet standards, cables, and transmission capabilities
13. Organizations responsible for formal standards development
14. Excerpts from CVX (clinical vaccines administered) table
15. Excerpts from NCPDP data dictionary
16. X12 TG2 work groups
17. Excerpt from HITECH EHR certification criteria core set
18. Security objectives
19. Types of contingency-related plans
20. CMS recommendations for accessing ePHI remotely
21. CMS recommendations for storing ePHI on portable devices
22. CMS recommendations for transmitting ePHI from remote locations
23. Managers grades for work factors
24. IT initiatives linked to organizational goals
25. Summary of the scope of outpatient care problems
26. Potential value proposition of mobile device technology
27. Summary of IT strategic planning
28. Target increases in an IT operating budget
29. Project resource analysis
30. Financial analysis of a patient accounting document imaging system
31. Requests for new information system projects
32. List of cases and major themes
33. Typical provider distribution of IT spending
34. Health care vertical market: NAICS taxonomy
35. Major health care IT vendors, ranked by revenue
36. Revision history
37. Issue management
38. Health care IT usage and characteristics of system by country

1. Types of health care information framework
2. Sample EHR information screen
3. Sample EHR problem list
4. Sample EHR progress notes
5. Sample EHR lab report
6. Inpatient encounter flow
7. Physicians office visit patient flow
8. Sample diabetes query screen
9. Example of Dartmouth Atlas interactive report
10. Example of NCQA report card
11. Example of hospital compare graphical report
12. Sample electronic knowledge-based information resources
13. From data to knowledge
14. Activities for improving data quality
15. Typical mainframe computer
16. Sample drug alert screen
17. Sample EHR screen
18. Sample CPOE screen
19. Sample patient portal
20. Clinical information schematic
21. Overview of HITECH Act
22. Federal health IT strategic map
23. Systems development life cycle
24. System usability scale questionnaire
25. Cost-benefit analysis
26. Example of a simple Gantt chart
27. Sample composition of implementation team
28. The hype cycle
29. Traditional file structure for simplified patient registration
30. Possible database structure for simplified patient registration
31. Simplified health care organization network
32. URL components
33. HTML and XML code
34. MUSC patient portal example
35. Encryption procedure
36. Typical IT organizational chart
37. IT department organized by function and geography
38. IT department organized by function and process
39. Overview of IT strategy development
40. IT initiative priorities
41. IT plan timetable and budget
42. Profit performance differences in high ITuse industries
43. Singles and grand slams
44. IT budget decision-making process
45. Project timeline with project phases
46. IT Investment portfolio
47. Days in accounts receivable before and after implementation of practice management system