The CPHIMS Review Guide, 4th Edition: Preparing for Success in Healthcare Information and Management System

go to link Cover Half Title Title Page Copyright Page Contents Preface Acknowledgments Editor SECTION I: HEALTHCARE AND TECHNOLOGY ENVIRONMENTS 1. Healthcare Environment Learning Objectives Introduction Healthcare Organizations Hospitals Outpatient or Ambulatory Care—A Shift in the Care Setting Community Health Organizations Diagnostic and Pharmaceutical Services Healthcare Payers Interrelations Within and Across Healthcare Organizations Enabling Access to Comprehensive Care Services Assuring Effective Transfers of Care Ensuring the General Portability of Care Reporting Public and Population Health Information Obtaining Appropriate Reimbursement for Quality Care Supporting Particular Organizational Models of Care Roles and Responsibilities of Healthcare Information and Management Systems Professions Roles of Government, Regulatory, Professional and Accreditation Agencies in Healthcare Government Healthcare Regulators Professional Associations Accreditation Organizations Summary References 2. Technology Environment Learning Objectives Introduction Software in Healthcare IT Clinical Applications Administrative Applications Financial Applications Consumer Applications Clinical Business Intelligence (CBI) and Analytics Hardware in Healthcare IT Technology Infrastructure Servers Data Storage Mobile Devices Medical Devices Networks in Healthcare IT Network Infrastructure Communications Interoperability and Standards Data Integration Data Warehouses Privacy and Security Summary References SECTION II: CLINICAL INFORMATICS 3. Clinical Informatics Learning Objectives Introduction Global Aspects of Clinical Informatics Domains of Clinical Informatics Basic Clinical Vocabulary and Terms Basic Information Technology Vocabulary and Terms Common Clinical Metrics in Informatics Clinical Content and Decision Support Tools Clinical Data Analytics Tools Clinical Outcomes Operational Outcomes Common Data Analytics Tools Summary References SECTION III: HEALTHCARE INFORMATION AND SYSTEMS MANAGEMENT 4. Analysis Learning Objectives Introduction Healthcare Problems and Opportunities for IT Implementation Problems with Traditional Healthcare Systems Opportunities with Advanced Healthcare Systems Operational Managerial Strategic IT Infrastructure Organizational Clinical Functions Applications for Clinical Functions Administrative and Financial Services Applications for Administration and Finance Infrastructure Security-Related Applications Needs Analysis in Healthcare Facilities Operational Needs Staff Productivity and Satisfaction Increased Revenue and Cost Optimization Patient Safety Quality of Care Patient Access to Services Tools for Accomplishing the Needs Analysis Needs Summary Needs Prioritization Workflow and Process Mapping Current Clinical Processes Functional Needs Assessment Requirements Analysis Document Analysis Additional Inventories Process Improvement DMAIC PDCA/PDSA Deficiencies in Current IT Healthcare Practices Patient Support and Satisfaction Reduction in Revenue Generation Prescription Errors Industry Standardization Alternative Approaches to Current Healthcare Processes Industry Standardization Alternative Ways to Reduce Prescription Errors Alternative Processes for Revenue Generation Comparative Analysis of Alternatives Work Plan Development Executive Summary Introduction and Background Goals and Objectives Resources Work Plan Accountability Proposal Evaluation Cost–Benefit Feasibility Study Proposal Sensitivity Analysis RFI/RFP/RFQ Request for Information Request for Proposal Request for Quotation Non-Disclosure Agreement Cost–Benefit Analysis Summary References 5. Design Learning Objectives Introduction Compatibility and Interoperability of System Components Standards Compliance Process to Address Industry Trends Structure of the System Design Team Detailed Technical Specifications Usability Information Infrastructure Data Management Summary References 6. Selection, Implementation, Support and Maintenance Learning Objectives Introduction Solution Selection Criteria Selecting Review Team Members Solution Selection Activities Implementation Process Change Management Implementation Strategies Implementing Solutions System Integration to Support Business Requirements User and Operational Manuals and Training Activation Planning and Immediate Post-Activation Activities Managing Healthcare Information Systems Analyzing Data for Problems and Trends Ensuring Critical Functions Are Repaired, Maintained or Enhanced Business Continuity and Disaster Recovery Plans Summary Bibliography 7. Testing and Evaluation Learning Objectives Introduction Purpose of Systems Testing Test Methodology Test Strategy Test Tools Test Execution Test Controls Test Results Reporting Final Evaluation Summary References 8. Privacy and Security Learning Objectives Introduction Defining Requirements, Policies and Procedures Risk Assessment Risk Management Process Vulnerability Remediation User Access Controls Confidentiality, Integrity and Availability Organizational Roles Data Management Controls Disaster Recovery and Business Continuity Plans Auditing Ongoing System Evaluation Summary References SECTION IV: MANAGEMENT AND LEADERSHIP 9. Management and Leadership Learning Objectives Introduction Participation in Organizational Strategic Planning Mission Vision Values Goals Organizational Environment Forecasting Technical and Informational Needs of an Organization Developing the IT Strategic Plan Implementing the IT Strategic Plan Reporting on System Performance, Evaluating Performance and Evaluating Customer Satisfaction Project Tracking Assessment Departmental Effectiveness Managing Customer Relationships with Business Leaders Providing Customer Service Promoting Stakeholder Understanding of IT Opportunities and Constraints Developing Policies and Procedures for Information and Systems Management Complying with Legal and Regulatory Standards Adhering to Ethical Business Principles Employing Comparative Analysis Strategies Budgets Other Financial and Nonfinancial Indicators Benchmarks Quality Indicators Quality Standards and Practices Managing Projects, Project Portfolios and Vendors Managing Vendor Relationships Consulting Services Preparing and Delivering Business Communications Facilitating Group Discussions and Committee Meetings Steering Committee Meetings Managing Risk Financial Risk Management Budget Risk Management Roles and Responsibilities for IT-Related Functions Senior Management Roles and Responsibilities General IT Roles and Responsibilities Healthcare IT Roles and Responsibilities Staff Competency in Information and Management System Skills Employee Development Organizational Training and In-Service Programs Job-Related IT Certifications Miscellaneous Professional Development Performance Evaluation Developing Educational Strategies for IT Staff Current IT Technologies and Trends Developing System, Operational and Department Documentation System Documentation Operational Documentation Department Documentation Summary References 10. Questions Chapter 1: Healthcare Environment Chapter 2: Technology Environment Chapter 3: Clinical Informatics Chapter 4: Analysis Chapter 5: Design Chapter 6: Selection, Implementation, Support and Maintenance Chapter 7: Testing and Evaluation Chapter 8: Privacy and Security Chapter 9: Management and Leadership 11. Answer Key Chapter 1: Healthcare Environment Chapter 2: Technology Environment Chapter 3: Clinical Informatics Chapter 4: Analysis Chapter 5: Design Chapter 6: Selection, Implementation, Support and Maintenance Chapter 7: Testing and Evaluation Chapter 8: Privacy and Security Chapter 9: Management and Leadership Index