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Handbook of Informatics for Nurses and Health Care Professionals

by: Hebda, Toni Lee; Czar, Patricia; Mascara, Cynthia M.

Handbook of Informatics for Nurses and Health Care Professionals

by: Hebda, Toni Lee; Czar, Patricia; Mascara, Cynthia M.

ISBN 13:
9780131512627
ISBN 10:
0131512625
Edition: 3rd
Format: Paperback
Copyright: 01/01/2005
Publisher: Prentice Hall
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Summary

Handbook of Informatics for Nurses & Health Care Professionals is an introduction to the computer technology used by nurses & other health care professionals. Offering an overview of informatics, as well as practical information for day-to-day use. Book jacket.

PREFACE

ACKNOWLEDGMENTS

xix

MEDIA CONTRIBUTORS

xxi

REVIEWERS

xxiii

ABOUT THE AUTHORS

xxv

SECTION ONE General Computer Information

(116)

CHAPTER 1 Informatics in the Health Care Professions

(33)

Data, Information, and Knowledge

(3)

The Nurse as Knowledge Worker

(1)

The Significance of Good Information Management

(1)

The Definition and Evolution of Informatics

(4)

Informatics Competencies for Nurses

(3)

Applications of Nursing Informatics

(1)

Nursing Practice

(1)

Nursing Administration

(1)

Nursing Education

(1)

Nursing Research

(1)

The Current Status of Health Care Delivery

(5)

Patient Safety

(1)

The Nursing Shortage

(1)

Pressure to Implement Information Technology

(1)

Consumer Demands for Quality and Cost-Effective Care

(1)

Research

(1)

Managed Care

(1)

Benefits of Nursing Informatics for Other Health Care Professionals

(2)

Nursing Informatics as a Specialty Area of Practice

(4)

The Role of the Informatics Nurse

(1)

The Future of Nursing Informatics

(1)

Case Study Exercise

(1)

Summary

(1)

References

(6)

CHAPTER 2 Hardware, Software, and the Roles of Support Personnel

(28)

Hardware

(1)

Input Devices

(1)

Central Processing Unit

(1)

Secondary Storage

(1)

Output Devices

(1)

Computer Categories

(4)

Peripheral Hardware Items

(3)

Networks

(1)

How Computers Work

(2)

Selection Criteria

(3)

User Needs

(1)

Physical Constraints

(2)

Mobile and Wireless Computing

(2)

Software

(3)

Operating Systems

(1)

Application Software

(1)

Utility Programs

(1)

Roles of Support Personnel

(4)

Superuser

(1)

Call Desk and Help Desk Personnel

(1)

Microcomputer or PC Specialist

(1)

Analyst

(1)

Clinical Liaison

(1)

Programmer

(1)

Network Administrator

(1)

Trainer

(1)

Security Officer

(1)

Chief Information Officer

(1)

Webmaster

(1)

Chief Privacy Officer

(1)

Chief E-health Officer

(1)

Compliance Officer

(1)

Disaster Planning and Recovery Officer

(1)

Interface Engineer

(1)

Case Study Exercises

(1)

Summary

(1)

References

(3)

CHAPTER 3 Ensuring the Quality of Information

(16)

Data Integrity

(2)

Ensuring Correct Data Collection and Entry

(2)

Data Management

(6)

Data Storage

(3)

Outsourcing Data Management and Storage

(1)

Data Retrieval

(1)

Data Exchange

(1)

Characteristics of Quality Information

(2)

Data Mining

(1)

Data Cleansing

(1)

Case Study Exercises

(1)

Summary

(1)

References

(2)

CHAPTER 4 Electronic Communication and the Internet

(37)

The Internet

(23)

E-mail

(4)

File Transfer

(1)

The World Wide Web

(6)

Browsers

(1)

Search Tools

(2)

Listservs

(1)

News Groups

(1)

Bulletin Board Systems

(1)

Access to Health Care Information and Services

(1)

Professional Information Sharing

(3)

Online Publications and Journals

100

(1)

Marketing Services

101

(1)

E-health

102

(3)

Concerns Related to the Use of the Internet

105

(3)

Firewalls

105

(1)

Web Security

105

(1)

Organizational Policy

106

(1)

Overload

107

(1)

Viral Contamination

108

(1)

Intranets and Extranets

108

(2)

Case Study Exercises

110

(1)

Summary

110

(1)

References

111

(6)

SECTION TWO Health Care Information Systems

117

(206)

CHAPTER 5 Health Care Information Systems

119

(23)

Clinical Information Systems

120

(16)

Nursing Information Systems

120

(6)

Clinician Information Systems

126

(1)

Monitoring Systems

126

(1)

Order Entry Systems

126

(2)

Laboratory Systems

128

(2)

Radiology Systems

130

(1)

Pharmacy Systems

131

(4)

Other Clinical Systems

135

(1)

Administrative Systems

136

(1)

Registration Systems

136

(1)

Scheduling Systems

137

(1)

Decision Support and Expert Systems

137

(1)

Case Study Exercises

138

(1)

Summary

139

(1)

References

139

(3)

CHAPTER 6 Strategic Planning

142

(16)

The Mission

143

(1)

Goals and Objectives

144

(1)

Developing Strategies

145

(1)

Strategic Planning for Information Systems

146

(2)

Steps of the Strategic Planning Process

148

(7)

Identification of Goals and Scope

149

(1)

Scanning the External and Internal Environments

149

(1)

Data Analysis

150

(1)

Identification of Potential Solutions

150

(1)

Selecting a Course of Action

151

(3)

Implementation

154

(1)

Ongoing Evaluation and Feedback

154

(1)

Case Study Exercises

155

(1)

Summary

156

(1)

References

157

(1)

CHAPTER 7 Selecting a Health Care Information System

158

(18)

Needs Assessment

159

(9)

The Steering Committee

161

(1)

Consultants

162

(1)

Developing a Common Vision

162

(1)

Understanding the Current System

163

(1)

Determining System Requirements

163

(5)

System Selection

168

(6)

Additional Sources of Information

168

(1)

Request for Information

169

(1)

Request for Proposal

170

(4)

Case Study Exercises

174

(1)

Summary

174

(1)

References

175

(1)

CHAPTER 8 System Implementation and Maintenance

176

(15)

System Implementation

177

(9)

Develop an Implementation Committee

177

(1)

Install the System

177

(4)

Analyze Hardware Requirements

181

(1)

Develop Procedures and Documentation

182

(1)

Testing

183

(1)

Provide Training

183

(1)

Go-Live Planning

183

(1)

Common Implementation Pitfalls

184

(2)

Maintenance

186

(2)

User Feedback and Support

186

(1)

System Maintenance

186

(2)

Technical Maintenance

188

(1)

The Information System's Life Cycle

188

(1)

Case Study Exercises

188

(1)

Summary

189

(1)

References

190

(1)

CHAPTER 9 Information Systems Training

191

(18)

Identification of Training Needs

193

(11)

User Needs

193

(1)

Training Class Content

194

(2)

Class Schedules

196

(1)

Hardware and Software Requirements

197

(1)

Training Costs

197

(1)

Training Center

198

(1)

Training Approaches

198

(2)

Proficiency Testing

200

(4)

Additional Training Considerations

204

(1)

Training Students

204

(1)

Case Study Exercises

205

(1)

Summary

206

(1)

References

207

(2)

CHAPTER 10 Information Security and Confidentiality

209

(28)

Privacy, Confidentiality, and Security

210

(1)

Information System Security

211

(5)

Security Risks

212

(4)

Security Mechanisms

216

(4)

Physical Security

216

(1)

Passwords and Other Means of Authentication

217

(2)

Firewalls

219

(1)

Application Security

219

(1)

Antivirus Software

220

(1)

Spyware Detection Software

220

(1)

Administrative and Personnel Issues

220

(7)

Levels of Access

272

User Authentication

222

(1)

Personnel Issues

223

(1)

System Security Management

224

(2)

Audit Trails

226

(1)

Handling and Disposal of Confidential Information

227

(4)

Computer Printouts

227

(1)

Faxes

228

(1)

Electronic Files

228

(2)

E-mail and the Internet

230

(1)

Web-Based Applications for Health Care

230

(1)

Electronic Storage

231

(1)

Case Study Exercises

231

(1)

Summary

232

(1)

References

233

(4)

CHAPTER 11 System Integration

237

(14)

Interfaces

238

(3)

Integration Issues

241

(1)

The Need for Integration Standards

241

(4)

Data Dictionary

242

(1)

Master Patient Index

242

(1)

Uniform Language

243

(1)

Data Exchange Standards

244

(1)

Benefits of Integration

245

(1)

Integration Implications for Nursing

246

(1)

Emerging Integration Solutions

247

(1)

Case Study Exercises

247

(1)

Summary

248

(1)

References

249

(2)

CHAPTER 12 The Electronic Health Record

251

(17)

Definitions

252

(2)

Historical Developments

254

(2)

Benefits of the EHR

256

(2)

General Benefits

257

(1)

Nursing Benefits

257

(1)

Physician Benefits

258

(1)

Health Care Enterprise Benefits

258

(1)

Current Status of the EHR

258

(4)

Considerations When Implementing the EHR

258

(2)

Data Integrity

260

(1)

Ownership of the Patient Record

261

(1)

Privacy and Confidentiality

261

(1)

Electronic Signature

262

(1)

Smart Cards

262

(1)

CHINs

263

(1)

Considerations for the Future

264

(1)

Case Study Exercises

265

(1)

Summary

266

(1)

References

266

(2)

CHAPTER 13 Regulatory and Accreditation Issues

268

(24)

Privacy and Confidentiality Legislation

269

(9)

The Health Insurance Portability and Accountability Act

272

(5)

Other Privacy Legislation

277

(1)

Accreditation and Reimbursement Issues

278

(3)

Joint Commission for Accreditation of Healthcare Organizations

278

(1)

Commission on Accreditation of Rehabilitation Facilities

279

(1)

Reimbursement Issues

280

(1)

HIPAA Electronic Data Interchange (EDI) and Transactions Rule

281

(1)

Quality Initiatives

281

(1)

Special Facility Issues

282

(3)

Geriatric and Long-Term Facilities

282

(2)

Psychiatric Facilities

284

(1)

Case Study Exercises

285

(1)

Summary

286

(1)

References

287

(5)

CHAPTER 14 Contingency Planning and Disaster Recovery

292

(31)

What Is Contingency Planning?

293

(1)

Steps of the Contingency Planning Process

294

(5)

Advantages of Contingency Planning

299

(1)

Disasters versus System Failure

300

(2)

Environmental Disasters

300

(1)

Human Error

300

(1)

Sabotage, Cybercrime, Terrorism, and Bioterrorism

301

(1)

System or Equipment Failure

302

(1)

Continuity and Recovery Options

302

(4)

Backup and Storage

303

(3)

Manual versus Automated Alternatives

306

(7)

Salvaging Damaged Records

309

(3)

Restarting Systems

312

(1)

Planning Pitfalls

313

(1)

Using Post-Disaster Feedback to Improve Planning

314

(2)

Legal and Accreditation Requirements

316

(1)

Case Study Exercises

317

(1)

Summary

318

(1)

References

319

(4)

SECTION THREE Specialty Applications

323

(82)

CHAPTER 15 Using the Computer to Support Health Care Education

325

(30)

Instructional Applications of Computer Technology

326

(15)

Computer-Assisted Instruction

327

(2)

Competency-Based Training

329

(1)

Multimedia

329

(2)

Teleconferencing

331

(1)

Distance Education

331

(4)

Web-Based Instruction (WBI)

335

(4)

E-learning 33S

Computer Labs

339

(2)

Audiences for Computer-Enhanced Education

341

(5)

Formal Nursing Education

341

(3)

Continuing Education

344

(1)

Client Education

345

(1)

Issues Related to Computer-Enhanced Education

346

(1)

Educational Opportunities in Nursing Informatics

347

(1)

Case Study Exercises

347

(1)

Summary

348

(2)

References

350

(5)

CHAPTER 16 Telehealth

355

(28)

Terms Related to Telehealth

356

(2)

Teleconferencing

358

(1)

Videoconferencing

358

(1)

Desktop Videoconferencing

358

(1)

Historical Background

358

(2)

Driving Forces

360

(1)

Applications

361

(6)

Online Databases and Tools

362

(2)

Education

364

(1)

Continuing Education

364

(1)

Home Health Care

364

(1)

Disease Management

365

(2)

Legal and Privacy Issues

367

(3)

HIPAA, Referral, and Payment

367

(1)

Support Personnel

368

(1)

Liability

368

(1)

Licensure Issues

369

(1)

Confidentiality/Privacy

370

(1)

Other Telehealth Issues

370

(1)

Establishing a Telehealth Link

371

(5)

Formulating a Telehealth Plan

371

(1)

Building the Supporting Framework

372

(1)

Human Factors

373

(1)

Equipment

374

(1)

Telehealth Costs

374

(1)

Technology Issues

374

(2)

Telenursing

376

(1)

Future Development

376

(1)

Case Study Exercises

377

(1)

Summary

378

(1)

References

379

(4)

CHAPTER 17 Research

383

(22)

Using Computers to Support Research

384

(10)

Identification of Research Topics

384

(1)

Literature Searches

384

(2)

Data Collection Tools

386

(3)

Data Analysis

389

(3)

Data Presentation: Graphics

392

(1)

Online Access to Databases

392

(2)

Impediments to Health Care Research

394

(5)

Unified Language Efforts

395

(1)

Multi-institutional Research

396

(1)

Research in Real Time

396

(1)

Collaborative Research

396

(3)

Dissemination of Research Findings

399

(1)

The Implications of HIPAA for Health Care Research

399

(1)

Students Using Computers for Research

400

(1)

Case Study Exercises

401

(1)

Summary

402

(1)

References

402

(3)

APPENDIX A: INTERNET PRIMER

405

(8)

APPENDIX B: CAREER RESOURCES ON THE INTERNET

413

(4)

APPENDIX C: CASE STUDY EXERCISES-SUGGESTED RESPONSES

417

(20)

GLOSSARY

437

(16)

INDEX

453

Amazon no longer offers textbook rentals. We do!

Handbook of Informatics for Nurses and Health Care Professionals

Handbook of Informatics for Nurses and Health Care Professionals

9780131512627

0131512625

Summary

Author Biography

Table of Contents

Supplemental Materials

Excerpts

Write a Review

Amazon no longer offers textbook rentals. We do!

Handbook of Informatics for Nurses and Health Care Professionals

Handbook of Informatics for Nurses and Health Care Professionals

9780131512627

0131512625

Summary

Author Biography

Table of Contents

Supplemental Materials

Excerpts

Write a Review

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