KAREN A. WAGER is professor and associate dean for student affairs in the College of Health Professions at the Medical University of South Carolina. She teaches management and health information systems courses to graduate students. Wager is the past president of the South Carolina Health Information Management Association.

FRANCES WICKHAM LEE is professor and director of instructional operations for Healthcare Simulation South Carolina at the Medical University of South Carolina.

JOHN P. GLASER currently serves as the senior vice president of Population Health for Cerner. He joined Cerner as part of the Siemens Health Services acquisition, where he was CEO.

Tables, Figures, and Exhibits xi

Foreword xv

Preface xix

Acknowledgments xxxi

The Authors xxxiii

Part 1 Health Care Information 1

1 Introduction to Health Care Information 3

2 Health Care Data Quality 49

3 Health Care Information Regulations, Laws, and Standards 67

Part 2 Health Care Information Systems 101

4 History and Evolution of Health Care Information Systems 103

5 Clinical Information Systems 133

6 Federal Efforts to Enhance Quality of Patient Care through the Use of Health Information Technology 179

7 System Acquisition 209

8 System Implementation and Support 241

Part 3 Information Technology 271

9 Technologies That Support Health Care Information Systems 273

10 Health Care Information System Standards 317

11 Security of Health Care Information Systems 351

Part 4 Senior Management IT Challenges 393

12 Organizing Information Technology Services 395

13 IT Alignment and Strategic Planning 437

14 Strategy Considerations 467

15 IT Governance and Management 491

16 Management’s Role in Major IT Initiatives 521

17 Assessing and Achieving Value in Health Care Information Systems 555

18 Health IT Leadership: A Compendium of Case Studies 595

Appendixes

A. Overview of the Health Care IT Industry  641

B. Sample Project Charter  653

C. International Adoption and Use of Health Information Technology  665

Index 681

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