Unknown (5).pdf - HAP\/AUPHA Editorial Board for Graduate Studies Carla A Stebbins PhD Chairman Rochester Institute of Technology Kevin Broom PhD

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Unformatted text preview: HAP/AUPHA Editorial Board for Graduate Studies Carla A. Stebbins, PhD, Chairman Rochester Institute of Technology Kevin Broom, PhD University of Pittsburgh Erik L. Carlton, DrPH University of Memphis Daniel Estrada, PhD University of Florida Edmond A. Hooker, MD, DrPH Xavier University LTC Alan Jones, PhD, FACHE US Army Christopher Louis, PhD Boston University Peggy J. Maddox, PhD George Mason University Donna Malvey, PhD University of Central Florida Brian J. Nickerson, PhD Icahn School of Medicine at Mount Sinai Stephen J. O’Connor, PhD, FACHE University of Alabama at Birmingham Maia Platt, PhD University of Detroit Mercy Debra Scammon, PhD University of Utah Tina Smith University of Toronto James Zoller, PhD Medical University of South Carolina Health Administration Press, Chicago, Illinois Association of University Programs in Health Administration, Washington, DC Your board, staff, or clients may also benefit from this book’s insight. For information on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424-9450. This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The statements and opinions contained in this book are strictly those of the author(s) and do not represent the official positions of the American College of Healthcare Executives, the Foundation of the American College of Healthcare Executives, or the Association of University Programs in Health Administration. Copyright © 2019 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher. 23 22 21 20 19 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Names: Brown, Gordon D., editor. | Pasupathy, Kalyan S., editor. | Patrick, Timothy B., editor. Title: Health informatics : a systems perspective / [edited by] Gordon D. Brown, Kalyan S. Pasupathy, Timothy B. Patrick. Description: Second edition. | Chicago, Illinois : Health Administration Press (HAP) ; Washington, DC : Association of University Programs in Health Administration (AUPHA), [2019] | Includes bibliographical references and index. Identifiers: LCCN 2018026342 (print) | LCCN 2018027304 (ebook) | ISBN 9781640550063 (ebook) | ISBN 9781640550070 (xml) | ISBN 9781640550087 (epub) | ISBN 9781640550094 (mobi) | ISBN 9781640550056 (alk. paper) Classification: LCC R858 (ebook) | LCC R858 .H3478 2019 (print) | DDC 610.285—dc23 LC record available at The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984.  ∞ ™ Acquisitions editor: Jennette McClain; Project manager: Andrew Baumann; Manuscript editor: Jane Calayag; Cover designer: James Slate; Layout: Cepheus Edmondson Found an error or a typo? We want to know! Please e-mail it to [email protected], mentioning the book’s title and putting “Book Error” in the subject line. For photocopying and copyright information, please contact Copyright Clearance Center at or at (978) 750-8400. Health Administration Press Association of University Programs A division of the Foundation of the American   in Health Administration   College of Healthcare Executives 1730 M Street, NW 300 S. Riverside Plaza, Suite 1900 Suite 407 Chicago, IL 60606-6698 Washington, DC 20036 (312) 424-2800 (202) 763-7283 To students who have the vision and courage to lead profound change in the health system. To Kathleen for her values, high standards, and genius for working with and teaching children. —Gordon D. Brown To my beloved wife Jocey and my son Neal, who have each had a considerable effect on my perspective on life. —Kalyan S. Pasupathy To Lillian, my wife, colleague, and friend. —Timothy B. Patrick BRIEF CONTENTS Preface.....................................................................................................xvii Chapter 1. Health Systems Informatics: A Transformational Science....1 Gordon D. Brown Chapter 2. Knowledge-Based Decision Making..................................21 Gordon D. Brown, Kalyan S. Pasupathy, and Mihail Popescu Chapter 3. Health Professions, Patients, and Decisions......................49 Gordon D. Brown Chapter 4. The Coming of the Corporation: Transforming Clinical Work Processes..............................................................73 Gordon D. Brown Chapter 5. Predictive Analytics in Knowledge Management...............97 Gordon D. Brown, Kalyan S. Pasupathy, and Mihail Popescu Chapter 6. Clinical Decision Support Systems in Medicine...............121 Pavithra I. Dissanayake and Karl M. Kochendorfer Chapter 7. Nursing Informatics.......................................................147 Carol G. Klingbeil, Pei-Yun Tsai, and Timothy B. Patrick Chapter 8. E-health and Consumer Health Informatics....................167 George Demiris and Blaine Reeder Chapter 9. Precision Medicine.........................................................191 Timothy B. Patrick and Aurash A. Mohaimani Chapter 10. Information Systems as Integrative Technology for Population Health.......................................................207 Julie M. Kapp Chapter 11. Global Health Systems Informatics.................................227 Gordon D. Brown vii viii B rief Co n t ents Chapter 12. Controlled Terminology and the Representation of Data and Information..................................................251 Timothy B. Patrick and Carmelo Gaudioso Chapter 13. Information Management Strategy.................................269 James D. Buntrock Chapter 14. The Role of People and Information in Delivering Patient-Centered Care................................291 Naresh Khatri Chapter 15. Valuation and Financing of Healthcare Services and Information Technology Infrastructure.......................315 Kalyan S. Pasupathy and Gordon D. Brown Chapter 16. Data and Information Security in the Healthcare Enterprise............................................341 Dixie B. Baker and Timothy B. Patrick Appendix Professional Societies, Accrediting Agencies, and Additional Insights in Health Informatics.............369 Timothy B. Patrick Glossary..................................................................................................375 Index......................................................................................................381 About the Authors/Editors.......................................................................411 About the Contributors............................................................................413 DETAILED CONTENTS Preface.....................................................................................................xvii Chapter 1. Health Systems Informatics: A Transformational Science....1 Gordon D. Brown Learning Objectives...........................................................1 Key Concepts.....................................................................1 Introduction......................................................................1 Complex Adaptive Systems in Healthcare...........................2 Bioinformatics....................................................................4 Medical Informatics............................................................5 Public Health Informatics...................................................7 Health Systems Informatics and Transformational Change...............................................8 Management Information Science....................................12 Conclusion.......................................................................13 Chapter Discussion Questions..........................................14 Case Study: Electronic Health Records: Where Does the System End?..........................................................15 Additional Resources........................................................18 References........................................................................18 Chapter 2. Knowledge-Based Decision Making..................................21 Gordon D. Brown, Kalyan S. Pasupathy, and Mihail Popescu Learning Objectives.........................................................21 Key Concepts...................................................................21 Introduction....................................................................21 Definition and Use of Knowledge in Decision Making......22 Knowledge Organizations................................................24 Clinical Knowledge Management.....................................25 Patient-Centered Care......................................................33 Transformational Strategy.................................................36 Knowledge Socialization...................................................37 Knowledge Brokering.......................................................38 ix x Det a iled Co n te n ts Conclusion.......................................................................40 Chapter Discussion Questions..........................................41 Case Study: Knowledge Management in Accountable Care Organizations..................................41 Additional Resources........................................................44 References........................................................................44 Chapter 3. Health Professions, Patients, and Decisions......................49 Gordon D. Brown Learning Objectives.........................................................49 Key Concepts...................................................................49 Introduction....................................................................49 Transformation of the Clinical Function...........................50 The Science of Clinical Decision Making..........................54 Conclusion.......................................................................66 Chapter Discussion Questions..........................................66 Case Study: Redesigning Futures: The First-Ever Engineering-Driven College of Medicine.....................67 Additional Resources........................................................69 References........................................................................70 Chapter 4. The Coming of the Corporation: Transforming Clinical Work Processes..............................................................73 Gordon D. Brown Learning Objectives.........................................................73 Key Concepts...................................................................73 Introduction....................................................................73 Traditional Corporate Structures as the Logic for Clinical Information Systems.......................................75 Standardization of Clinical Work Processes.......................78 Integrated Systems Perspectives........................................83 Conclusion.......................................................................90 Chapter Discussion Questions..........................................90 Case Study: Not All Innovation Is Created Equal in the Transition to Value-Based Care....................................91 Additional Resources........................................................93 References........................................................................93 Chapter 5. Predictive Analytics in Knowledge Management...............97 Gordon D. Brown, Kalyan S. Pasupathy, and Mihail Popescu Learning Objectives.........................................................97 D etailed C ontents Key Concepts...................................................................97 Introduction....................................................................97 Data Mining and Analytics...............................................98 Database Types and Their Impact on Data Mining.........101 Data-Mining Methods....................................................104 Dynamic Systems Modeling............................................106 Conclusion.....................................................................113 Chapter Discussion Questions........................................114 Case Study: Analytics for Disease Management and Wellness..............................................................115 References......................................................................118 Chapter 6. Clinical Decision Support Systems in Medicine...............121 Pavithra I. Dissanayake and Karl M. Kochendorfer Learning Objectives.......................................................121 Key Concepts.................................................................121 Introduction..................................................................121 Definition......................................................................122 History and National Policies.........................................122 CDSS Types...................................................................124 Effective Characteristics..................................................128 Design and Implementation...........................................129 Challenges and Barriers..................................................131 Clinical Domain Examples..............................................134 Conclusion.....................................................................136 Chapter Discussion Questions........................................137 Case Study: Effective CDSS Implementation..................137 Additional Resources......................................................140 References......................................................................140 Chapter 7. Nursing Informatics.......................................................147 Carol G. Klingbeil, Pei-Yun Tsai, and Timothy B. Patrick Learning Objectives.......................................................147 Key Concepts.................................................................147 Introduction..................................................................147 Informatics, Nursing, and the Transformation of Clinical Care..............................................................149 Roles of Nurses in Informatics........................................150 Nursing Work and Information System Applications.......151 Quality and Safety of Care..............................................154 xi xii Det a iled Co n te n ts Consumer Engagement..................................................157 Nursing Education and Research....................................160 Research and Practice.....................................................160 Conclusion.....................................................................161 Chapter Discussion Questions........................................161 Case Study: A Question of Evidence...............................162 Additional Resources......................................................164 References......................................................................164 Chapter 8. E-health and Consumer Health Informatics....................167 George Demiris and Blaine Reeder Learning Objectives.......................................................167 Key Concepts.................................................................167 Introduction..................................................................167 Review of Patient-Centered Systems...............................169 Social Media and Consumer Health Informatics.............171 Challenges in E-health Applications................................175 Success Factors for E-health...........................................177 Conclusion.....................................................................180 Chapter Discussion Questions........................................181 Case Study: Blue River Home Care................................182 References......................................................................185 Chapter 9. Precision Medicine.........................................................191 Timothy B. Patrick and Aurash A. Mohaimani Learning Objectives.......................................................191 Key Concepts.................................................................191 Introduction..................................................................191 Precision Medicine and Genomic Science.......................192 Precision Medicine Initiatives.........................................193 Precision Medicine and Popular Culture.........................194 Precision Medicine and Big Data....................................194 Precision Medicine and Scientific Reproducibility...........197 Conclusion.....................................................................199 Chapter Discussion Questions........................................200 Case Study: Whose Body?...............................................200 Additional Resources......................................................203 References......................................................................203 D etailed C ontents Chapter 10. Information Systems as Integrative Technology for Population Health.......................................................207 Julie M. Kapp Learning Objectives.......................................................207 Key Concepts.................................................................207 Introduction..................................................................207 Status of Population Health in the United States............208 Population Health Provisions in the Affordable Care Act.............................................209 Difference Between Public Health and Population Health.....................................................211 Population Health Management in the United States.....212 Population Health as a System........................................215 Integrating Healthcare and Public Health Through Systems Design...........................................220 Conclusion.....................................................................221 Chapter Discussion Questions........................................222 Case Study: Pemiscot County.........................................222 Additional Resources......................................................223 References......................................................................223 Chapter 11. Global Health Systems Informatics.................................227 Gordon D. Brown Learning Objectives.......................................................227 Key Concepts.................................................................227 Introduction..................................................................227 Comparative Analysis of Health Systems Informatics: Design and Function.................................................228 Restructuring Health Systems According to the Logic of Health Systems Informatics....................232 Knowledge-Based Health Systems Design.......................236 Development of Global Health Systems: Collaborative Systems................................................237 Global Health Policy and Population Health..................243 Conclusion.....................................................................245 Chapter Discussion Questions........................................245 Case Study: Envisioning a Global Community................246 Additional Resources......................................................248 References......................................................................248 xiii xiv Det a iled Co n te ...
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