Information systems and healthcare enterprises

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Title:

Personal Author:

Rada, R. (Roy), 1951-

Publication Information:

Hershey : IGI Pub., c2008

Physical Description:

xv, 362 p. : ill. ; 27 cm.

ISBN:

9781599046518

Abstract:

"The United States' healthcare industry consumes roughly 20% of the gross national product per year. This huge expenditure not only represents a large portion of the country's collective interests, but also an enormous amount of medical information. This book examines the special issues related to the collection, disbursement, and integration of various data within the healthcare system."--Provided by publisher.

Subject Term:

Medicine -- United States -- Data processing

Medical care -- United States -- Data processing

Information storage and retrieval systems -- Medicine -- United States

Information Systems -- United States

Available:*

Library	Item Barcode	Call Number	Material Type	Item Category 1	Status
Searching... PSZ JB	30000010252376	R858 R33 2008	Open Access Book	Book	Searching... Unknown

On Order

Summary

"The healthcare industry in the United States consumes roughly 20% of the gross national product per year. This huge expenditure not only represents a large portion of the country's collective interests, but also an enormous amount of medical information. Information intensive healthcare enterprises have unique issues related to the collection, disbursement, and integration of various data within the healthcare system. Information Systems and Healthcare Enterprises provides insight on the challenges arising from the adaptation of information systems to the healthcare industry, including development, design, usage, adoption, expansion, and compliance with industry regulations. Highlighting the role of healthcare information systems in fighting healthcare fraud and the role of information technology and vendors, this book will be a highly valued addition to academic, medical, and health science libraries."

Foreword	p. vii
Preface	p. ix
Acknowledgment	p. xiv
Chapter I Introduction	p. 1
Learning Objectives	p. 1
What It Is	p. 1
Technology History	p. 4
Biographical Perspective	p. 8
Challenges	p. 11
Trends	p. 18
Other Books	p. 20
Questions	p. 22
Chapter II Software Life Cycle	p. 26
Learning Objectives	p. 26
Requirements Phase	p. 28
Design Phase	p. 31
A Failed Design Case	p. 32
Successful Design	p. 33
System Acquisition	p. 40
Implement	p. 41
Legacy Phase	p. 45
Questions	p. 51
Chapter III Providers	p. 55
Learning Objectives	p. 55
Populations	p. 56
Components	p. 60
Administrative Systems	p. 61
Patient Management	p. 66
Clinical Support	p. 74
Sample System	p. 77
Physician Group	p. 80
Future	p. 83
Questions	p. 84
Chapter IV Payers	p. 86
Learning Objectives	p. 86
Context	p. 86
Basic Operations	p. 90
CMS	p. 93
BCBS	p. 95
CMS vs. BCBS	p. 99
Intermediaries	p. 100
Accountability	p. 103
Questions	p. 105
Chapter V Data and Knowledge	p. 107
Learning Objectives	p. 107
Data	p. 108
Standards	p. 111
Codes	p. 117
Decision-Making	p. 119
Expert Systems	p. 124
Other AI Systems	p. 132
Research Systems	p. 134
Questions	p. 139
Chapter VI Provider-Payer Transactions	p. 143
Learning Objectives	p. 143
Standardizing Transactions	p. 144
Fraud	p. 160
Epilogue	p. 167
Questions	p. 168
Chapter VII Information Networks	p. 170
Learning Objectives	p. 170
Community Health Networks	p. 171
Health E-Commerce Networks	p. 172
Enterprise Resource Planning	p. 174
Consumers	p. 176
National Network	p. 182
Questions	p. 183
Chapter VIII Regulation	p. 187
Learning Objectives	p. 187
Context	p. 187
Cost of Compliance	p. 190
Corporate Compliance Programs	p. 192
HIPAA	p. 193
Questions	p. 194
Chapter IX Privacy	p. 196
Learning Objectives	p. 196
Political Struggle	p. 197
HIPAA's Privacy Rule	p. 200
Applicable	p. 200
Notice of Privacy Practices	p. 201
Authorization	p. 202
Uses and Disclosures	p. 203
Minimum Necessary	p. 208
More De-Identification	p. 209
Privacy Surrendered	p. 212
Access to Information	p. 213
Administration	p. 215
Example Implementation	p. 218
Information Warfare	p. 219
Conclusion	p. 222
Questions	p. 223
Chapter X Security	p. 228
Learning Objectives	p. 228
Introduction	p. 229
Life Cycle	p. 235
Security Rule	p. 244
Administrative Safeguards	p. 245
Technical Safeguards	p. 250
Physical Safeguards	p. 254
Computer Models	p. 255
Computer Mechanisms	p. 259
Small Provider Example	p. 265
Large HMO Example	p. 266
Conclusion	p. 269
Questions	p. 270
Chapter XI Personnel	p. 274
Learning Objectives	p. 274
Patterns	p. 275
Physicians	p. 277
Nurses	p. 280
Medical Record Staff	p. 281
IT Staff	p. 284
CIO	p. 286
Federal Workforce Surveys	p. 291
Salaries	p. 292
Retention	p. 294
Questions	p. 296
Chapter XII Vendors	p. 299
Learning Objectives	p. 299
IT Consultants	p. 300
Vendor Case Study	p. 306
Large Client	p. 312
Small Client	p. 316
Outsourcing	p. 318
Questions	p. 319
Chapter XIII Diffusion	p. 322
Learning Objectives	p. 322
Theory	p. 322
Practice	p. 325
Determining Strategy	p. 326
Department of Defense	p. 328
International Health	p. 330
Questions	p. 335
Chapter XIV Conclusion	p. 338
Learning Objectives	p. 338
Summary	p. 338
Direction	p. 344
Questions	p. 346
About the Author	p. 348
Index	p. 349

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Table of Contents