Handbook of Informatics for Nurses and Health Care Professionals / Edition 3

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Overview

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, this book includes:

  • Expanded coverage of mobile computing and PDAs.
  • Web-based technology, search tools, and evaluation criteria for online material.
  • Various forms of electronic communication and ways to use it more effectively.
  • The role of strategic planning in information management and system design and implementation.
  • The development and use of the Electronic Medical Record (EMR).
  • Regulatory and accreditation requirements, such as HIPAA.
  • Disaster planning and recovery chapter with specific measures for the protection and back-up of information.
  • A definition of telehealth as well as some of its applications and related issues.
  • Applications of computer-based education for professionals and consumers.

This accessible guide to computer technology used by healthcare professionals provides the most up-to-date information available.

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Product Details

  • ISBN-13: 9780131512627
  • Publisher: Prentice Hall
  • Publication date: 7/9/2004
  • Edition number: 3
  • Pages: 496
  • Product dimensions: 5.96 (w) x 8.90 (h) x 0.99 (d)

Meet the Author

Toni Hebda, RN, PhD, is a nurse clinician at the University of Pittsburgh Medical Center. She has worked as a system analyst and adjunct faculty for Duquesne University School of Nursing, having taught both nursing informatics and clinical courses. Her interest in informatics provided a focus for her dissertation and subsequently led her to help establish a regional nursing informatics support group and obtain a graduate degree in information science and ANCC certification as informatics nurse. She is a reviewer for the Online Journal of Nursing Informatics.

Patricia Czar, RN, is an Information Systems Consultant. She has been active in informatics for more than 25 years, serving as manager of clinical systems at a major medical center where she was responsible for planning, design, implementation, and ongoing support for all of the clinical information systems. She has been an active member of several informatics groups and has presented nationally and internationally. Ms. Czar has served as mentor for nursing and health informatics students and has a Microcomputer Specialist certificate.

Cynthia Mascara, RN, MSN, MBA, is a Principal Consultant with Siemens Medical Solutions-Health Services. She provides consulting related to clinical systems implementation in the United States and internationally. Ms. Mascara has extensive experience with project management as well as the design and implementation of clinical information systems. She previously served as a nursing informatics specialist at a major medical center and has been an active member and leader in several informatics groups. Ms. Mascara has also presented extensively. She previously served in nursing services andadministration at the University of Pittsburgh Medical Center.

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Read an Excerpt

The original idea for this book came from the realization that there were few comprehensive sources available with practical information about computer applications and information systems in health care. From its inception this book was envisioned as a guide for nurses and other health care professionals who need to learn how to adapt and use computer applications in the workplace. As the outline developed, it became apparent that this book could also serve as an informatics text for students in the health care professions. This third edition contains updates and revisions to reflect changes that have occurred in the rapidly evolving technology of health. Each of the authors has a long-standing interest and involvement in nursing informatics, having worked in the field; been active in informatics groups, and presented nationally and internationally. ORGANIZATION

The book is divided into three sections. The first section, General Computer Information, reviews information common to all information systems. It assumes no prior knowledge or experience with computers. Chapter 1 introduces the reader to the role of informatics in contemporary health care. Chapter 2 reviews basic information and terminology related to computer hardware and software. The section on the roles of various support personnel has been expanded, with content added on wireless and mobile computing. Chapter 3 emphasizes the importance of maintaining data integrity and suggests some practical steps to ensure current, accurate data in health care information systems. The fourth chapter addresses basic Internet use to support health care. The discussion on search tools has been expanded and content has beenadded on the evaluation of Web sites. Additional information on Internet use and resources are found in the appendices at the end of the book.

The second section, Health Care Information Systems, covers information and issues related to the use of computers and information systems in health care. This section bridges the gap between the theory and practice of nursing informatics. Chapter 5 covers basic information on health care information systems, including decision support and expert systems. Chapters 6 through 14 discuss all aspects of selecting, implementing, and operating these systems. Chapters 6 through 9 discuss the processes of overall and system strategic planning, system selection, implementation, and training. Chapter 8 contains additional information on testing, system evaluation, and strategies to implement system changes after system installation. Other pertinent topics are addressed in the remaining chapters. Chapter 10 discusses information security and confidentiality; Chapter 11, system integration; and Chapter 12, the Electronic Health Record. Chapter 13, Regulatory and Accreditation Issues, has been updated to reflect the implications of the Health Insurance Portability and Accountability Act (HIPAA) and in particular the impact on nursing informatics and health care professionals. Chapter 14 covers contingency planning and disaster recovery.

Section III covers three specialty applications of computers in health care. Chapter 15 discusses ways that computers can support health care education. It contains content on Web-based education as well as the use of wireless and handheld computers in education. Chapter 16, Telehealth, discusses the applications and issues associated with this area of practice. Chapter 17 looks at ways that computers are being used in nursing and health care research. The major themes of privacy, confidentiality, and information security are woven throughout the book.

Three appendices are included at the end of the book. The first two provide detailed information on getting up and running on the Internet and using the Internet to perform a job search. The third appendix provides suggested answers to the case studies that are found at the end of every chapter. FEATURES Each chapter contains pedagogical aids that help the readers learn and apply the information discussed. At the beginning of each chapter, a MediaLink box lists specific content, multiple-choice review questions, case studies, and other interactive exercises that appear on the accompanying Companion Website. The EXPLORE MediaLink sections in each chapter encourage students to use the Companion Website to apply what they have learned in the text in multiple choice questions and discussion questions, and to use additional resources. The purpose of the MediaLink feature is to further enhance the student experience, build on knowledge gamed from the textbook, and foster critical thinking.

In each chapter, learning objectives let the readers know what they can expect to learn from the chapter. Case studies at the end of each chanter discuss common, real-life applications, which review anti reinforce the concepts presented in the chapter. Each chapter also includes a summary and list of references. The Glossary at the back of the book serves to familiarize readers with the vocabulary used in this book and in health care informatics.

We recognize that health care professionals have varying degrees of computer and informatics knowledge. This book does not assume that the reader has prior knowledge of computers. All computer terms are defined in the chapter, in the Glossary at the end of the book, and on the Companion Website. HOW TO USE THIS BOOK

This book may be used in the following different ways:

  • It may be read from cover to cover for a comprehensive view of nursing informatics.
  • Specific chapters may be read according to reader interest or need.
  • It may serve as a reference for nurses and other clinicians involved in system design, selection and implementation, and ongoing maintenance.
  • It may be useful for the educator or researcher who wants to make better use of information technology.
  • It can serve as a review for the American Nurses Association's Informatics Credentialing examination.
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Table of Contents

Sect. 1 General computer information 1
Ch. 1 Informatics in the health care professions 3
Ch. 2 Hardware, software, and the roles of support personnel 36
Ch. 3 Ensuring the quality of information 64
Ch. 4 Electronic communication and the Internet 80
Sect. 2 Health care information systems 117
Ch. 5 Health care information systems 119
Ch. 6 Strategic planning 142
Ch. 7 Selecting a health care information system 158
Ch. 8 System implementation and maintenance 176
Ch. 9 Information systems training 191
Ch. 10 Information security and confidentiality 209
Ch. 11 System integration 237
Ch. 12 The electronic health record 251
Ch. 13 Regulatory and accreditation issues 268
Ch. 14 Contingency planning and disaster recovery 292
Sect. 3 Specialty applications 323
Ch. 15 Using the computer to support health care education 325
Ch. 16 Telehealth 355
Ch. 17 Research 383
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Preface

Preface

The original idea for this book came from the realization that there were few comprehensive sources available with practical information about computer applications and information systems in health care. From its inception this book was envisioned as a guide for nurses and other health care professionals who needed to learn how to adapt and use computer applications in the workplace. As the outline developed it became apparent that this book could also serve as an informatics text for students in the health care professions. This second edition contains updates and revisions to reflect changes that have occurred in the rapidly evolving technology and health care field since the book was first written.

Each of the authors has a long-standing interest and involvement in nursing informatics. In fact, the same idea that inspired this book also led a group of nurses that included the authors to form the Tri-State Nursing Computer Network user group in 1988. This organization remains active, and has recently changed its name to Tri-State Healthcare Informatics Professionals, with an expanded focus to include other informatics professionals in addition to nurses.

This book is divided into three sections. The first section, General Computer Information, reviews information common to all information systems. It assumes no prior knowledge of or experience with computers. Chapter 1 introduces the reader to the role of informatics in contemporary health care. Chapter 2 reviews basic information and terminology related to computer hardware and software. The section on the roles of various support personnel has been expanded. Chapter 3 emphasizesthe importance of maintaining data integrity and suggests some practical steps to ensure current, accurate data in health care information systems. The fourth chapter addresses basic Internet use to support health care. The discussion on search tools and intranets has been expanded and content has been added on portals, e-health, and e-care. Additional information on Internet use and resources are found in the appendices at the end of the book.

The second section, Health Care Information Systems, covers information and issues related to the use of computers and information systems in health care. This section bridges the gap between the theory and practice of nursing informatics. Chapter 5 covers basic information on health care information systems, including decision support and expert systems. Chapters 6 through 15 discuss all aspects of selecting, implementing, and operating these systems. Chapters 6 through 9 discuss the processes of overall and system strategic planning, system selection, implementation, and training. Chapter 8 now contains additional information on testing, system evaluation, and strategies to implement system changes after system installation. Other pertinent topics are addressed in the remaining chapters. Chapter 10 discusses information security and confidentiality; Chapter 11, system integration; and Chapter 12, the computerized patient record. Chapter 13, Regulatory and Accreditation Issues, has been updated to include a review of the Health Insurance Portability and Accountability Act (HIPAA) and its implications for nursing informatics and health care professionals. Chapter 14 covers community health information networks and Chapter 15 covers disaster planning and recovery.

Section III covers three specialty applications of computers in health care. Chapter 16 discusses ways that computers can support health care education. It now contains content on Web-based education. The title of Chapter 17 has been changed since the first edition from Telemedicine to Telehealth to reflect the growing acceptance of telehealth as a broader term. This chapter explores the growing field of telehealth, which uses computer and teleconferencing technology to provide top-quality health care to clients all over the world. Chapter 18 looks at ways that computers are increasingly being used in nursing and other health care research.

Four appendices are included at the end of the book. The first three provide detailed information on getting up and running on the Internet, using the Internet to perform a job search, and Internet resources of special interest to health care professionals. The fourth appendix provides suggested answers to the case studies that are found at the end of every chapter.

Each chapter contains pedagogical aids that help the readers learn and apply the information discussed. Learning objectives let the readers know what they can expect to learn from the chapter. Case studies at the end of each chapter discuss common, real-life applications, which review and reinforce the concepts presented in the chapter. Each chapter also includes a summary and list of references. The Glossary at the back of the book serves to familiarize readers with the vocabulary used in this book and in health care informatics.

We recognize that health care professionals have varying degrees of computer and informatics knowledge. One of the features of this book is that it does not assume that the reader has prior knowledge of computers. All computer terms are defined in the text and in the Glossary. This book may be used the following different ways:

  • It may be read from cover to cover for a comprehensive view of nursing informatics.
  • Specific chapters may be read according to reader interest or need.
  • It may serve as a reference for nurses and other clinicians involved in system design, selection, and implementation.
  • It may be useful for the educator or researcher who wants to make better use of information technology.
  • It can serve as a review for the American Nurses Association's Informatics Credentialing examination.

Toni Hebda
Patricia Czar
Cynthia Mascara

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