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Doody's Review ServiceReviewer: Katie Dejuras, RN, MSN (Northwestern Memorial Hospital)
Description: This useful reference offers a thorough overview of the history and evolution of healthcare information systems and how they are managed, as well as their purpose, functions, and key attributes. It also highlights the value of information systems and barriers to adoption in healthcare. Readers will benefit from the learning activities and case studies in each chapter, where they will be able to apply the knowledge that they have gained. This is an update of a 2005 edition.
Purpose: According to the authors, the purpose is to prepare future healthcare executives with the knowledge and skills they need to manage information systems technology effectively in this new environment. There is a need for a book like this as the demand for information systems in healthcare has increased, especially in light of legislation as a result of numerous studies demonstrating their value through improvement of quality, outcomes, safety, efficiency, productivity, cost reduction, services, and satisfaction.
Audience: The authors wrote this book with graduate students or upper-level graduates enrolled in healthcare management programs in mind. However, it is a useful resource for anyone in healthcare management, whether an executive, manager, consultant, supplier, or student. Two of the authors are academics with impressive experience in teaching healthcare information management and the third is a chief information officer at one of the most prominent hospital systems in the U.S.
Features: This book provides sound information system definitions, which are helpful as these key terms are often used in different contexts. It highlights the value of information systems, as well as the barriers to them in healthcare, explaining the lag in healthcare information technology adoption. It explains how information systems are managed, as well as their purpose, functions, and key attributes such as the electronic medical record and CPOE. References in the system implementation and support chapter, such as the Ten Commandments for effective clinical decision support as referenced by Bates, are helpful when planning to implement a system. The learning activities and case studies allow readers to apply their knowledge in a real-life setting. The index is a useful guide to topics of interest.
Assessment: This is a useful resource, especially at this crucial point in time. Healthcare information system adoption is a complex topic and is not an easy one to address. Healthcare organizations are all faced with the same types of barriers (i.e. financial, organizational, behavioral, and/or technical) and this is a useful guide to the tools they need to potentially overcome these barriers. This second edition highlights the challenges of IT implementation and reminds readers to be cognizant of not only the financial costs of health information system implementation, but more importantly the process costs and the challenges they will face to adoption by end users.