ISBN-10:
1584260319
ISBN-13:
9781584260318
Pub. Date:
04/01/2014
Publisher:
AHIMA
Contemporary Health Informatics / Edition 1

Contemporary Health Informatics / Edition 1

by Mark L. Braunstein

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Product Details

ISBN-13: 9781584260318
Publisher: AHIMA
Publication date: 04/01/2014
Edition description: New Edition
Pages: 253
Sales rank: 391,119
Product dimensions: 6.90(w) x 9.90(h) x 0.60(d)

Table of Contents

About the Author xiii

Preface xvii

Acknowledgments xix

Introduction xxi

Part I Problems and Policies

Chapter 1 The US Healthcare System 3

The Problems 3

The Challenge of Chronic Disease 9

A Brief Review of the Current US Healthcare System 12

Other Models 13

How Did US Healthcare Evolve? 14

Chapter 2 Current US Federal Policies and Initiatives 21

A Case Study: Informatics for Improved Use of Medications 24

Why Coordinated Care? 27

New Care Models Require Health Informatics to Succeed 28

Accountable Care 29

Policy Overview 31

EHR Certification 32

Quality Measurement in Healthcare 35

Electronic Health Records 37

Meaningful Use 40

Stage 1 41

Stage 2 42

Incentive Payments 44

Part II Key Technologies

Chapter 3 Health Information Exchange 55

Overview 55

Classifying Health Information Exchanges 59

Scope of HIEs 59

Status of HIEs 61

Architecture of HIEs 63

Case Study: The Indiana Health Information Exchange (IHIE) 64

Docs4Docs 65

The Indiana Network for Patient Care (INPC) 66

ACO Services 67

ImageZone 68

Future Expansion 68

Case Study: CONNECT 68

Core Services Gateway 70

Enterprise Service Components 70

Universal Client Framework 70

Federated Architecture: Direct 70

Direct Technical Concepts 71

The Fax Replacement Use Case 71

Workflow Issues 73

Beyond the Fax Machine 74

Case Study: CurrentCare 78

Chapter 4 Privacy, Security, and Trust 81

Overview 81

Privacy and Data Segmentation 84

Security and Trust 88

Public and Private Keys 88

Trust and Digital Signatures 89

Policy Issues 90

PKI on the Web 90

Other PKI Issues 93

Conclusion 94

Chapter 5 Data and Interoperability Standards 97

The Evolution of Standards 98

Structure 99

Purpose 99

Standards Technology Evolution 106

International Classification of Diseases (ICD) 110

SNOMED CT 114

Health Level 7 (HL7) 117

HL7 Development Framework 119

Reference Implementation Model (RIM) 119

Consolidated Clinical Document Architecture (CCDA) 122

Integrating the Healthcare Enterprise (IHE) 126

Document Standards 128

Case Study: Transitions of Care 132

Advanced Standards Initiatives 135

Clinical Decision Support and the Arden Syntax 135

Clinical Information Modeling Initiative (CIMI) 141

Context Management Specification 141

Conclusion 142

Part III Real World Applications

Chapter 6 Clinical Data Collection and Visualization Challenges 151

A Brief Review 151

Physicians Are in the Data Business 151

Some History 152

The Data Quality Problem 154

Promising Approaches 157

Case Study: M*Modat 157

Case Study: Greenway Medical Technologies 158

Case Study: WebChart by Medical Informatics Engineering (MIE) 160

Case Study: Praxis by Infor-Med Corporation 160

The Data Visualization Challenge 162

Chapter 7 Empowering the Patient 169

Overview 169

PHR Case Study: HealthVault 172

Example of a HealthVault App 173

Other PHRs 174

Health Apps 174

Health Websites 176

Patient Portals 178

RelayHealth 179

Home Telehealth 180

The Future 182

Conclusion 183

Chapter 8 Population Health Management 187

Case Study: popHealth 188

Case Study: Quality Health First 192

Case Study: Wellcentive 195

Population Management for Public Health 198

Conclusion 199

Part IV Health Data and Analytics

Chapter 9 Data Query in a Federated Environment 203

Distributed Query 205

Examples of Distributed Query 206

hQuery 206

Informatics for Integrating Biology and the Bedside (i2b2) 207

PopMedNet 209

Biosense 2.0 210

Distributed Query Standards 210

Query Envelope 211

Query Format 211

Query Results 212

Query Data Dictionary 213

Conclusion 213

Chapter 10 Big Data Meets Healthcare 217

From Statistics to Simulation 218

Decision trees 219

Markov models 219

Discrete-event simulation (DES) 220

Agent-based simulations 220

Case Study: Center for Health Discovery and Well Being™ (CHDWB) 220

Case Study: Modeling Clinical Processes 222

Case Study: Earlier Diagnosis of Congestive Heart Failure 224

Case Study: Personalized Cancer Care 228

Case Study: Evidence-based Design 232

Case Study: IBM's Watson 233

Case Study: Process Mining of Stroke Care 234

Challenges 237

Conclusion 238

Glossary 241

Index 247

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