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Information Technology for the Health Professions / Edition 4

Information Technology for the Health Professions / Edition 4

by Lillian Burke


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Information Technology for the Health Professions / Edition 4

Information Technology for the Health Professions 3/e, examines the impact of information technology on a wide variety of health care fields. These include telemedicine, radiology, pharmacy, dentistry, surgery, rehabilitative therapies, and public health. The book includes the latest information on medical informatics, informational resources, and electronic record keeping in the Health Information Technology decade. The issues raised by global warming and by the possibilities of new pandemics make the addition of the chapter on information technology in public health particularly timely. Our approach provides students with an accessible presentation of the most current computer and medical technologies. The updated chapter on privacy and security includes new information including the Real ID Act of 2005—a law requiring every American to have an electronic ID card.

Product Details

ISBN-13: 2900132897647
Publisher: Pearson
Publication date: 07/13/2012
Edition description: New Edition
Pages: 352
Product dimensions: 6.90(w) x 9.00(h) x 0.50(d)

About the Author

Lillian Burke is co-author of Information Technology for the Health Professions (Pearson 1999-2018) and MediSoft Made Easy: A Step-by-Step Approach (Pearson 2004, 2011). Lillian teaches in the fields of business education, medical technology, computer science, accounting, and marketing. She is a teacher in the Essex County Vocational and Technical School District. She has taught full time at Berkeley College and Middlesex County College and as an adjunct professor of business technology, business law, and computer science at various institutions, including Berkeley College, Middlesex County College, and Pace University. Lillian received her MA, School of Education, Health, Nursing, and Arts from New York University; a BBA in Business Education from Pace University; and an AAS, Executive Secretary Program, Nassau Community College. Additionally, she holds a Supervisor’s Certification from Kean University for the New Jersey Department of Education; a New Jersey State Certification for Teacher of Data Processing; a New Jersey State Certification for Teacher of Secretarial Studies; a New York State Teaching Certification; and a Mini Medical School Certification from the University of Medicine and Dentistry of New Jersey–Robert Wood Johnson Medical School.

Dr. Barbara Weill is co-author of Information Technology for the Health Professions (editions 1-5) and MediSoft Made Easy: A Step-by-Step Approach (editions 1 and 2). Retired now, she taught as an adjunct professor of sociology, history, and computer science at various institutions, including Essex County College, Somerset County College (now Raritan Valley Community College), Rutgers College, and Middlesex County College. She received a BA in sociology from City College of New York (1968), an MA and PhD in sociology from The Graduate Faculty of Political and Social Science of the New School for Social Research (1970 and 1977), and an associates degree in computer information systems from Middlesex County College (1989).

Table of Contents

Table of Contents

Chapter 1 – Introduction to Information Technology — Hardware, Software, and Telecommunications Chapter Outline

* Learning Objectives

* Information Technology and Computer Literacy

* Hardware and Software

* Hardware

* Input Devices

* Processing Hardware and Memory

* Output Devices

* Secondary Storage Devices

* Software

* System Software

* Application Software

* An Overview of Networking, Connectivity, and Telecommunications

* Uses of Telecommunications and Networking

* The Expansion of Wireless Technology: Cell Phones, GPS, Wi-Fi, and PDAs

* The Internet and the World Wide Web

* Intranets/Extranets

* Internet Services

* Selected Reading: David Pogue

“Like Having a Secretary in Your PC

* Chapter Summary

* Key Terms

* Review Exercises

* Sources

* Related Web Sites

New Chapter 2: Medical Informatics: The Health Information Technology Decade

Chapter Outline

  • Learning Objectives

· Introduction

· Medical Informatics

  • The Health Information Technology Decade
  • Health Insurance Portability and Accountability Act (HIPAA) of 1996: A Brief Introduction

· The Patient Information Form

· The Paper Medical Record

  • The Electronic Medical Record (EMR)
  • The Electronic Health Record (HER)
  • Regional Health Information Organizations (RHIOs)
  • The Indian Health Service Electronic Health Record
  • Computer Information Systems in Health Care
  • Does Computerization Improve Patient Outcomes?

· The Introduction of Computer Systems

  • Selected Reading: Milt Freudenheim

“Doctors Join to Promote Electronic Record Keeping”

  • Chapter Summary
  • Key terms
  • Review Exercises
  • Sources

New Chapter 3: An Introduction the Administrative Applications of Computers: Accounting

Chapter Outline

* Learning Objectives

* Introduction

* Administrative Applications of Computer Technology in the Medical Office

* Medical Office Administrative Software -- An Overview

* Coding and Grouping Systems

* Accounting

* Insurance

* Claims

* Accounting Reports

* Selected Reading: Robert Pear, “Planned Medicaid Cuts Cause Rift With States”

* Chapter Summary

* Key Terms

* Review Exercises

* Sources

Chapter 4 — Telemedicine

Chapter Outline

* Learning Objectives

* Overview

* Store-and-Forward Technology and Interactive Videoconferencing

* Teleradiology

* Telepathology

* Teledermatology

* Telecardiology

* Teleneurology

* Telestroke

* Epilepsy

* Email And Digital Cameras In Teleneurology

* Telepsychiatry

* Remote Monitoring Devices

* Telehome care

* Telemedicine in Prison

* Other telemedicine applications

* The Telenurse

* Issues in Telemedicine

* Selected Reading:

Kirk Johnson, “TV Screen, Not Couch, Is Required for This Session”

* Chapter Summary

* Key Terms

* Review Exercises

* Sources

* Related Web Site

New Chapter 5 Information Technology in Public Health

Chapter Outline

  • Learning Objectives
  • Introduction
    • Definition
    • Social Inequality, Poverty, and Health
  • Using Computers to Study Disease
  • Statistics and Epidemics: A Historical Overview
  • The Emergence of New Infectious Diseases: AIDS, SARS, Bird Flu, West Nile Virus, Mad Cow
    • AIDS
    • SARS
    • Bird Flu
    • West Nile Virus
    • Mad Cow
  • Computer Modeling of Disease: Health Statistics and Infectious Disease
    • MIDAS (Models of Infectious Disease Agent Study)
  • Climate Change: Global Warming
    • The Public Health Response to Hurricane Katrina
  • Discussion
  • Selected Readings:

Richard Pérez-Peña, “City Tackles Meningitis in Brooklyn”

Sewell Chan And Gardiner Harris, “Hurricane and Floods Overwhelmed Hospitals”

  • Chapter Summary
  • Key Terms
  • Review Exercises
  • Sources
  • Related Web Sites

Chapter 6 — Information Technology in Radiology

Chapter Outline

* Learning Objectives

* Introduction

* X-rays

* Ultrasound

* Digital Imaging Techniques

* Computerized Tomography

* Magnetic Resonance Imaging

* Positron Emission Tomography

* SPECT Scanning

* Other Imaging Systems

* Bone Density Tests


* Interventional Radiology: Bloodless Surgery

* Selected Reading:

David Leonhardt, “Political Clout in the Age of Outsourcing”

* Chapter Summary

* Key Terms

* Review Exercises

* Sources

Chapter 7: Information Technology in Surgery — The Cutting Edge

Chapter Outline

* Learning Objectives

* Overview

* Computer-Assisted Surgery

* Computer-Assisted Surgical Planning

* Robots, Minimally Invasive Surgery, Endoscopic Surgery, and Augmented Reality

* ROBODOC, AESOP, ZEUS, MINERVA, and other robotic devices

* Augmented Reality

* Telepresence Surgery


* The Operating Room of the Future

* Discussion

* Nanotechnology

* Conclusion

* Selected Readings:

Barnaby J. Feder, “Surgical Device Poses a Rare but Serious Peri l”

Michelle Meadows, “Computer-Assisted Surgery: An Update”

* Chapter Summary

* Key terms

* Review Exercises

* Sources

* Related Web Site

Chapter 8: Information Technology Pharmacy

Chapter Outline

* Learning Objectives

* Overview

* The Food and Drug Administration (FDA)

* Uncertified Medicines

* Biotechnology and The Human Genome Project

* Rational Drug Design

* Bioinformatics

* The Human Genome Project

* Developments in Biotechnology

* Computer Assisted Drug Trials

* Computer Assisted Drug Review

* The Computerized Pharmacy

* Computers and Drug Errors

* The Automated Community Pharmacy

* Automating the Hospital Pharmacy

* The Hospital Pharmacy Robot and Bar Codes

· Point-of-Use Drug Dispensing

· Computerized IVs and Bar-codes

· Radio Frequency Identification (RFID) tags

* Telepharmacy

* Drug Delivery on a Chip

* The Impact of Information Technology on Pharmacy

* Selected Readings

Nicholas Bakalar “Prevention: Computer Fails Its Drug Test”

Milt Freudenheim Digital Rx: Take Two Aspirins and E-Mail Me in the Morning”

Ian Urbina “Panel Suggests Using Inmates in Drug Trials”

* Chapter Summary

* Key Terms

* Review Exercises

* Sources

Chapter 9 — Information Technology in Dentistry

Chapter Outline

* Learning Objectives

* Overview

* Education

* Administrative Applications

* The Electronic Dental Chart

* Demographics And The Transformation Of Dentistry

* Computerized Instruments in Dentistry

* Endodontics

* Periodontics

* Cosmetic Dentistry

* Diagnosis and Expert Systems

* Diagnostic Tools

* X-rays

* Digital Radiography

* Electrical Conductance

* Emerging Methods

* Light Illumination

* Lasers in Dentistry

* Minimally Invasive Dentistry

* Surgery

* The Growth of Specialization

* Teledentistry

* Selected Reading

Jennifer Alsever “At the Dentist's Office, X-Rays, Root Canals and, Now, Pampering”

* Chapter Summary

* Key Terms

* Review Exercises

* Sources


Information technology continues to change many aspects of society, including health care and its delivery. In Information Technology for the Health Professions, we take a practical approach to introducing health care professionals to the myriad uses of computer technology in health care fields. After a brief introduction to the essential concepts needed to understand computer hardware, software, telecommunications, and the privacy and security of information, we see how these technologies have affected various aspects of health care. The term information technology includes not only computers, but also communications networks and computer literacy, that is, knowledge of the uses of computer technology. Rapidly changing computer technology continues to exert a major influence on all aspects of society. The understanding of the interconnections of hardware, software, networks, and new medical techniques is essential.


The second edition of Information Technology for the Health Professions has been expanded and updated for the new millennium. It includes new sections on recent technological developments and their uses in health care and its delivery, on new laws affecting privacy and security of medical information, an expanded chapter on medical informatics and the administrative uses of computers, and a new chapter on computer technology in dentistry. Dated materials have been deleted. Although Information Technology is geared to an audience interested in health care, it is written at a level appropriate for the layperson.

Chapter 1: Introduction to Information Technology—Hardware, Software,and Telecommunications

The first three chapters of the first edition on computer literacy, computer hardware and software, and networking and telecommunications have been condensed, keeping only information essential to students and others interested in computers and health care. These chapters have been combined into a new Chapter 1, which provides the student with information necessary to anyone living and working in a computerized society.

Chapter 2: Security and Privacy in an Electronic Age

Chapter 2 deals with the problems of security and privacy of information in electronic form and on networks. Both general issues of security and privacy in an electronic age and problems specific to health care are discussed. New issues of security and privacy are raised by new laws. The student is introduced to the Health Information Portability and Accountability Act of 1996 (HIPAA) that provides the first national minimum standards for the privacy of medical information. The book also deals with the effects of the USA Patriot Act on medical privacy.

Chapter 3: An Introduction to Medical Informatics and the Administrative Applications of Computers

Chapter 3 is an expanded introduction to medical informatics—the use of technology to organize information in health care. The student is introduced to the traditional classifications of clinical uses of computers (used in direct patient care); administrative uses of computers used in office administration, financial planning, billing, and scheduling; and the special purpose uses of computers in education and pharmacy. The chapter has an expanded section on the administrative uses of computers discussing the computerization of tasks in the medical office, the electronic medical record, and bucket billing. It also introduces the student to grouping and coding systems, insurance, and the various accounting reports used in the health care environment.

Chapter 4: Telemedicine

Chapter 4 deals with telemedicine and its rapid expansion. Telecommunications and connectivity have made possible telemedicine, from the simple sharing of patient records or X-rays over networks, to distance exams, to remote operation of medical instruments, to teleconferencing. The earliest telemedicine used store-andforward technology to send images. This is still used in teleradiology, telepathology, teledermatology, telestroke programs, and telecardiology programs. Interactive videoconferencing allows a medical exam in real time—with all participants seeing and hearing each other.

Chapter 5: Information Technology in Radiology

Chapter 5 introduces the student to digital imaging techniques. Digital images (CT scans, MRIs, PET scans) are more precise than the traditional X-ray. The CT (computerized tomography) scan and MRI (magnetic resonance imaging) have become standard diagnostic tools. PET scans (positron emission tomography) allow the physician to examine the electrical and chemical processes in the brain. Currently interventional radiologists treat diseases that once required traditional surgery.

Chapter 6: Information Technology in Dentistry

A new chapter that surveys computer technology in dentistry has been added. Dentistry is changing due to changing demographics and the introduction of new computer-based techniques. During the second half of the twentieth century, dental care allowed most children to grow up with healthy teeth. Now good dental care prevents cavities in children who can afford it. An aging population seeks dental care for many reasons, including cavities, periodontal disease, and cosmetics. The fully computerized dentist's office uses the electronic medical record to integrate all aspects of care.

Chapter 7: Information Technology in Surgery

Chapter 7 surveys the uses of computers in surgery. Computers are used in surgery from the teaching and planning stages to the actual use of robotic devices in the operating room. Computer simulations help in the training of students. Minimally invasive, endoscopic surgery makes use of robotic devices to hold the endoscope.

Chapter 8: Information Technology in Pharmacy

The use of computer technology in pharmacy has traditionally been considered a special purpose application. Today, information technology is involved with medication from its design to its administration. The development of medications for the treatment of genetically-based diseases is slowly becoming a reality because of the knowledge gained through the Human Genome Project. Supercomputers, using special software, are now being used to design new medications. Software packages allow pharmacies to print out extensive drug descriptions along with side effects and interaction warnings that accompany prescription medications. Computerized infusion pumps automatically administer medication. The networking of medical devices allows a monitoring device to communicate with a drug delivery device. Robots are being used to fill prescriptions and count out capsules and tablets. Telepharmacy is expanding due to a shortage of pharmacists, a drive to cut costs, and the interest of the U.S. Department of Defense, Veterans Administration, and Immigration and Naturalization Service.

Chapter 9: Computerized Medical Devices, Assistive Technology, and Prosthetic Devices

Computer controlled medical devices include the most established clinical use of computers—the use of computerized monitoring devices. For people with disabilities, adaptive technology can make an independent life a reality. Electronic prosthetics refer to computerized replacement body parts. An artificial limb designed with the help of a computer with embedded microprocessor chips can sense and react to nerve signals. It can work like a natural limb so that a person with an electronic prosthetic foot can even participate in college sports. Some devices, such as pacemakers, make use of the technology called functional electrical stimulation, which delivers low-level electrical stimulation to muscles.

Chapter 10: Informational Resources: Computer-Assisted Instruction, Expert Systems, and Health Information Online

Computer-assisted instruction, both drill-and-practice and simulation, has long been used to educate patients and practitioners. Currently programs make use of virtual reality techniques, so the student actually feels the experience of performing a medical procedure. Online medical literature databases aid in both academic research and diagnosing patients. Expert systems try to make a computer an "expert" in one field. Interactive self-help applications include both self-help software and the use of the Internet for medical advice. Advice and information on every aspect of health care, every drug, and every disease is on the Internet.

Chapter 11: Conclusion and Future Directions

Computer technology is continuing to have an enormous impact on health care fields. Today, medical technology is in a constant state of flux. Whole new fields, such as telemedicine, are emerging and changing the way medicine is practiced. The future may hold unbelievable techniques and devices. Electronic brain implants are in their infancy, holding the promise of communication for locked-in patients as well as the threat of mind control. Other devices are currently in the testing stages. Not only are sensors being developed to help paralyzed patients move. In the future, nanotechnology may diagnose and treat disease at the molecular level.

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