TY - BOOK AU - Hebda,Toni AU - Czar,Patricia AU - Mascara,Cynthia TI - Handbook of informatics for nurses and health care professionals SN - 0131512625 (alk. paper) U1 - WY 49 H443h 2005 PY - 2005/// CY - Upper Saddle River, N.J. PB - Pearson Prentice Hall KW - Nursing informatics KW - Handbooks, manuals, etc KW - Medical informatics KW - Medical Informatics KW - Nursing KW - Allied Health Personnel N1 - Includes bibliographical references and index; Contents SECTION ONE GENERAL COMPUTER INFORMATION CHAPTER 1 INFORMATICS IN THE HEALTH CARE PROFESSIONS Data, information, and knowledge The nurse as knowledge worker The significance of good information management The definition and evolution of informatics Informatics competencies for nurses Applications of nursing informatics Nursing practice Nursing administration Nursing education Nursing research The current status of health care delivery Patient safety The nursing shortage Pressure to implement information technology (IT) Consumer demands for quality and cost effective care Research Managed care Benefits of nursing informatics for other health care professionals Nursing informatics as a specialty area of practice The role of the informatics nurse The future of nursing informatics The role of the nurse in information handling The role of the nursing informatics specialist Case study exercise Summary References CHAPTER 2 HARDWARE, SOFTWARE, AND THE ROLES OF SUPPORT PERSONNEL Hardware Input devices Central processing unit (CPU) Secondary storage Output devices Computer categories (discusses handhelds and PDAs) Peripheral hardware items Networks How computers work Selection criteria User needs Physical constraints Mobile and wireless computing Software Operating systems Application software Utility programs Roles of support personnel Superuser Call desk and help desk personnel Microcomputer or PC specialist Analyst Clinical liaison Programmer Network administrator Trainer Security officer Chief information officer (CIO) Webmaster Chief Privacy Officer (CPO) Chief E-health Officer (CeO) Compliance officer Disaster Planning & Recovery Officer Interface Engineer Case study exercises Summary References CHAPTER 3 ENSURING THE QUALITY OF INFORMATION Data integrity Ensuring correct data collection and entry Educating personnel System checks to ensure accurate data entry and completeness Data verification techniques How to minimize fraudlent information Data management Data storage Outsourcing data management and storage Data retrieval Data exchange Characteristics of quality information Data Mining Data cleansing Case study exercises Summary References CHAPTER 4 ELECTRONIC COMMUNICATION AND THE INTERNET The Internet E-mail (also discusses spam) File transfer The World Wide Web Browsers Search tools Listservs News groups Bulletin board systems Access to health care information Professional Information sharing Information for Conbsumers Evaluation of on-line information On-line publication and journals Marketing services E-health Concerns related to the use of the internet Firewalls Web security Organizational policy Overload Viral contamination Intranets and extranets Case study exercises Summary References SECTION TWO HEALTH CARE INFORMATION SYSTEMS CHAPTER 5 HEALTH CARE INFORMATION SYSTEMS Clinical information systems Nursing information systems Nursing process approach Critical Pathway/Protocols Approach Clinician information systems Monitoring systems Order entry systems (includes computerized physician order entry (CPOE)) Laboratory systems Radiology systems Pharmacy systems Automatic Medication Dispensing in the Pharmacy Automatic Dispensing Systems on the Nursing Unit Prevention of Medication Errors (includes e-prescribing) Other clinical systems Physician Practice Management Systems Administrative systems Registration systems Scheduling systems Decision support and expert systems Case study exercises Summary References CHAPTER 6 STRATEGIC PLANNING The mission Goals and objectives Developing strategies Strategic planning for information systems Steps of the strategic planning process Identification of goals and scope Scanning the external and internal environments Data analysis Identification of potential solutions Selecting a course of action Implementation Ongoing evaluation and feedback Case study exercises Summary References CHAPTER 7 SELECTING A HEALTH CARE INFORMATION SYSTEM Needs assessment The steering committee Consultants Developing a common vision Understanding the current system Determining system requirements Technical criteria Administrative/General critera Registration criteria Order entry/results reporting criteria Medical records criteria System Selection Additional sources of information Request for information Request for proposal Strategies for a successful RFP RFP design Evaluation of RFP responses Site visits Contract negotiations Case study exercises Summary References CHAPTER 8 SYSTEM IMPLEMENTATION AND MAINTENANCE System implementation Develop an implementation committee Install the system Analyze hardware requirements Develop procedures and documentation? Testing Provide training Go-live planning Common implementation pitfalls Maintenance User feedback and support System maintenance Technical maintenance The information system?s life cycle Case study exercises Summary References CHAPTER 9 INFORMATION SYSTEMS TRAINING Identification of training needs User needs Training class content class schedules Hardware and software requirements Training costs A training center Training approaches Proficiency testing Additional training considerations Training students HIPAA Training Case study exercises Summary References Chapter 10 Information security and confidentiality Privacy, confidentiality, and security Information system security Regulatory issues Security risks System penetration Unauthorized users Sabotage Errors and Disasters Viruses, Worms and other Malicious programs Security mechanisms Physical security Passwords and other means of authentication (includes biometrics) Firewalls Application security Antivirus software Administrative and personnel issues Level of access User authentication Personnel issues System security management Audit trails Handling and disposal of confidential information Computer printouts Faxes E-mail and the Internet Web-based applications for health care Electronic storage Case study exercises Summary References CHAPTER 11 NETWORK INTEGRATION Interface engines Integration issues The need for integration standards Data dictionary Master patient index Uniform language Data exchange standards Benefits of integration Integration implications for nursing Web-based integration solutions Case study exercises Summary References CHAPTER 12 THE ELECTRONIC OR COMPUTER-BASED PATIENT RECORD Definitions Characteristics of the EMR and CPR Benefits of the EMR and CPR Current status of the EMR and CPR Impediments to EMR and CPR development Electronic infrastructure Cost Vocabulary standardization Caregiver resistance Concerns associated with the EMR and CPR Data integrity Ownership of the patient record Privacy and confidentiality Electronic signature Smart cards Implications for the multi-hospital healthcare enterprise (CHINS) Considerations for the future Case study exercises Summary References CHAPTER 13 REGULATORY AND ACCREDITATION ISSUES Privacy and confidentiality issues The health insurance portability and accountability act (HIPAA) HIPAA standards HIPAA compliance Accreditation and reimbursement issues JCAHO CARF NCQA AHRQ Reimbursement issues Special facility issues Geriatric and long-term facilities psychiatric facilities Case study exercises Summary References CHAPTER 14 DISASTER PLANNING AND RECOVERY What is disaster planning? Advantages of disaster planning Types of disasters Environmental disaster Bioterrorism System failure Steps of the disaster planning process Identification of essential information IS policy and procedure development Backup and storage Manual versus automated alternatives Recovery Salvaging damaged records Recovery costs Restarting the system Using postdisaster feedback to improve planning Case study exercises Summary References SECTION THREE SPECIALTY APPLICATIONS CHAPTER 15 USING THE COMPUTER TO SUPPORT HEALTH CARE EDUCATION Potential audiences for educational computer uses Formal nursing education Continuing education Client education Instructional applications of computer technology Computer-assisted instruction (CAI) Multimedia Teleconferencing Distance learning Web-based instruction (WBI) Computer labs Educational opportunities in nursing informatics PDA use in education Case study exercises Summary References CHAPTER 16 TELEHEALTH Terms related to telehealth Teleconferencing Videoconferencing Desktop Videoconferencing (DTV) Historical background Driving forces Applications On-line databases and tools Education Continuing education Home health care Legal and privacy issues HIPAA Referral and payment Support personnel Liability Licensure issues Confidentiality/privacy Establishing a telehealth link Formulating a telehealth plan Building the supporting Framework Human factors Equipment Telehealth costs Technology issues Telenursing Using mobile and wireless computing to facilitate telehealth Future development Case study exercises Summary References CHAPTER 17 RESEARCH Using computers to support research Identification of research topics Literature searches Data collection tools Data analysis Data presentation: graphics Computer-aided research in nursing (Carin) On-line access to databases Impediments to health care research Unified language efforts Multi-institutional research Research in real time Collaborative research Students using computers for research Implications of HIPAA and other regulations for research Case study exercises Summary References Appendix A: internet primer Appendix B: career resources on the internet Appendix C: internet resources for nurses and health care professionals Appendix D: case study exercises? suggested responses UR - http://www.loc.gov/catdir/toc/ecip0416/2004007466.html ER -