Health Information Management: Integrating Information and Communication Technology in Health Care Work (Routledge Health Management)

Engineering, Computing & Technology Book Cover 1 Half-Title 2 Title 4 Copyright 5 Contents 6 Illustrations 8 Contributors 10 Series preface 12 Acknowledgements 14 Chapter 1 Introduction 16 FOR WHOM IS THIS BOOK? 16 A READER’S GUIDE 18 A NOTE ON PATIENT CARE INFORMATION SYSTEMS AND TERMINOLOGY 20 REFERENCES 23 Part I Starting points 24 Chapter 2 Waiting for Godot 25 KEY TERMS 26 INTRODUCTION 26 THE RISE OF THE PATIENT-ORIENTED RECORD 27 TERRA INCOGNITA: THE INTRODUCTION OF THE ELECTRONIC PATIENT RECORD 37 CONCLUSION: THE NATURE OF TECHNOLOGY 50 DISCUSSION QUESTIONS 53 NOTES 53 REFERENCES 53 FURTHER READING 55 Chapter 3 Health care work and patient care information systems 58 KEY TERMS 58 INTRODUCTION 59 HEALTH CARE WORK: MANAGING PATIENT TRAJECTORIES 61 THE ROLE OF THE RECORD IN HEALTH CARE WORK 65 ROLE OF ELECTRONIC PCIS 70 RETURN TO THE PARADOX: INTERMEDIATE CONCLUSION 73 DISCUSSION QUESTIONS 75 NOTE 75 REFERENCES 76 FURTHER READING 76 Chapter 4 The contextual nature of information 77 KEY TERMS 78 INTRODUCTION 78 THE CONTEXTUAL NATURE OF INFORMATION 79 PATIENT CARE INFORMATION SYSTEMS: MAKING INFORMATION MOBILE 83 CONCLUSION 90 DISCUSSION QUESTIONS 92 REFERENCES 92 FURTHER READING 92 Chapter 5 Meeting the challenge 94 KEY TERMS 94 INTRODUCTION 95 REDESIGNING HEALTH CARE DELIVERY PROCESSES 97 CONCLUSION 108 DISCUSSION QUESTIONS 109 NOTES 109 REFERENCES 109 FURTHER READING 110 Chapter 6 Designing interactions 112 KEY TERMS 112 INTRODUCTION 113 THE COMMUNICATION SPACE 114 POSSIBLE RESPONSES TO THE COMMUNICATION PARADIGM 115 SUPPORTING CLINICAL COMMUNICATION 117 Non-technical interventions 119 Technical interventions 119 THE CONTINUUM OF INFORMATION AND COMMUNICATION TOOLS 121 WHEN IS CONVERSATION BETTER THAN COMPUTATION? 125 THE INTERACTION SPACE 127 CONCLUSION 131 DISCUSSION QUESTIONS 131 REFERENCES 131 FURTHER READING 132 Part II Information strategy, implementation and evaluation 134 Chapter 7 Information strategy 135 KEY TERMS 135 INTRODUCTION 136 DO WE KNOW WHAT STRATEGY ACTUALLY IS? 137 SHOULD STRATEGY IN HEALTH CARE BE DIFFERENT? 140 IT STRATEGY IN HEALTH CARE ORGANIZATIONS 143 General criteria for strategy formation 143 Handling the ‘installed base’ 147 SUMMARY 148 DISCUSSION QUESTIONS 149 NOTES 150 REFERENCES 150 FURTHER READING 150 Chapter 8 Developing the information strategy 152 KEY TERMS 153 INTRODUCTION 153 PURPOSE OF THE INFORMATION STRATEGY DOCUMENT 153 DRAWING UP AND UPDATING THE INFORMATION STRATEGY 154 THEMES OF AN INFORMATION STRATEGY 156 Generic conceptual model of building blocks 156 Aligning ambitions 158 Care, care facilitation and integrated planning: the ‘primary processes’ 159 Three to five year Master Plan for care, care facilitation and integrated planning 162 Patient administrative processes, billing and the other segments of the conceptual model 165 Responsibilities and organization of information management 167 General guidelines for responsibilities in information management 168 Strategic/tactical information management 168 Tactical/operational information management 170 Guidelines for information system development, selections and implementation 172 Guidelines for development or selection of information systems 172 ‘Make or buy’ issue 172 Guidelines for implementation 173 Guidelines for technical infrastructure and standards 174 PRIORITIES FOR THE INFORMATION MANAGEMENT AND FINANCIAL PRECONDITIONS 176 Financing, not budgeting 176 Prioritizing projects and activities to be carried out 177 CONCLUSION 178 DISCUSSION QUESTIONS 178 NOTES 179 FURTHER READING 179 Chapter 9 Implementing information systems in health care organizations 180 KEY TERMS 181 INTRODUCTION 181 TOWARDS ‘SUCCESSFUL’ IMPLEMENTATION: TWO CAVEATS 182 What is a ‘successful’ implementation? 182 How successful are success factors? 184 THREE MYTHS ABOUT IS IMPLEMENTATION 185 Myth 1: PCIS implementation is the technical realization ofa planned system in an organization 185 Myth 2: You can leave PCIS implementation to the IT department 186 Myth 3: PCIS implementation can be planned, including the required organizational redesign 188 STRIVING FOR SYNERGY: SUCCESSFUL IMPLEMENTATION REVISITED 192 CONCLUSION: THE CHALLENGE 193 DISCUSSION QUESTIONS 194 NOTE 195 REFERENCES 195 FURTHER READING 196 Chapter 10 Project management of innovative PCIS implementations in health care 198 KEY TERMS 198 INTRODUCTION 199 THE CASE FOR STRONG PROJECT MANAGEMENT OF PCIS IN HEALTH CARE 199 DEFINE THE PROJECT 200 Phase the project smartly 201 Be clear on scope, deliverables, milestones, initial timetable and budget 202 Be absolutely clear on the choice of the basic project variables 202 DESIGN THE PROJECT ORGANIZATION AND STAFF THE PROJECT 203 Determine the amount of ‘management leverage’ needed 203 Structure the decision making on content 204 The steering committee controls time, money and scope 205 The project group coordinates and facilitates decision making 206 The work groups get the work done 206 Sounding board groups anchor the project in the real world 207 Core rule for staffing: committing dedicated time 207 The equilibrium between internal and external staff 208 KEEPING THE COURSE 208 DISCUSSION QUESTIONS 209 FURTHER READING 210 Chapter 11 Evaluation of patient care information systems 211 KEY TERMS 211 INTRODUCTION 211 THE RANDOMIZED CONTROLLED TRIAL DEBATE 212 FORMATIVE EVALUATION OF PATIENT CARE INFORMATION SYSTEMS 214 STEPS IN DESIGNING AN EVALUATION 217 Step 1 Agree why an evaluation is needed 219 Issues 220 Challenges 220 Step 2 Agree when to evaluate 220 Issues 221 Challenges 221 Step 3 Agree what to evaluate 221 Issues 225 Challenges 225 Step 4 Agree how to evaluate 225 Choose a study approach 225 Determine the right data collection method 226 Decide how to collect data 227 Issues 228 Challenges 228 Step 5 Analyse and report 228 Issues 230 Challenges 230 Step 6 Assess recommendations and decide on actions 230 Issues 231 Challenges 231 CONCLUSION 231 DISCUSSION QUESTIONS 232 REFERENCES 232 FURTHER READING 232 Index 236

In almost all Western countries, concerted efforts are made to stimulate the use of information and communication technology (ICT) in health care. Yet the number of success stories are few and the frustrations many. In this key textbook, readers are introduced to the challenges, the lessons learned and the new insights of health information management at the start of the twenty-first century.

With a strong international orientation, a comparative approach and a critical eye on many traditional information management views, the book illustrates key developments by drawing on examples from many different countries. Topics covered include:

* Patient Care Information Systems
* Integrating Quality Improvement
* Information Strategy
* Implementing Information Systems

Featuring case studies and an overall practitioner's perspective, this key textbook combines theoretical backgrounds and starting points with practice-oriented guidelines and advice on the best methods for bringing these ideas to the challenges of everyday health care management. Original and refreshing, this textbook is essential reading for students of health care management and health care practitioners alike.

in Almost All Western Countries, Concerted Efforts Are Made To Stimulate The Use Of Information And Communication Technology (ict) In Health Care. Yet The Number Of Success Stories Are Few And The Frustrations Many. In This Key Textbook, Readers Are Introduced To The Challenges, The Lessons Learned And The New Insights Of Health Information Management At The Start Of The Twenty-first Century.

with A Strong International Orientation, A Comparative Approach And A Critical Eye On Many Traditional Information Management Views, The Book Illustrates Key Developments By Drawing On Examples From Many Different Countries. Topics Covered Include:

* Patient Care Information Systems
* Integrating Quality Improvement
* Information Strategy
* Implementing Information Systems

featuring Case Studies And An Overall Practitioner's Perspective, This Key Textbook Combines Theoretical Backgrounds And Starting Points With Practice-oriented Guidelines And Advice On The Best Methods For Bringing These Ideas To The Challenges Of Everyday Health Care Management. Original And Refreshing, This Textbook Is Essential Reading For Students Of Health Care Management And Health Care Practitioners Alike.

Denne bog introducerer læseren for de udfordringer og erfaringer man har gjort sig i forbindelse med integrering af informationsteknologi i sundhedsvæsenet. Bogens fokus er primært på elektroniske patientjournaler, kvalitetsmålinger, informationsstrategier og selve implementeringsfasen. Med udgangspunkt i eksempler fra forskellige lande i den vestlige verden kombineres teori og praksis, og bogen giver et indblik i informationspolitikken i en kompleks organisationstype Featuring case studies and practitioner perspectives, this is an accessible textbook that combines theoretical and practice-oriented guidelines for the integration of information technology into health care administration