Information Systems for Health Services Administration

, by Austin, Charles J.; Boxerman, Stuart B.; Association of University Programs in Health Administration

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ISBN: 9781567930702 | 1567930700
Cover: Hardcover
Copyright: 12/1/1997

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Supplemental Materials

List of Tables

xii

(1)

List of Figures and Exhibit

xiii

(4)

Preface

xvii

(2)

Acknowledgments

xix

Part I Introduction and Essential Concepts

(42)

1 Information Technology Today

(20)

Categories of Information Systems

(1)

Historical Overview

(3)

The Changing Healthcare Environment

(4)

Information Technology in this Environment of Change

(4)

The Healthcare Information Professional

(1)

Summary

(5)

2 Essential Concepts

(22)

General Systems Theory

(8)

Management Control and Decision-Support Systems in Health Services Organizations

(4)

Information for Management Control

(1)

Principles of Information Resource Management

(1)

Management of Change

(2)

Concluding Comments

(1)

Summary

(6)

Part II Information Technology

(124)

3 Computer Hardware

(34)

An Overview of Computer Components

(22)

Classes of Computers

(5)

Summary

(6)

4 Computer Software

(28)

An Introduction to Programming Languages

(9)

Language Translators

(2)

System Management Software

(3)

Application Software

(6)

Integrated vs. Interfaced Systems

100

(1)

A Final Note

101

(1)

Summary

101

(6)

5 Networking and Telecommunications

107

(30)

A Rationale for Installing Computer Networks

108

(1)

Distributing the Processing Function

109

(5)

Network Components

114

(4)

Network Topologies

119

(4)

Electronic Data Interchange

123

(1)

Wireless Communication

124

(2)

Communicating via the Internet

126

(4)

Summary

130

(7)

6 Data Management

137

(32)

Computer Files: A Brief Review

138

(4)

Databases: An Improvement over Files

142

(1)

An Overview of Database Models

143

(5)

Database Management Systems

148

(4)

Data Security

152

(2)

Developments in Database Technology

154

(3)

Data Warehouses

157

(4)

Summary

161

(8)

Part III Information Systems Planning and Management

169

(94)

7 Strategic Information Systems Planning

169

(24)

Purposes of Strategic IS Planning

170

(2)

Organizing the Planning Effort

172

(2)

Elements of an IS Master Plan

174

(1)

Goals and Objectives

174

(2)

Applications Priority List

176

(1)

System Architecture

177

(1)

Software Development Plan

178

(1)

Information Systems Management Plan

179

(1)

Statement of Resource Requirements

179

(1)

Review and Approval of the Plan

180

(1)

End-User Computing

180

(1)

Organizationwide Information System Standards and Policies

181

(6)

Strategic IS Planning for Integrated Delivery Systems

187

(2)

Summary

189

(4)

8 Systems Analysis

193

(22)

The System Development Life Cycle

194

(1)

Project Organization

195

(2)

Systems Analysis

197

(1)

Systems Analysis Tools

199

(8)

CASE Tools

207

(1)

Process Reengineering

207

(1)

Benefits of Systems Analysis

208

(1)

Selection of a Design Approach

209

(1)

Conclusion: How Well Are We Doing?

210

(1)

Summary

210

(5)

9 System Design, Evaluation, and Selection

215

(30)

Introduction

215

(1)

System Design Specifications

216

(3)

Evaluation of Application Software

219

(3)

Use of Contractual Services (Outsourcing)

222

(1)

The Selection Process

222

(4)

Alternatives to the RFP

226

(1)

Negotiation and Contracting

227

(1)

Role of Consultants

228

(1)

Summary

229

(4)

Appendix A: System Design Case Study

233

(7)

Appendix B: System Requirements Definition for Physician's

Practice Management Application

240

(5)

10 Managing Information Resources

245

(18)

Managing System Implementation

246

(3)

System Operation and Maintenance

249

(1)

Continuous Quality Improvement

250

(1)

Organizing for Information Management: Role of the Chief Information Officer

251

(1)

Staffing Requirements

252

(2)

Outsourcing

254

(1)

Executive Management Responsibilities

255

(3)

Summary

258

(5)

Part IV Information Systems Applications in Healthcare

263

(138)

11 Patient Care Applications

263

(28)

Introduction

264

(1)

Computer-Based Patient Records

265

(3)

Order Entry and Results Reporting

268

(1)

Clinical Services Applications

269

(4)

Ambulatory Care Information Systems

273

(2)

Nursing Information Systems

275

(3)

Clinical Decision-Support Systems

278

(2)

Computer-Assisted Medical Instrumentation

280

(1)

Other Clinical Applications

281

(3)

Summary

284

(7)

12 Administrative Applications

291

(18)

Brian T. Malec

Introduction

292

(1)

Financial Information Systems

293

(3)

Human Resources Information Systems

296

(2)

Facility Utilization and Scheduling Systems

298

(2)

Materials Management Systems

300

(3)

Facilities Management Systems

303

(1)

Office Automation Systems

304

(1)

Summary

305

(4)

13 Strategic Decision-Support Applications

309

(32)

The Concept of Decision Support

310

(2)

An Overview of Decision-Support Systems

312

(5)

Information Needs for Decision Support

317

(6)

Approaches to Development of Decision-Support Systems

323

(6)

Applications of Decision-Support Systems

326

(3)

Expert Systems

329

(2)

Executive Information Systems

331

(2)

A Final Thought

333

(1)

Summary

333

(8)

14 Managed Care Applications

341

(18)

Brian T. Malec

Information Needs in the Managed Care Marketplace

342

(3)

Users of Managed Care Information

345

(7)

The Managed Care Software Market

352

(2)

Case Study: L.A. Care

354

(1)

Summary

355

(4)

15 Health Information Networks

359

(24)

Karen A. Wager

Definition and Evolution of Health Information Networks

362

(6)

Planning Activities in Establishing an HIN

368

(9)

Summary

377

(6)

16 Internet Applications

383

(18)

Brian T. Malec

History and Structure of the Internet

384

(1)

Internet Applications for Healthcare Organizations

385

(6)

Intranet Applications for Healthcare Organizations

391

(2)

Management of Internet Technologies in Healthcare Organizations

393

(3)

Summary

396

(5)

Case Study 1: Developing an Electronic Medical Record for an Integrated Physician Office Practice

401

(12)

Andrea W. White

Gloria R. Wakefield

Case Study 2: Implementation of a Computer-Based Patient Record in a Family Medicine Clinical Practice

413

(6)

Frances Wickham Lee

Steven M. Ornstein

Ruth G. Jenkins

Case Study 3: Market Crisis in Metropolis: Opportunity for Strategic Advantage Through Information Technology

419

(10)

Kathy S. Lassila

Karen A. Wager

Glossary of Technical Terms

429

(14)

Index

443

(14)

About the Authors

457

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Information Systems for Health Services Administration

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