Handbook Of Evaluation Methods For Health Informatics

The Handbook of Evaluation Methods for Health Informatics provides a complete compendium of methods for evaluation of IT-based systems and solutions within healthcare. Emphasis is entirely on assessment of the IT-system within its organizational environment. The author provides a coherent and complete assessment of methods addressing interactions with and effects of technology at the organizational, psychological, and social levels. It offers an explanation of the terminology and theoretical foundations underlying the methodological analysis presented here. The author carefully guides the reader through the process of identifying relevant methods corresponding to specific information needs and conditions for carrying out the evaluation study. The Handbook takes a critical view by focusing on assumptions for application, tacit built-in perspectives of the methods as well as their perils and pitfalls. Collects a number of evaluation methods of medical informatics Addresses metrics and measures Includes an extensive list of anotated references, case studies, and a list of useful Web sites

Heavily updated and revised from the successful first edition Appeals to a wide range of informatics professionals, from students to on-site medical information system administrators Includes case studies and real world system evaluations References and self-tests for feedback and motivation after each chapter Great for teaching purposes, the book is recommended for courses offered at universities such as Columbia University Precise definition and use of terms

10.2 The Role and Contents of the URD in an Assessment Perspective -- 10.3 The Enterprise Model -- 10.4 The Normative Model -- 10.5 Assessment of the User Requirements Document -- 10.6 Discussion -- 11 Dynamic Aspects of the Assessment Methodology -- 11.1 Dynamic Aspects of IT-Development and Application -- 11.2 Adaptation of Frames of Reference for Assessment Activities -- 11.3 Feed-forward Loops -- 11.4 Support of Context Dependent Assessment -- 11.5 Conclusion -- 12 The Dynamic Assessment Methodology -- 12.1 Philosophy -- 12.2 Application Area -- 12.3 Operationalisation of the Methodology -- 12.4 Applicable Methods -- 12.5 Summary -- 13 Discussion -- 13.1 Discussion of Fulfilment of Objective for the 4th Goal -- 13.2 Conclusion of the Study -- References -- Appendix 1: Vocabulary -- Appendix 2: Abbreviations & Acronyms -- Appendix 3: KAVAS's & ISAR's Evaluation Methodology -- Appendix 4: Methodology for Assessment of Functionality -- Appendix 5: Experimental Observations: Functionality Assessment -- Appendix 6: Experimental Observations: LFA -- Appendix 7: Causal Analysis of Experimental Observations -- Appendix 8: Method for Elicitation of a Strategy -- Appendix 9: Selected References regarding Assessment Methods

Governments and clinical providers are investing billions of dollars in health information technologies. This is being done with the expectation that HIT adoption will translate into healthier patients experiencing better care at lower cost. As the first wave of adoption comes to an end, stakeholders are ready to evaluate the results of their investment and make decisions about future directions. As a result, structured evaluations of a projects impact are an essential element of the justification for investment in HIT. This book provides an easy-to-read reference outlining the basic concepts, theory, and methods required to perform a systematic evaluation of HIT.

As director of a training program in medical informatics, I have found that one of the most frequent inquiries from graduate students is, "Although I am happy with my research focus and the work I have done, how can I design and carry out a practical evaluation that proves the value of my contribution?" Informatics is a multifaceted, interdisciplinary field with research that ranges from theoretical developments to projects that are highly applied and intended for near-term use in clinical settings. The implications of "proving" a research claim accordingly vary greatly depending on the details of an individual student's goals and thesis state ment. Furthermore, the dissertation work leading up to an evaluation plan is often so time-consuming and arduous that attempting the "perfect" evaluation is fre quently seen as impractical or as diverting students from central programming or implementation issues that are their primary areas of interest. They often ask what compromises are possible so they can provide persuasive data in support of their claims without adding another two to three years to their graduate student life. Our students clearly needed help in dealing more effectively with such dilem mas, and it was therefore fortuitous when, in the autumn of 1991, we welcomed two superb visiting professors to our laboratories.

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"This handbook is on the science and practice of eHealth evaluation based on empirical evidence gathered over the years within the health informatics discipline. The handbook describes different approaches used to evaluate the planning, design, implementation, use and impact of eHealth systems in different healthcare settings organizations. In this context, eHealth refers to a broad range of health information technologies and systems used by organizations, providers and patients to support care delivery, such as the electronic health record, computerized provider order entry and telehealth. The science part of this handbook covers the conceptual foundations and methodological details of eHealth evaluation. The practice part covers the application of the scientific approaches through such examples as systematic reviews, comparative and descriptive studies and economic evaluation of specific eHealth systems. The final part of the handbook covers the future of eHealth evaluation. It describes the growing recognition of eHealth as a form of complex intervention that is a part of the larger health system, and the need for a more strategic view of eHealth evaluation to support the complex nature of healthcare delivery."--