Health Information Technology Evaluation Handbook

Governments and clinical providers are investing billions of dollars in health information technologies (HIT). This is being done with the expectation that HIT adoption will translate into healthier patients experiencing better care at lower cost. In the initial push to roll out HIT, the reliability of these claims was often not substantiated by systematic evaluation and testing. As the first wave of widespread adoption of HIT comes to an end and the next wave begins, it is more important than ever that stakeholders evaluate the results of their investment, evaluate their success (or failure), and make decisions about future directions. Structured evaluations of a project’s impact are an essential element of the justification for investment in HIT. A systematic approach to evaluation and testing should allow for comparison between different HIT interventions with the goal of identifying and promoting those which improve clinical care or other outcomes of interest. The question of the day is no longer "why perform evaluations," but "how to perform evaluations." This updated book provides an easy-to-read reference outlining the basic concepts, theory, and methods required to perform a systematic evaluation of HIT. Chapters cover key domains of HIT evaluation: study structure and design, measurement fundamentals, results analysis, communicating results, guidelines development, and reference standards. Updated case studies and examples are included demonstrating the successes or failures of these investments. The authors also include new initiatives put in place by the government and discuss how they are being adopted and used by health systems.

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.

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

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

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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.

Reflecting emerging trends in today’s health information management, Health Information Technology, 3rd Edition covers everything from electronic health records and collecting healthcare data to coding and compliance. It prepares you for a role as a Registered Health Information Technician, one in which you not only file and keep accurate records but serve as a healthcare analyst who translates data into useful, quality information that can control costs and further research. This edition includes new full-color illustrations and easy access to definitions of daunting terms and acronyms. Written by expert educators Nadinia Davis and Melissa LaCour, this book also offers invaluable preparation for the HIT certification exam. Workbook exercises in the book help you review and apply key concepts immediately after you’ve studied the core topics. Clear writing style and easy reading level makes reading and studying more time-efficient. Chapter learning objectives help you prepare for the credentialing exam by corresponding to the American Health Information Management Association's (AHIMA) domains and subdomains of the Health Information Technology (HIT) curriculum. A separate Confidentiality and Compliance chapter covers HIPAA privacy regulations. Job descriptions in every chapter offer a broad view of the field and show career options following graduation and certification. Student resources on the Evolve companion website include sample paper forms and provide an interactive learning environment. NEW! Full-color illustrations aid comprehension and help you visualize concepts. UPDATED information accurately depicts today’s technology, including records processing in the EHR and hybrid environments, digital storage concerns, information systems implementation, and security issues, including HITECH’s impact on HIPAA regulations. NEW! Glossary terms and definitions plus acronyms/abbreviations in the margins provide easy access to definitions of key vocabulary and confusing abbreviations. NEW! Go Tos in the margins cross-reference the textbook by specific chapters. NEW Coding boxes in the margins provide examples of common code sets. Over 100 NEW vocabulary terms and definitions ensure that the material is current and comprehensive. NEW Patient Care Perspective and Career Tips at the end of chapters include examples of important HIM activities in patient care and customer service.

"This book presents a comprehensive resource elucidating the adoption and usage of health informatics"--Provided by publisher.