Meaningful Use And Beyond

Meaningful use underlies a major federal incentives program for medical offices and hospitals that pays doctors and clinicians to move to fully electronic health records. This book is a rosetta stone for the IT implementer that will teach you to bring organisations to implement and use electronic health records.

Clinical Nurse Leaders Beyond the Microsystem: A Practical Guide, Fourth Edition is a core resource for CNLs which imparts the competencies necessary to lead improvement teams, analyze data, and ensure delivery of quality, safety, and value-based care in any healthcare setting.

Clinical Decision Support and Beyond: Progress and Opportunities in Knowledge-Enhanced Health and Healthcare, now in its third edition, discusses the underpinnings of effective, reliable, and easy-to-use clinical decision support systems at the point of care as a productive way of managing the flood of data, knowledge, and misinformation when providing patient care. Incorporating CDS into electronic health record systems has been underway for decades; however its complexities, costs, and user resistance have lagged its potential. Thus it is of utmost importance to understand the process in detail, to take full advantage of its capabilities. The book expands and updates the content of the previous edition, and discusses topics such as integration of CDS into workflow, context-driven anticipation of needs for CDS, new forms of CDS derived from data analytics, precision medicine, population health, integration of personal monitoring, and patient-facing CDS. In addition, it discusses population health management, public health CDS and CDS to help reduce health disparities. It is a valuable resource for clinicians, practitioners, students and members of medical and biomedical fields who are interested to learn more about the potential of clinical decision support to improve health and wellness and the quality of health care. Presents an overview and details of the current state of the art and usefulness of clinical decision support, and how to utilize these capabilities Explores the technological underpinnings for developing, managing, and sharing knowledge resources and deploying them as CDS or for other uses Discusses the current drivers and opportunities that are expanding the prospects for use of knowledge to enhance health and healthcare

Today, it is not uncommon for practices and hospitals to be on their second or third EHR and/or contemplating a transition from the traditional on-premise model to a cloud-based system. As a follow-up to Complete Guide and Toolkit to Successful EHR Adoption (©2011 HIMSS), this book builds on the best practices of the first edition, fast-forwarding to the latest innovations that are currently leveraged and adopted by providers and hospitals. We examine the role that artificial intelligence (AI) is now playing in and around EHR technology. We also address the advances in analytics and deep learning (also known as deep structured or hierarchical learning) and explain this topic in practical ways for even the most novice reader to comprehend and apply. The challenges of EHR to EHR migrations and data conversions will also be covered, including the use of the unethical practice of data blocking used as a tactic by some vendors to hold data hostage. Further, we explore innovations related to interoperability, cloud computing, cyber security, and electronic patient/consumer engagement. Finally, this book will deal with what to do with aging technology and databases, which is an issue rarely considered in any of the early publications on healthcare technology. What is the proper way to retire a legacy system, and what are the legal obligations of data archiving? Though a lot has changed since the 2011 edition, many of the fundamentals remain the same and will serve as a foundation for the next generation of EHR adopters and/or those moving on to their second, third, fourth, and beyond EHRs.

Ready to take your IT skills to the healthcare industry? This concise book provides a candid assessment of the US healthcare system as it ramps up its use of electronic health records (EHRs) and other forms of IT to comply with the government’s Meaningful Use requirements. It’s a tremendous opportunity for tens of thousands of IT professionals, but it’s also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place. This book points out how hospitals and doctors’ offices differ from other organizations that use IT, and explains what’s necessary to bridge the gap between clinicians and IT staff. Get an overview of EHRs and the differences among medical settings Learn the variety of ways institutions deal with patients and medical staff, and how workflows vary Discover healthcare’s dependence on paper records, and the problems involved in migrating them to digital documents Understand how providers charge for care, and how they get paid Explore how patients can use EHRs to participate in their own care Examine healthcare’s most pressing problem—avoidable errors—and how EHRs can both help and exacerbate it

This book explores how prison life is normalized in different countries, with a critical and detailed look at ‘Scandinavian exceptionalism’ — the idea that Scandinavian prisons have exceptionally humane conditions — and compares these prisons to ones in Belgium. It provides a more nuanced, systematic and contextualized comparison of normalization in two countries. Through analyzing policy and legislative documents, participant observation and interviews, it seeks to understand how normalization is implemented differently in prison legislation, policies and practices and compares the two societies for context. It also considers the material prison environment, security, the social environment and the use of time in prison. It provides insights into how normalization can be successfully and holistically implemented in both policy and practice, to contribute to a more ‘pure’ form of liberty deprivation as punishment without too many unintended effects.

This textbook begins with an introduction to the US healthcare delivery system, its many systemic challenges and the prior efforts to develop and deploy informatics tools to help overcome those problems. It goes on to discuss health informatics from an historical perspective, its current state and its likely future state now that electronic health record systems are widely deployed, the HL7 Fast Healthcare Interoperability standard is being rapidly accepted as the means to access the data stored in those systems and analytics is increasing being used to gain new knowledge from that aggregated clinical data. It then turns to some of the important and evolving areas of informatics including population and public health, mHealth and big data and analytics. Use cases and case studies are used in all of these discussions to help readers connect the technologies to real world challenges. Effective use of informatics systems and tools by providers and their patients is key to improving the quality, safety and cost of healthcare. With health records now digital, no effective means has existed for sharing them with patients, among the multiple providers who may care for them and for important secondary uses such as public/population health and research. This problem is a topic of congressional discussion and is addressed by the 21st Century Cures Act of 2016 that mandates that electronic health record (EHR) systems offer a patient-facing API. HL7’s Fast Healthcare Interoperability Resources (FHIR) is that API and this is the first comprehensive treatment of the technology and the many ways it is already being used. FHIR is based on web technologies and is thus a far more facile, easy to implement approach that is rapidly gaining acceptance. It is also the basis for a ‘universal health app platform’ that literally has the potential to foster innovation around the data in patient records similar to the app ecosystems smartphones created around the data they store. FHIR app stores have already been opened by Epic and Cerner, the two largest enterprise EHR vendors. Provider facing apps are already being explored to improve EHR usability and support personalized medicine. Medicare and the Veteran’s Administration have announced FHIR app platforms for their patients. Apple’s new IOS 11.3 features the ability for consumers to aggregate their health records on their iPhone using FHIR. Health insurance companies are exploring applications of FHIR to improve service and communication with their providers and patients. SureScripts, the national e-Prescribing network, is using FHIR to help doctors know if their patients are complying with prescriptions. This textbook is for introductory health informatics courses for computer science and health sciences students (e.g. doctors, nurses, PhDs), the current health informatics community, IT professionals interested in learning about the field and practicing healthcare providers. Though this textbook covers an important new technology, it is accessible to non-technical readers including healthcare providers, their patients or anyone interested in the use of healthcare data for improved care, public/population health or research.

Beyond Return on Investment: Expanding the Value of Healthcare Information Technology, 2nd Edition this updated and revised edition provides lessons learned from healthcare IT adoption and the opportunity to drive value realization. From providing a basic primer on 'how-to' complete a Return on Investment analysis for a single project to developing a comprehensive program of value management to support the transition to high value healthcare, this book addresses emerging trends, practical approaches and measurement methods to help drive value. Beyond Return on Investment, 2nd Edition views IT as a strategic asset in the transformation of healthcare. Based on previous editions, this book updates and identifies the components of an integrated value management strategy including value driven decision-making culture, an integrated approach to strategy development, a value based governance model, a process that defines business case development through ROI analysis, value measurement and value scorecard development. New chapters in this addition include a Framework for Value Management, validating vendor defined value and ROI, and new methods for realizing value.