Operationalizing the Science: Integrating Clinical Informatics into the Daily Operations of the Medical Center

Operationalizing the Science: Integrating Clinical Informatics into the Daily Operations of the Medical Center

Joseph L. Kannry (Mount Sinai Medical Center, USA)
DOI: 10.4018/978-1-59904-792-8.ch013
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Abstract

Healthcare IT (HIT) has failed to live up to its promise in the United States. HIT solutions and decisions need to be evidence based and standardized. Interventional informatics is ideally positioned to provide evidence based and standardized solutions in the enterprise (aka, the medical center) which includes all or some combination of hospital(s), hospital based-practices, enterprise owned offsite medical practices, faculty practice and a medical school. For purposes of this chapter, interventional informatics is defined as applied medical or clinical informatics with an emphasis on an active interventional role in the enterprise. A department of interventional informatics, which integrates the science of informatics into daily operations, should become a standard part of any 21st century medical center in the United States. The objectives of this chapter are to: review and summarize the promise and challenge of IT in healthcare; define healthcare IT; review the legacy of IT in healthcare; compare and contrast IT in healthcare with that of other industries; become familiar with evidence based IT: Medical informatics; differentiate medical informatics from IT in healthcare; distinguish medical, clinical, and interventional informatics; justify the need for operational departments of interventional informatics.

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Table of Contents
Foreword
Steven A. Huesing
Chapter 1
Andre W. Kushniruk, Elizabeth M. Borycki, Shige Kuwata, Francis Ho
It is essential that health information systems are easy to use, meet user information needs and are shown to be safe. However, there are currently... Sample PDF
Emerging Approaches to Evaluating the Usability of Health Information Systems
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Chapter 2
Morgan Price
The purpose of this chapter is to provide the reader with an overview of several models and theories from the general HCI literature, highlighting... Sample PDF
A Bio-Psycho-Social Review of Usability Methods and their Applications in Healthcare
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Chapter 3
Craig E. Kuziemsky
The design and implementation of healthcare information systems (HIS) is problematic as many HIS projects do not achieve the desired outcomes. There... Sample PDF
Enhancing ‘Fit' of Health Information Systems Design Through Practice Support
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Chapter 4
Christian Nøhr, Niels Boye
The introduction of electronic health records (EHRs) to the clinical setting has led healthcare professionals, policy makers, and administrators to... Sample PDF
Towards Computer Supported Clinical Activity: A Roadmap Based on Empirical Knowledge and some Theoretical Reflections
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Chapter 5
Niels Boye
Pervasive healthcare is a vision for the future of healthcare. Healthcare provisions can be delivered with high quality at low cost along with... Sample PDF
Pervasive Healthcare: Problems and Potentials
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Chapter 6
Karen Day, Tony Norris
In this chapter we describe the transition phase (capability crisis) of the change process linked to health IT projects, indicate how it can be... Sample PDF
The Human Aspects of Change in IT Projects
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Chapter 7
Beste Kucukyazici, Karim Keshavjee, John Bosomworth, John Copen, James Lai
This chapter introduces a multi-level, multi-dimensional meta-framework for successful implementations of EHR in healthcare organizations. Existing... Sample PDF
Best Practices for Implementing Electronic Health Records and Information Systems
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Chapter 8
Vivian Vimarlund
This chapter introduces a framework to analyze the pre-requisites to move from an evolutionary stage to a revolutionary one when using ICT in... Sample PDF
Health Informatics and Healthcare Redesign Using ICT to Move from an Evolutionary to a Revolutionary Stage
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Chapter 9
Elizabeth M. Borycki, Andre W. Kushniruk
Borycki, Elizabeth M.; Kushniruk, Andre W. Health information technology has the potential to greatly improve healthcare delivery. Indeed, in recent... Sample PDF
Where do Technology-Induced Errors Come From? Towards a Model for Conceptualizing and Diagnosing Errors Caused by Technology
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Chapter 10
James G. Anderson
Data-sharing systems—where healthcare providers jointly implement a common reporting system to promote voluntary reporting, information sharing, and... Sample PDF
Regional Patient Safety Initiatives: The Missing Element of Organizational Change
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Chapter 11
Jytte Brender
This chapter discusses the extent to which factors known to influence the success and failure of health information systems may be evaluated. More... Sample PDF
Evaluation Methods to Monitor Success and Failure Factors in Health Information System's Development
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Chapter 12
Denis Protti
Healthcare is one of the world’s most information-intensive industries. Every day, volumes of data are produced which, properly used, can improve... Sample PDF
A Comparison of How Canada, England, and Denmark are Managing their Electronic Health Record Journeys
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Chapter 13
Joseph L. Kannry
Healthcare IT (HIT) has failed to live up to its promise in the United States. HIT solutions and decisions need to be evidence based and... Sample PDF
Operationalizing the Science: Integrating Clinical Informatics into the Daily Operations of the Medical Center
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Chapter 14
Eric L. Eisenstein, Maqui Ortiz, Kevin J. Anstrom, David F. Lobach
This chapter describes a framework for conducting economic analyses of health information technologies (HIT). It explains the basic principles of... Sample PDF
Health Information Technology Economic Evaluation
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Chapter 15
Nola M. Ries
This chapter discusses key legal issues raised by the contemporary trend to managing and sharing patient information via electronic health records... Sample PDF
Legal Issues in Health Information and Electronic Health Records
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Chapter 16
Tina Saryeddine
Existing literature often addresses the ethical problems posed by health informatics. Instead of this problem-based approach, this chapter explores... Sample PDF
Accountability, Beneficence, and Self-Determination: Can Health Information Systems Make Organizations “Nicer”?
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Chapter 17
Eike-Henner W. Kluge
The development of electronic health records marked a fundamental change in the ethical and legal status of health records and in the relationship... Sample PDF
Electronic Health Records: Why Does Ethics Count?
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Chapter 18
Kendall Ho
Because of the rapid growth of health evidence and knowledge generated through research, and growing complexity of the health system, clinical care... Sample PDF
Technology Enabled Knowledge Translation: Using Information and Communications Technologies to Accelerate Evidence Based Health Practices
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Chapter 19
Diane Doran, Tammie Di Pietro
With advances in electronic health record systems and mobile computing technologies it is possible to re-conceptualize how health professionals... Sample PDF
Knowledge Translation in Nursing Through Decision Support at the Point of Care
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Chapter 20
Jose F. Arocha, Laurie Hoffman-Goetz
This chapter presents a discussion and findings of health literacy and its relevance to health informatics. We argue that the Internet represents an... Sample PDF
Improving Internet-Based Health Knowledge Through Attention to Literacy
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About the Contributors