MedicalInformatics Practical Guide for the Healthcare

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Medical Informatics,Practical Guide for the,Healthcare Professional. Third Edition,Robert E Hoyt MD FACP,Melanie Sutton PhD Ann Yoshihashi MD FACE. Associate Editors,University of West Florida,School of Allied Health and Life Sciences. Medical Informatics Program,Pensacola Florida,Medical Informatics. Practical Guide for the Healthcare Professional,Disclaimer.
Every effort has been made to make this book as accurate as possible but no warranty is implied. The information provided is on an as is basis The authors and the publisher shall have neither. liability nor responsibility to any person or entity with respect to any loss or damages arising from. the information contained in this book The views expressed in this book are those of the author and. do not necessarily reflect the official policy or position of the University of West Florida. Department of the Navy Department of Defense nor the U S Government. Copyright 2009,First Edition June 2007,Second Edition August 2008. All rights reserved No part of this book may be reproduced or transmitted in any form by any. means electronic or mechanical including photocopying recording or by any information storage. and retrieval system without written permission from the publisher except for inclusion of brief. excerpts in connection with reviews or scholarly analysis. ISBN 13 978 0 557 13323 9,Published by Lulu com,Preface to the Third Edition. ompiling and editing this third edition has been challenging because of the non stop changes. occurring in Medical Informatics in 2009 In some respects this has been a banner year. because of new opportunities related to the American Recovery and Reinvestment Act The. stimulus package will undoubtedly impact multiple areas of health information technology to. include electronic health records health information exchanges and informatics research. We have made every attempt to provide the most up to date information about Medical. Informatics issues by constantly reviewing the medical and lay literature Our goal is to present the. most recent changes the most interesting concepts and both sides of each controversy Our book is. intended to be an introduction to the field of Medical Informatics that will entice individuals to go. further in their education, In our experience individuals from all walks of life seem to be interested in this relatively new. field We hope our book will better educate technology workers about clinical issues and better. educate clinical workers about technology issues, Given the newness of this field research may be lacking or inadequate in many areas of. Medical Informatics We have to rely on surveys and expert opinions in many areas Frequently. this can result in more noise than signal and more hype than fact We are dedicated to presenting the. issues fairly and objectively Approximately 1200 medical literature references and web links are. included in this book that direct readers to more information. While we are vendor agnostic we are not opposed to presenting interesting hardware and. software we think will be of interest to our readers This will include all relevant open source. initiatives One of the goals of this book is to promote and disseminate innovations that might help. healthcare workers as well as technology developers The fact we mention specific hardware or. software or web based applications does not mean we endorse the vendor instead it is our attempt. to highlight an interesting concept that might lead others in a new direction. In our 2009 book we have added new content to each chapter and added chapters on practice. management systems and networks Chapters on electronic health records and mobile technology. have been completely redone reflecting the rapid change in those areas Also the HITECH Act as. part of the stimulus package is discussed in regards to its impact on Medical Informatics in the first. We hope that you will see interrelationships between the topics mentioned in multiple chapters. in this book Articles written on the use of technology to improve patient care often involve. telemedicine patient safety patient informatics disease management and evidence based medicine. Our book s emphasis will always be on the medical issues that the average clinician or hospital. faces with solutions that are easy to understand We won t be reluctant to present the obstacles new. innovations face or negative publications written on the subject If we can introduce you to a single. new concept or tool that improves patient care or makes your day easier we will consider our work. successful, We appreciate feedback regarding corrections or future additions We welcome your input so.
we can continue to publish the most accurate and up to date information. Please note that all proceeds will be donated to the University of West Florida Foundation for. the advancement of Medical Informatics education,Robert E Hoyt MD FACP. Melanie Sutton PhD,Ann Yoshihashi MD FACE,Acknowledgements. We would like to express thanks to our families for their patience and understanding during the. lengthy process of writing and updating this book annually. We would also like to thanks Kat Irion for her diligent proofreading of this book and Stephanie. Reedy for her ability to format and tame all images and tables. Robert E Hoyt MD FACP,Co Director Medical Informatics. Instructor School of Allied Health and Life Sciences. University of West Florida,Pensacola FL,Assistant Professor of Medicine. Adjunct Assistant Professor of Family Medicine, The Uniformed Services University of the Health Sciences.
Bethesda MD,Melanie A Sutton PhD,Co Director Medical Informatics. Associate Professor School of Allied Health and Life Sciences. University of West Florida,Pensacola FL,Ann K Yoshihashi MD FACE. Guest Lecturer School of Allied Health and Life Sciences. Medical Informatics,University of West Florida,Medical Analyst. Naval Operational Medicine Institute,Pensacola FL,Contributors. M Hassan Murad MD MPH,Assistant Professor of Medicine.
Mayo Clinic College of Medicine,Rochester MN,Jane A Pellegrino MSLS AHIP. Head Library Services Department,Naval Medical Center Portsmouth. Portsmouth VA,Steve Steffensen MD LCDR,Chief Medical Information Officer. Telemedicine and Advanced Technology Research Center. Fort Detrick MD,Fred Trotter,Director Liberty Health Software Foundation. Houston TX,Brandy Ziesemer RHIA CCS, Health Information Manager and Associate Professor.
Lake Sumter Community College,Leesburg FL,Table of Contents. Chapter 1 Overview of Medical Informatics 1,Chapter 2 Electronic Health Records 29. Chapter 3 Integrated Practice Management Systems 63. Chapter 4 Health Information Technology Interoperability 72. Chapter 5 Networks 99,Chapter 6 Patient Informatics 107. Chapter 7 Online Medical Resources 128,Chapter 8 Search Engines 145. Chapter 9 Mobile Technology 162,Chapter 10 Evidence Based Medicine 184.
Chapter 11 Clinical Practice Guidelines 198, Chapter 12 Disease Management and Disease Registries 209. Chapter 13 Pay for Performance P4P 220,Chapter 14 Patient Safety and Technology 231. Chapter 15 Electronic Prescribing 253,Chapter 16 Telehealth and Telemedicine 267. Chapter 17 Picture Archiving and Communication Systems PACS 284. Chapter 18 Bioinformatics 291,Chapter 19 Public Health Informatics 300. Chapter 20 E Research 308, Chapter 21 Emerging Trends in Health Information Technology 316.
Overview of Medical Informatics,ROBERT E HOYT,Learning Objectives. After reading this chapter the reader should be able to. State the definition and origin of Medical Informatics. Identify the forces behind Medical Informatics, Describe the key players involved in Medical Informatics. State the impact of the HITECH Act on Medical Informatics. List the barriers to health information technology HIT adoption. Describe the educational and career opportunities in Medical Informatics. I think there is a world market for maybe five computers. IBM Chairman Thomas Watson 1943, M edical informatics has evolved as a new field in a relatively short period of time Its. emergence is partly due to the multiple challenges facing the practice of medicine today. As an example clinicians need to be more efficient migrate away from paper based. records reduce medication errors and have educational and patient related information at their. fingertips Technology has the potential to help with each of those areas With the advent of the. Internet high speed computers voice recognition wireless and mobile technology healthcare. professionals today have many more tools available at their disposal However technology is. advancing faster than healthcare professionals can assimilate it into their practice of medicine In. this chapter we will present an overview of Medical Informatics with emphasis on the factors that. helped create this new field and the key players involved. Definitions, The definition of Medical Informatics is dynamic due to the rapidly changing nature of both. medicine and technology The following are three definitions frequently cited. scientific field that deals with resources devices and formalized methods for. optimizing the storage retrieval and management of biomedical information for. problem solving and decision making 1, application of computers communications and information technology and systems.
to all fields of medicine medical care medical education and medical research 2. understanding skills and tools that enable the sharing and use of information to. deliver healthcare and promote health 3, Medical Informatics is also known as Health Informatics Clinical Informatics and. Bioinformatics in some circles However the consensus is that Bioinformatics involves the. integration of biology and technology and can be defined as the. 2 Chapter 1, analysis of biological information using computers and statistical techniques the. science of developing and utilizing computer databases and algorithms to accelerate. and enhance biological research 4, Some prefer Biomedical Informatics because it encompasses Bioinformatics and medical. dental nursing public health pharmacy medical imaging and veterinary informatics 5 As we move. closer to integrating human genetics into the day to day practice of medicine this more global. definition may gain traction We have chosen to use Medical Informatics throughout the book for. consistency,Background, Given the fact that most businesses incorporate technology into their enterprise fabric one could. argue that it was just a matter of time before the tectonic forces of medicine and technology. collided As more medical information was published and more medical data was available as a. result of computerization the need to automate collect and analyze data arose Also as new. technologies such as electronic health records appeared ancillary technologies such as disease. registries voice recognition and picture archiving and communication systems arose to augment. functionality In turn these new technologies prompted the need for expertise in health information. technology that spawned new specialties and careers. Medical Informatics emphasizes information brokerage the sharing of a variety of information. back and forth between people and healthcare entities Examples of medical information that needs. to be shared lab results x ray results vaccination status medication allergy status consultant s. notes and hospital discharge summaries Medical Informatics harnesses the power of information. technology to expedite the transfer and analysis of data leading to improved efficiencies and. knowledge The field also interfaces with other fields such as the clinical sciences computer. sciences library sciences and public health sciences to mention a few. Health Information Technology HIT interfaces with many important functions in healthcare. organizations and serves as a common thread that facilitates these functions figure 1 1 This is. likely the reason the Joint Commission created the management of information standard for hospital. certification 6 Although not included in the diagram information systems that deal with the. financial aspects of healthcare practice management claims submission etc are critical to. healthcare organizations, Many aspects of Medical Informatics noted in figure 1 1 are interconnected For example a.
healthcare organization is concerned that too many of its diabetics are not well controlled and. believes it would benefit by offering a diabetic web portal With a portal diabetics can upload. blood sugars and blood pressures to a central web site so that diabetic educators and or clinicians. can analyze the results and make recommendations The following technologies and issues are. involved with just this one initiative, The web based portal involves consumer informatics and telemedicine chapters 6 and 16. Management of diabetes requires online medical resources evidence based medicine. clinical practice guidelines and disease management disease registries chapters 7 10 11. If the use of the diabetic web portal improves diabetic control clinicians may be eligible for. improved reimbursement known as pay for performance chapter 13. There are multiple forces driving the adoption of health information technology but the major. Medical Informatics Practical Guide for the Healthcare Professional Third Edition Robert E Hoyt MD FACP Editor Melanie Sutton PhD Ann Yoshihashi MD FACE Associate Editors University of West Florida School of Allied Health and Life Sciences Medical Informatics Program Pensacola Florida Medical Informatics Practical Guide for the Healthcare Professional Disclaimer Every effort has been made

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