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Transforming Health Care Through Information: Case Studies

:	Laura Einbiner
:	Laura Einbinder, Nancy M. Lorenzi, Joan Ash, Cynthia S. Gadd, Jonathan Einbinder
:	Transforming Health Care Through Information: Case Studies
:	Springer-Verlag
:	9781441902696
:	3
:	CHF 80.80
:

:	Allgemeines
:	English

:	196
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

With the growth of information and focus on Healthcare Informatics, there remains an interest in case studies. In the current field of Health Informatics there is no text that uses case studies to explain the difficulties that occur. . Edited by specialists in the field of Health Informatics, the third edition of Transforming Healthcare Through Information: Case Studies builds upon the specific examples of case studies to exemplify the various phases of introducing technological advancements into healthcare institutions. The new edition includes a section on how to implement Link2care, a system that will allow caregivers of ill patients, to seek reliable and informative online information and support. In addition the cases will be framed under new sections with discussion on new topics in the area of healthcare technology such as quality data management and knowledge management. The case studies described in the third edition will benefit not only the practicing professional but also the instructor and student studying in the field of health informatics.

Nancy Lorenzi, PhD, is a professor of Biomedical Informatics and Assistant Vice Chancellor for Health Affairs at Vanderbilt University Medical Center, Nashville, Tennessee.

Joan S. Ash, PhD, is a professor of Medical Informatics and Outcomes Research at the Oregon Health and Science University Medical School, Portland Oregon.

Jonathan Einbinder, MD, MPH is Corporate Manager in Quality Data Management at Partners Healthcare System, Wellesley, Massachusetts.

C ndy Gadd, PhD is a professor in Informatics at the Vanderbilt University Medical Center, Nashville, Tennessee.

Laura Einbinder, MBA is a Consultant at Einbinder& Associates in Medfield, Massachusetts.

	Foreword	6
	Series Preface	8
	Acknowledgments	10
	Contents	11
	Contributors	13
	Managing Change	20
	Back Breaking Work: Implementing a Spine Registry in an Orthopedic Clinic	24
	Background	24
	Implementation	25
	Questions	29
	Epilog	29
	References	30
	A RHIO Struggling to Form: Will it Get Off the Ground?	31
	Introduction	31
	Organizational Background	32
	Viewpoints	34
	Focus of the Case	38
	Summary	39
	Case Analysis	39
	Politics	39
	Power	40
	Stakeholders Satisfaction and Retention	40
	Strategic Planning	40
	Trust	40
	Change Management	41
	Leadership	41
	Culture	41
	Project Management	41
	Virtual Teams	41
	Communication	42
	Motivation	42
	Groups vs. Teams	42
	Question	43
	A Rough Ride at the Theodore Roosevelt Cancer Center	44
	Introduction	44
	Organizational History/Background	45
	IT Structure	45
	Focus of the Case	46
	Clinical System Vendor Selection	46
	Phase I Implementation: User Resistance and Impact on Phase II	47
	Nursing Documentation – Use of Consultants and Goals/Objectives	49
	Nursing Documentation – Teams, Training, and Implementation Support	49
	Postimplementation Issues	50
	TRCC Evaluation and Project Closing Document	51
	Unique Needs of a Cancer Center System	51
	Stakeholders’ Points of View – Where Do We Go from Here?	52
	Question	53
	Analysis of Issues and Recommendations	53
	Communication Gaps – User Satisfaction Issues	53
	Recommendations	54
	Top-Down Leadership and Decision-Making	55
	Recommendations	55
	Lack of a Unified Vision and Consistently Communicated Motivational Goals	55
	Recommendations	55
	Workflow Redesign and Training Issues Associated with the CDS	56
	Recommendations	56
	Technical Issues with Visionex	56
	Recommendations	57
	Managing Resistance to Change	57
	Recommendations	57
	Conclusion	57
	Question	58
	References	58
	Implementation of an Electronic Prescription Writer in Ambulatory Care	61
	Background	61
	The OMC Environment	61
	OMC Strategic Plan Prioritized ‘Patient Safety First’	61
	RxWriter’s Stakeholders and Team Organization	61
	RxWriter Implementation	63
	RxWriter’s Infrastructure and Dependencies	63
	Major Features and Accomplishments RxWriter Already Applied	64
	Workflow Integration Features	64
	RxWriter Implementation Challenges	65
	Technical Challenges	66
	Political Challenges	67
	Options	67
	Questions	69
	References	69
	Online Health Care: A Classic Clash of Technology, People, and Processes	71
	Introduction	71
	Initiating and Evaluating Change	73
	Evaluating Change	73
	Initiating Change	74
	Individual Response to Change	74
	Motivation and Role Ambiguity	76
	Change Management	77
	Management and Leadership	79
	Strategic Planning for FutureCare	80
	References	81
	A Dungeon of Dangerous Practices	86
	Background: A Harmful Event	87
	Organizational Overview	87
	Information Systems Overview	89
	The Problem	90
	Main Issues	91
	Options with Pros and Cons	92
	Option 1	92
	Pros	92
	Cons	92
	Option 2	92
	Pros	92
	Cons	92
	Option 3	93
	Pros	93
	Cons	93
	Option 4	93
	Pros	93
	Cons	93
	Question	93
	Key Stakeholders for BPOC Planning and Implementation	94
	Different Sides of the Story	95
	Introduction	95
	The Location	95
	The Actors	95
	The Story	96
	Summary/Questions	96
	References	96
	Barcode Medication Administration Implementation in the FIAT Health System	97
	Introduction	97
	Methods	98
	Results	99
	BCMA Readiness Survey Results	99
	Nursing Survey Results	100
	Cross-Survey Results	100
	Analysis and Recommendations	101
	Strategic Planning	101
	Leadership – Integration of the Clinical and Technological Aspects	102
	Recommendations Regarding Leadership	103
	Project Management	104
	Introduction of Technology into Workflow	105
	Culture of Change	106
	Conclusion	107
	References	108
	H.I.T. or Miss	109
	Emily’s Story	109
	Joanna’s Story	110
	Jim’s Story	111
	Conclusion	112
	The Implementation of Secure Messaging	118
	Background	119
	Project Planning Stage	119
	User Interface Issues	120
	Policy Issue	122
	Security Issue	122