Health Information Management: Integrating Information Technology ...

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INDEX 225 satisfaction 176 patient care information systems (PCIS) 47–8, 153, 207; building blocks 148–9; budget 169; business case 169; definition 3, 6; design of 120; development of 165–6; effectiveness of 176; efficiency of 176; ‘make or buy’ issue 165–6; organizational attitudes and commitment towards 176; patient satisfaction about 176; practical use of 118; selection of 165–6; unintended consequences of 120; user skills 180; worker satisfaction of 176; see also coordinating function; implementation of PCIS Patient Data <strong>Management</strong> System (PDMS) 48–9, 67, 214–16, 220, 223–4,225 Patient <strong>Information</strong> System 154, 221–2; definition 7, 36 patient-oriented record: the rise of 14–24 patient record: completeness of 95; legal aspects 16–17, 34; and medical research 16, 28, 32; ‘processing’ information 54; source—oriented 24; see also accumulation; coordinating function; Electronic Patient Record; health care work; patient-oriented record; problem-oriented medical record; record keeping patient trajectories 89; unpredictability 87; see also standardized care path performance measurement 93; see also continuous quality improvement personal computers 33 Physician Order Entry (POE) 59, 176, 178, 198, 199, 207; definition 7 planning: integrated 150, 151, 154–7, 201; operational 91; planning and control cycle 146, 148; strategic 91; tactical 91 PLO see Denmark Porter, Michael E. 129, 130, 134 privacy 32, 33 problem-oriented medical record 29–30 professional: autonomy see autonomy of professionals; bureaucracy 135, 182, 186; domain of organization 217; identity 135 professional work 30, 47; align to demands of PCIS 56, 60, 74, 76–7, 96, 116; coordination of 93, 94, 96; interruptions in 93, 107; nature of 104; redesign of see care process redesign; redistribution of tasks 92, 94; variability in 87; see also autonomy project: definition 195; failure 202; organization 198, 199–200; Master Plan 155; ranking of 170; staff 198, 202; see also project group; project variables project group 199, 200–201; role of management in 180; role of users in 180 project variables: money 197; scope 197; time 197 qualitative research methods 210–212
226 INDEX quality: chasm in western health care 35; dimensions of 83–4; management 47; see also continuous quality improvement quantitative research methods 210–212 randomized controlled trial (RCT): costs of 209; in PCIS evaluation 208–209, 221 Read codes 29 record see patient record record clerk see record librarian record keeping: physician’s motivation 18; practice of 17–18 record librarian 18–19, 77 redesign of the care process see care process redesign redistribution see task redistribution risk management 203 safety see patient safety scientific management 15–16 second line support 164 Service Level Agreement (SLA) 160, 167, 172 smartcards 33, 35 SNOMED classification 29 SOAP (Subjective, Objective, Assessment, Plan) structure 30 societal constraints see ‘wicked’ problems sounding board groups 202 stakeholders: in evaluation 215, 224, 225 standardization: added pressure of 61–2;87–8; of data 60, 92, 139, 159–60; of decision criteria 60, 92; flexible standardization 95; replete with social and political implications 23–4; as technical problem 13; of terminology 19–20, 29, 30, 72, 77– 8; of workprocesses 60, 76, 92, 135, 140, 153; see also health care work; Hospital Standardization Movement; scientific management standardized care paths 61, 87–8, 90, 92, 95, 152, 153, 184; infrastructure 168; logistical principles of working with 89; planning of 88; skills to work with 96; see also care process redesign; Flight Control model steering committee 199, 201, 203–204 strategic: information management see information management; outsourcing 132; planning see planning strategy 128–130, 145–7, 161; alignment 129, 130, 131, 145, 152; ‘best-of-breed’ strategy 140; document 146; formation 136–7; implementation 129, 135, 136, 137, 161; participatory method in strategy formation 137; procurement 131, 140; single-source strategy 140; see also information strategy subjectivist approach see evaluation of PCIS summative evaluation see evaluation of PCIS synergy 184, 186 system lifecycle 220 system requirements, evolving 184 tacit knowledge 185 tactical: information management see information management; planning see planning task redistribution 152 technical: domain of organization 217;
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Health Information Management In al
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Health Information Management Integ
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Contents List of illustrations vii
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Illustrations FIGURES 3.1 Medicatio
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Contributors Marc Berg is a physici
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Series preface In almost all Wester
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Acknowledgements I would like to th
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Chapter 1 Introduction In all Weste
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INTRODUCTION 3 touch upon the deplo
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INTRODUCTION 5 can draw upon to mai
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INTRODUCTION 7 Physician Order Entr
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Part I Starting points Understandin
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WAITING FOR GODOT 11 KEY TERMS ■
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WAITING FOR GODOT 13 Netherlands an
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WAITING FOR GODOT 15 facts to show
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WAITING FOR GODOT 17 (Lewinski-Corw
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WAITING FOR GODOT 19 In most cases,
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WAITING FOR GODOT 21 (Anonymous 191
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WAITING FOR GODOT 23 Because of the
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WAITING FOR GODOT 25 they simply sa
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WAITING FOR GODOT 27 expected. Stil
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WAITING FOR GODOT 29 organize their
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WAITING FOR GODOT 31 performance in
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WAITING FOR GODOT 33 different HIS
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WAITING FOR GODOT 35 CONCLUSION: TH
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WAITING FOR GODOT 37 assumption tha
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WAITING FOR GODOT 39 Anonymous (191
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WAITING FOR GODOT 41 Berg, M. (1997
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Chapter 3 Health care work and pati
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HEALTH CARE WORK AND INFORMATION SY
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THE CONTEXTUAL NATURE OF INFORMATIO
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Chapter 5 Meeting the challenge Int
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STARTING POINTS 81 ‘gender, race,
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STARTING POINTS 83 Now, imagine an
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STARTING POINTS 85 organization,
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STARTING POINTS 87 Figure 5.2 Incre
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STARTING POINTS 89 already overflow
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STARTING POINTS 91 responsibilities
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STARTING POINTS 93 answer the quest
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STARTING POINTS 95 Kohn, L.T., J.M.
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Chapter 6 Designing interactions En
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DESIGNING INTERACTIONS 99 the way t
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DESIGNING INTERACTIONS 101 1 Identi
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DESIGNING INTERACTIONS 103 the deve
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DESIGNING INTERACTIONS 105 communic
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DESIGNING INTERACTIONS 107 Figure 6
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DESIGNING INTERACTIONS 109 ■ Figu
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DESIGNING INTERACTIONS 111 measurem
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DESIGNING INTERACTIONS 117 Covell D
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Part II Information strategy, imple
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INFORMATION STRATEGY: AN INTRODUCTI
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Chapter 8 Developing the informatio
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STRATEGY, IMPLEMENTATION AND EVALUA
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Guidelines for information system d
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Chapter 9 Implementing information
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IMPLEMENTING INFORMATION SYSTEMS 16
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