$4-Assignment

Readings

· Course Text: Handbook of Informatics for Nurses & Healthcare Professionals

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. Chapter 1, "Informatics in the Healthcare Professions" (pp. 17-19, "Patient Identification" through "Decision-Support Software") This section looks at major needs for and applications of information technology in clinical settings.

. Chapter 5, "Healthcare Information Systems" (pp. 118-127, "Monitoring Systems" through "Other Clinical Systems" and p. 130, "Decision Support and Expert Systems") These sections examine the interconnected nature of critical health information systems by looking at order entry and decision support systems.

. Chapter 25, "Telehealth"

This chapter takes an in-depth look at the concept of telehealth. It details the advantages of telehealth as well as some of the equipment and technology required to sustain it. It also discusses current and proposed telehealth applications and offers insight into legal and practice issues affecting distance medicine.

· Course Text: Health Care Information Systems: A Practical Approach for Health Care Management 

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. Chapter 5 "Information Systems" (pp. 145–161, "Other Major HCIS Types" and pp. 162–168, "Fitting Applications Together" through "Summary"") These sections describe core information systems for clinical use, such CPOE, telemedicine, and telehealth, as well as an overview of how various systems fit together and what the key barriers to adoption are—financial, behavioral, and technical.

· Web Article: Eslami, S., de Keizer, N. F., & Abu-Hanna, A. (2007). The impact of computerized physician medication order entry in hospitalized patients—A systematic review. International Journal of Medical Informatics, 77(6),365–3 76. Retrieved fromhttp://www.sciencedirect.com.ezp.waldenulibrary.org/science?_ob=MImg&_imagekey=B6T7S-4R70RH5-1-6&_cdi=5066&_user=7754736&_pii=S1386505607001694&_orig=search&_coverDate=06%2F30%2F2008&_sk=999229993&view=c&wchp=dGLzVzz-zSkWb&md5=25200ce369584eabca591e396cdc169e&ie=/sdarticle.pdf This web article reviews an extensive number of studies on CPOE in the inpatient setting, and explains many benefits, as well as possible dangers, CPOE use presents to patients.

· Article: Payne, T. H. (2000). Computer decision support systems. Chest, 118(2), 47S–52S. Retrieved fromhttp://proquest.umi.com.ezp.waldenulibrary.org/pqdweb?index=3&did=59168265&SrchMode=3&sid=1&Fmt=4&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1256046081&clientId=70192&aid=1 This article examines computer decision support systems and how the data supports that these systems help clinicians do a better job caring for patients.

Websites

· Website: American Telemedicine Association http://www.americantelemed.org/ The American Telemedicine Association is the leading resource and advocate promoting access to medical care for consumers and health professionals via telecommunications technology.

· Website: Overview E-Prescribing https://www.cms.gov/Medicare/E-Health/Eprescribing/index.html?redirect=/EPrescribing/ This website provides an overview of, and links to further information on, CMS's incentives for e-prescribing.

· Website: Surescripts http://www.surescripts.com/ This website provides information for physicians, pharmacists, hospitals, and other entities on Surescripts, the largest e-prescription network in the U.S.

Optional Resources

General

· Website: ICSI—I nstitute for Clinical Systems Improvement http://www.icsi.org/

CPOE

· Web Presentation: CPOE: Computerized Physician/Provider Order Entry This presentation provides a detailed overview of medical orders and CPOE. Note: In order to view this presentation, you must have Adobe Flash Player installed on your computer. This can be downloaded for free athttp://www.adobe.com/products/flashplayer.html. When you click on the presentation link in this course, it will open and play in a new browser. If you would like to download a copy of the presentation in PowerPoint format, click on the paper clip icon at the bottom of the presentation window, and then click on the filename in the attachment.

· Article: Sengstack, P. P., & Gugerty, B. (2004). CPOE systems: Success factors and implementation issues. Journal of Healthcare Information Management: JHIM. 18(1), 36–45. Retrieved from http://himss.files.cms-plus.com/HIMSSorg/Content/files/jhim/18-1/focus_success.pdf

E-prescribing

· White Paper: Centers for Medicare and Medicaid Services. (2009). E-prescribing [White Paper]. Retrieved from U.S. Department of Health & Human Services: http://www.cms.gov/Medicare/E-Health/Eprescribing/index.html?redirect=/eprescribing/

PACS

· Book Excerpt: Oosterwijk, H. (2004). Introduction. In PACS fundamentals (pp. 11–20). Aubrey, TX: OTech. Retrieved fromhttp://www.otechimg.com/pdf/pacsfundamentals_ch1.pdf

Telehealth

· Article: Darkins, A. (2006). Changing the location of care: Management of patients with chronic conditions in Veterans Health Administration using care coordination/home telehealth. Journal of Rehabilitation Research & Development, 43(4), pvii-xi. Retrieved from http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=22874552&site=ehost-live&scope=site