Recent healthcare reform and its provisions have pushed health information technology (HIT) into the forefront. Higher life expectancies, fewer medical errors, lower costs, and improved transparency are all possible through HIT.
Taking an integrated approach, Impact of Healthcare Informatics on Quality of Patient Care and Health Services examines the various types of organizations, including nonprofit hospitals, for-profit hospitals, community health centers, and government hospitals. By doing so, it provides you with a comparative perspective of how different organizations adapt and use the technology.
The first part of the book covers the basics of HIT. It explains the significant changes that the Health Information Technology for Economic and Clinical Health Act (HITECH) and the Health Insurance Portability and Accountability Act (HIPAA) will bring about for stakeholders. This section includes coverage of key organizational cultural factors, management changes that will result from HIT, hospital financing changes that may take effect, a cost-benefit analysis of electronic medical records (EMRs), and the numerous organizational behavior changes stimulated by HIT.
The second part of the book focuses on the broader community: the patient, the physician, government, and how HIT will impact each. These chapters cover quality of care and cost impacts on the patient from HIT, changes for patients of varying socioeconomic statuses, physician perceptions of HIT, medical malpractice lawsuits involving the use of HIT, bioterrorism, and use of EMRs. The book also includes a discussion about mobile health, and how a rapidly growing mobile health generation is changing the face of healthcare as we know it.
Table of Contents
HIPAA: Intent versus Actuality of the Law in Upholding the Privacy of Health Records
How Did HIPAA Make the Policy Window?
The Public Choice Theory
Stakeholder #1: Congress and Its Impact on HIPAA’s Formation
Stakeholder #2: Hospital and Provider Organization Staff (Physicians, Nurses, and Assistants)
Stakeholder #3: The Patient and Consumer of the Healthcare Markets
Stakeholder #4: Insurance Companies/Third Party Providers
Stakeholder #5: The Researcher
Policy Analysis: The Past, Present, and Future of HIPAA
Organizational Culture Differences in Incorporation of Health Information Technology (HIT) across Healthcare Providers
Organizational Culture Driven by a Hospital’s Mission and Values
Managerial and Employee Ethic and Compensation: Impact on Organizational Culture
Training and the Impact of Training on Quality of Care across Hospitals
Cultural Competence of a Hospital
Goal-Oriented Behavior of a Hospital with Technology
Policy Implications and Conclusions
An Overview of How Health Information Technology Will Make a Mark on Hospital Financing
Supply Side of Healthcare
Demand Side of Healthcare
Structure of Hospitals and Their Financing Mechanisms
Mergers and Acquisitions of Hospitals
Tax Exempt or Tax Paying Status of the Hospitals
Management of Hospitals: Is There an Impact on Healthcare Financing?
Possibilities in Technological Changes in the Healthcare Setting
Conclusions and Policy Implications
Funding Electronic Medical Records: Reality or Illusion? A Cost-Benefit Analysis
Cost, Benefits, and Constraints
Impact of Organizational Behavior Characteristics on Usage of a Healthcare Provider’s Health Information Technology (HIT) Services
Descriptive and Inferential Statistics
Logistic Regression Methods
Model 1: Outcomes: Differences in HIT Usage across Organizational Providers and Characteristics
Model 2: Installing a New or Replacing an Old EMR within an Organization
Model 3: Likelihood of E-Billing and Electronic Claims
Model 4: Electronic Prescriptions
Robust and Reliable Outcomes Check
Policy Analysis and Implications
Limitations of the Study
Quality of Care and the Patient
Past Literature on Quality of Care
Descriptive and Inferential Statistics
I: Quality of Care
II: Quality of Service Based on Medical Errors, Time Issues, and Arising Communication Problems
III: Computing Discrete Change Based on Technology Use
Physicians and Perceptions on HIT Medical Malpractice Lawsuits: Can Physicians Reduce Their Chances by Using Health Information Technology?
Studies on Malpractice Concerns
Focus of the Chapter
Outcomes of Medical Malpractice Perceptions
Hypothesis for This Theoretical Model
Overall Outcomes for the Models
Policy Implications and Conclusion
Community Impacts from the Detection of Bioterrorism Using EMRs
Financial Issues for the Nation Regarding Bioterrorism
Health Informatics and the New Direction of Healthcare: Mobile Health, PHRs, Mobile Health Apps, and More
Divya Srinivasan is an author in the field of public policy. She has developed her knowledge and experience at a number of public policy organizations, including Institute for Women's Policy Research (IWPR), National Housing Trust (NHT), Healthcare Information Management Systems Society (HIMSS), Verité Healthcare Consulting (VHC), and more. She has delved into a variety of Public Policy issues during her internships and graduate programs. She has published and written papers on electronic government, social policy, and healthcare, including health reform, healthcare IT, and health informatics. She completed her Bachelor's degree at Texas A&M University in Finance, her Master’s degree in Public Policy from UT Dallas, specializing in Social Policy/Health Policy research and is now continuing on with her PhD in Public Policy at George Mason University in Arlington, Virginia.