1st Edition

Impact of Healthcare Informatics on Quality of Patient Care and Health Services

By Divya Srinivasan Sridhar Copyright 2013
    162 Pages 18 B/W Illustrations
    by Productivity Press

    162 Pages
    by Productivity Press

    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.

    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 Analysis
         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
    Background Factors
    Policy Analysis
    Cost, Benefits, and Constraints

    Impact of Organizational Behavior Characteristics on Usage of a Healthcare Provider’s Health Information Technology (HIT) Services
    Past Literature
         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
    Interaction Term
    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
    Data Source
    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
    Literature Review
    Financial Issues for the Nation Regarding Bioterrorism
    Policy Implications/Analysis

    Health Informatics and the New Direction of Healthcare: Mobile Health, PHRs, Mobile Health Apps, and More



    Divya Srinivasan Sridhar