Impact of Healthcare Informatics on Quality of Patient Care and Health Services: 1st Edition (Paperback) book cover

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

1st Edition

By Divya Srinivasan Sridhar

Productivity Press

162 pages | 18 B/W Illus.

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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 thevarious 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 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





About the Author

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.

Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Quality Control
COMPUTERS / Information Technology