4th Edition
The CPHIMS Review Guide, 4th Edition Preparing for Success in Healthcare Information and Management Systems
Whether you’re taking the CPHIMS exam or simply want the most current and comprehensive overview in healthcare information and management systems today, this completely revised and updated fourth edition has it all. But for those preparing for the CPHIMS exam, this book is also an ideal study partner. The content reflects the outline of exam topics covering healthcare and technology environments; clinical informatics; analysis, design, selection, implementation, support, maintenance, testing, evaluation, privacy and security; and management and leadership. Candidates can challenge themselves with the sample multiple-choice questions given at the end of the book.
The benefits of CPHIMS certification are broad and far-reaching. Certification is a process that is embraced in many industries, including healthcare information and technology. CPHIMS is recognized as the ‘gold standard’ in healthcare IT because it is developed by HIMSS, has a global focus and is valued by clinicians and non-clinicians, management and staff positions and technical and nontechnical individuals.
Certification, specifically CPHIMS certification, provides a means by which employers can evaluate potential new hires, analyze job performance, evaluate employees, market IT services and motivate employees to enhance their skills and knowledge. Certification also provides employers with the evidence that the certificate holders have demonstrated an established level of job-related knowledge, skills and abilities and are competent practitioners of healthcare IT.
Contents
Acknowledgments
Preface
Editor
SECTION I GENERAL
1 The Healthcare Environment
Learning Objectives
Introduction
Healthcare Organizations
Hospitals
Outpatient or Ambulatory Care
Community Health Organizations
Diagnostic and Pharmaceutical Services
Healthcare Payers
Interrelations within and across Healthcare Organizations
Enabling Access to Comprehensive Care Services
Assuring Effective Transfers of Care
Ensuring the General Portability of Care
Reporting Public and Population Health Information
Obtaining Appropriate Reimbursement for Quality Care
Supporting Particular Organizational Models of Care
Roles and Responsibilities of Healthcare Information and Management
Systems Professions
Roles of Government, Regulatory, Professional, and Accreditation
Agencies in Healthcare
Government
Healthcare Regulators
Professional Associations
Accreditation Organizations
Summary
References
2 The Technology Environment …
Learning Objectives …
Introduction …
Hardware in Healthcare IT …
Technology Infrastructure
Servers
Data Storage
Mobile Devices
Medical Devices
Networks in Healthcare IT
Network Infrastructure
Communications
Software in Healthcare IT
Clinical Applications
Administrative Applications
Financial Applications
Consumer Applications
Key Trends and Issues in Healthcare Technologies
Health Information Exchanges
Interoperability and Standards
Data Integration
Data Warehouses
Clinical and Business Intelligence (CBI)
Telehealth and Telemedicine
Privacy and Security
Conclusion
References
SECTION II SYSTEMS
3 Systems Analysis
Learning Objectives
Introduction
Healthcare Problems and Opportunities for IT Implementation
Clinical Functions
Applications for Clinical Functions
Administrative and Financial Services
Applications for Administration and Finance
Infrastructure
Security-Related Applications
Needs Analysis in Healthcare Facilities
Operational Needs
Staff Productivity and Satisfaction
Increased Revenue and Cost Optimization
Patient Safety
Quality of Care
Patient Access to Services
Needs Summary
Needs Prioritization
Work Plan Development Executive Summary
Introduction and Background
Goals and Objectives
Resources
Work Plan Accountability
Current Clinical Processes
Current Healthcare IT Integration Status
Deficiencies in Current IT Healthcare Practices
Patient Support and Satisfaction
Reduction in Revenue Generation
Prescription Errors
Industry Standardization
Alternative Approaches to Current Healthcare Processes
Industry Standardization
Alternative Ways to Reduce Prescription Errors
Alternative Processes for Revenue Generation
Comparative Analysis of Alternatives
Proposal Evaluation
Cost–Benefit Analysis
Proposal Sensitivity Analysis
References
4 Systems Design
Learning Objectives
Introduction
Business Process Management
Compatibility of System Components
Standards Compliance
Process to Address Industry Trends
Structure of the System Design Team
Detailed Technical Specifications
Usability
Business Process Reengineering
Information Infrastructure
Data Management
Creating a Request for Information (RFI)
Making a Buy versus Build Decision
Process for a Build Decision
Buy Decision: Best-of-Breed versus Single-Vendor Solution
Creating a Request for Proposal (RFP)
Summary
References
5 Systems Selection, Implementation, Support, and Maintenance
Learning Objectives
Introduction
Solution Selection Criteria
Selecting Review Team Members
Solution Selection Activities
Implementation Process
Organizational Change Management
Implementation Strategies
Implementing Solutions
System Integration to Support Business Requirements
User and Operational Manuals and Training
Activation Planning and Immediate Postactivaton Activities
Managing Healthcare Information Systems
Analyzing Data for Problems and Trends
Ensuring Critical Functions Are Repaired, Maintained, or Enhanced
Business Continuity and Disaster Recovery Plans
Bibliography
6 Systems Testing and Evaluation
Learning Objectives
Introduction
Purpose of Systems Testing
Test Methodology
Test Strategy
Test Tools
Test Execution
Test Controls
Test Reporting
Final Evaluation
References
7 Systems Privacy and Security
Learning Objectives
Introduction
Defining Requirements, Policies, and Procedures
Risk Assessment
Vulnerability Remediation
User Access Controls Confidentiality, Integrity, and Availability
Organizational Roles
Data Management Controls
Disaster Recovery and Business Continuity Plans
Auditing
Ongoing System Evaluation
References
SECTION III ADMINISTRATION
8 Administration Leadership
Learning Objectives
Introduction 8Participation in Organizational Strategic Planning
Mission
Vision
Values
Goals
Organizational Environment
Forecasting Technical and Information Needs of an Organization
Developing the IT Strategic Plan
Implementing the IT Strategic Plan
Evaluating Performance
Evaluating Effectiveness and User Satisfaction
Promoting Stakeholder Understanding of IT Opportunities and
Constraints
Developing Policies and Procedures for Information and Systems
Management
Complying with Legal and Regulatory Standards
Adhering to Ethical Business Principles
Employing Comparative Analysis Strategies
Budgets
Other Financial and Nonfinancial Indicators
Benchmarks
Quality Indicators
Preparing and Delivering Business Communications
Facilitating Group Discussions and Meetings
Providing In-House Consulting Services
Developing Educational Strategies for IT Staff
Staying Current on IT Technologies and Trends
Managing Risk
Quality Standards and Practices …………………………………………………….
References …………………………………………………………………………...
9 Administration Management ..
Learning Objectives
Introduction ………………………………………………………………………….
Roles and Responsibilities for IT-Related Functions ………………………………
Senior Management Roles and Responsibilities ……………………………….
General IT Roles and Responsibilities …………………………………………
Healthcare IT Roles and Responsibilities ………………………………………
Careers in Healthcare IT………………………………………………………….
Achieving Staff Competency in Information and Management System
Skills ……………………………….……………………………….…………………
Employee Development ……………………………….…………………………
Organizational Training and In-Service Programs ………………………………
Job-Related IT Certifications …………………………………………………….
Miscellaneous Professional Development ……………………………………….
Performance Evaluation ……………………………….…………………………
Managing Projects and Project Portfolios ……………………………….…………….
Managing Vendor Relationships ……………………………….……………………...
Facilitating Steering Committee Meetings ……………………………….……………
Adhering to Industry Best Practices ……………………………….…………………..
Developing System, Operational, and Department Documentation …………………..
System Documentation ……………………………….…………………………..
Operational Documentation ……………………………….……………………...
Department Documentation ……………………………….………………………
Providing Customer Service ……………………………….…………………………..
Service-Level Management ……………………………….………………………
Request Tracking ……………………………….…………………………………
Problem Resolution ……………………………….……………………………….
Managing Budget and Financial Risks ……………………………….………………...
Financial Risk Management ……………………………….……………………………
Budget Risk Management ……………………………….………………………………
Managing Customer Relationships with Business Leaders ……………………………..
Summary ……………………………….……………………………….……………….
References………………….……………………………….………………………….
10 Questions …
Chapter 1: The Healthcare Environment …………………………………………
Chapter 2: The Technology Environment ……………………………………….
Chapter 3: Systems Analysis ……………………………….……………………
Chapter 4: Systems Design ……………………………….………………………
Chapter 5: Systems Selection, Implementation, Support, and Maintenance ...........
Chapter 6: Systems Testing and Evaluation ………………………………………
Chapter 7: Systems Privacy and Security …………………………………………
Chapter 8: Administration Leadership ……………………………….……………
Chapter 9: Administration Management ………………………………………….
11 Answer Key …
Chapter 1: The Healthcare Environment …
Chapter 2: The Technology Environment …
Chapter 3: Systems Analysis …
Chapter 4: Systems Design ….
Chapter 5: Systems Selection, Implementation, Support, and Maintenance ..........
Chapter 6: Systems Testing and Evaluation …
Chapter 7: Systems Privacy and Security …
Chapter 8: Administration Leadership …
Chapter 9: Administration Management …
12 Acronyms ….
Appendix ….
Index ….
Biography
HIMSS is a global voice, advisor and thought leader of health transformation through Health IT with a unique breadth and depth of expertise and capabilities to improve the quality, safety, and efficiency of health, healthcare and care outcomes. As the leading source of Health IT, HIMSS designs and leverages key data assets, predictive models and tools to advise global leaders, stakeholders and influencers of best practices in Health IT so they have the right information at the point of decision.
Through its HIT network of over 1 million experts, over 200 knowledge exchanges and collaborations, including 60,000 plus members, HIMSS drives innovative; forward thinking around best uses of technology in support of better connected care, improved population health and low cost of care.
HIMSS is a not for profit, headquartered in Chicago, Illinois with additional offices in North America, Latin America, Europe, United Kingdom and Asia.
