List and Bibliography Healthcare Terms

ABC/123 Version X

Definition and Purpose Explain each term in your own words using complete sentences.

Health Care Example Identify an example of each term and discuss how it is used in a health care setting.

References Provide two APA formatted references to support your claims for each term.

Clinical decision support ?

Clinical decision support or CDS is a way of organizing and utilizing information and patient-specific knowledge, streamlined for utility and employed under the right circumstances, to improve the health care that is provided and to improve the health of the patient.

CDS in a health care setting can include a variety of things, such as technology to provide reminders or alerts for patients or providers, or also data reports, and relevant information

Garg, AX, Adhikhari, NKJ, et al. (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. Journal of the American Medical Association 293: 1223-1238. http://jama.jamanetwork.com/article.aspx?articleid=200503

Hunt, DL, Haynes, RB, et al. (1998) Effects of computer-based clinical decision support systems on physician performance and patient outcomes: A systematic review. Journal of the American Medical Association 280: 1339-1346. http://www.ncbi.nlm.nih.gov/pubmed/9794315

Data management ?

1. Data management is the practice of collection, analysis, interpretation, and utilization of data for specific goals.

2. In health care, data management can be used to analyze how health care is being provided, to adjust its provision to maximize effect, and to evaluate outcomes.

3

HRSA (Health Resources Service Administration). (2016) Managing data for performance improvement. U.S. Department of Health and Human Services. http://www.hrsa.gov/quality/toolbox/methodology/performanceimprovement/

Ryan, GW, Bernard, HR. (2000) Data management and analysis methods. In Densin, N and Lincoln Y (eds) Handbook of Qualitative Research, 769-802. Thousand Oaks, CA: Sage Publications. http://www.rand.org/pubs/external_publications/EP20000033.html

Data mining ?

1. Data mining is the utilization of large quantities of information for analysis to improve large-scale systems and tactics.

2. In health care, data mining can be used to analyze any kind of system that produces data -- not on the individual patient level, but on the level of entire

3

Aljumah, AA, Ahamad, MG, et al. (2013) Application of data mining: Diabetes health care in young and old patients. Journal of King Saud University -- Computer and Information Sciences 25:127-36. http://www.sciencedirect.com/science/article/pii/S1319157812000390

Koh HC, Tan G. (2005) Data mining applications in healthcare. Journal of Healthcare Information Management 19: 64-7. http://www.ncbi.nlm.nih.gov/pubmed/15869215

Databases ?

1. Databases are large amounts of information stored electronically and organized in relevant categories.

2 In health care, databases can be used to evaluate all kinds of different issues, from epidemiology to individual ward performance in a hospital.

3

Kollef, MH, Shorr, A, et al. (2005). Epidemiology and outcomes of healthcare-associated pneumonia: Results from a large U.S. database of culture-positive pneumonia. Chest Journal: Official Publication of the American College of Chest Physicians 128: 3854-3862. doi:10.1378/chest.128.6.3854

Wiederhold, G. (1981) Databases for health care. Berlin: Springer.

Electronic health record (EHR) and EMR ?

1 Electronic health record or EHR is a longitudinal electronic record of patient helath information generated by one or more encounters in any care delivery setting. An electronic medical record is a digital version of the paper chart containing a patient's medical history from one practice.

2 EHR and EMR are both vitally important in terms of providing a complete history of a patient's conditions and care. The EHR contains more information overall.

3

Garets. D. Davis, M. (2006) Electronic medical records vs. electronic health records: Yes, there is a difference. Chicago: HIMSS Analytics. http://scholar.google.com/scholar_url?url=http://cdn.medicexchange.com/images/whitepaper/emrvs.ehr.pdf&hl=en&sa=X&scisig=AAGBfm2cSWp21ZquS3XtuTRo88DxN6RLIw&nossl=1&oi=scholarr

Hsiao, C, Hing, E (2012) Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001-2012. NCHS Data Brief 111. http://www.cdc.gov/nchs/data/databriefs/db111.htm

Hardware ?

1 Hardware is the physical electronic operating systems, ranging from a personal computer to an MRI machine. It differs from software, which are individual applications that can be used on a piece of hardware.

2 Hardware is important in healthcare because providers need to learn how to use it, and because when used properly it can generate a lot of useful data.

3

Boxer, M. (2015) The internet of (health) things. Managed Healthcare Executive. http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/internet-health-things

Underwood, WS. (2015) Choosing the right hardware for your practice. American EHR Blog. http://www.americanehr.com/blog/2011/06/choosing-the-right-hardware-for-your-practice/

HIPAA ?

1 HIPAA or the Health Insurance Portability and Accountability Act is a piece of legislation passed by Congress in 1996.

2 HIPAA is important to health care providers in terms of the strictures it places on disclosure of information.

3

Armstrong D, Kline-Rogers E, Jani S, Goldman E, Fang J, Mukherjee D, Nallamothu B, Eagle K (2005). Potential impact of the HIPAA privacy rule on data collection in a registry of patients with acute coronary syndrome. Arch Intern Med 165 (10): 1125-9. http://archinte.jamanetwork.com/article.aspx?articleid=486568

Wafa, T (2010). How the Lack of Prescriptive Technical Granularity in HIPAA Has Compromised Patient Privacy. Northern Illinois University Law Review 30 (3). http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1547425

HITECH ?

1 HITECH is the Health Information Technology for Economic and Clinical Health Act, a piece of legislation passed by Congress in 2009 to promote and expand adoption of health care technology.

2 HITECH is important to health care providers as the largest single advance toward having an informational system that will optimize patient care.

3

Blumenthal, D. (2010). Launching HITECH. New England Journal of Medicine 362 (5): 382-385. doi:10.1056/NEJMp0912825

Healthcare/nursing informatics ?

1 Informatics is the specific job of connecting information technology and communications to improve patient care in terms of both quality and safety.

2 Informatics is important in health care in terms of creating a new area of focus, and basically opening up a crossover job between nursing and IT expert.

3

Embi, PJ; Payne PR (2009). Clinical research informatics: challenges, opportunities and definition for an emerging domain. J Am Med Inform Assoc 2009 16 (3): 316-27

Sarkar, IN (2010). Biomedical informatics and translational medicine. J Transl Med 2010 8: 22

Integration ?

1 Integration is the process of including all different types of care -- such as mental health, substance abuse, or preventative medicine -- under the one umbrella of caring for a specific patient.