World Headquarters Jones & Bartlett Learning 5 Wall Street Burlington, MA 01803 978-443-5000 info@jblearning.com www.jblearning.com Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com. Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via the above contact information or send an email to specialsales@jblearning.com. Copyright © 2015 by Jones & Bartlett Learning, LLC, an Ascend Learning Company All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner. The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement or recommendation by Jones & Bartlett Learning, LLC and such reference shall not be used for advertising or product endorsement purposes. All trademarks displayed are the trademarks of the parties noted herein. Essentials of Health Information Systems and Technology is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks or service marks referenced in this product. There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies throughout this product may be real or fictitious, but are used for instructional purposes only. This publication is designed to provide accurate and authoritative information in regard to the Subject Matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the service of a competent professional person should be sought. Production Credits Executive Publisher: William Brottmiller Publisher: Michael Brown Associate Editor: Chloe Falivene Production Editor: Sarah Bayle Senior Marketing Manager: Sophie Fleck Teague Art Development Editor: Joanna Lundeen Art Development Assistant: Shannon Sheehan Manufacturing and Inventory Control Supervisor: Amy Bacus Composition: diacriTech Cover Design: Kristin E. Parker Rights and Photo Research Coordinator: Ashley Dos Santos Cover Image: © John Swanepoel/Shutterstock, Inc. Printing and Binding: Edwards Brothers Malloy To order this product, use ISBN: 978-1-284-0-3611-4 Library of Congress Cataloging-in-Publication Data Balgrosky, Jean A., author. Essentials of health information systems and technology / Jean A. Balgrosky. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4496-4799-5 I. Title. [DNLM: 1. Health Information Systems. 2. Medical Informatics. W 26.55.I4] R858 610.285—dc23 2014011074 6048 Printed in the United States of America 18 17 16 15 14 10 9 8 7 6 5 4 3 2 1 Dedication This book is dedicated to the information technology professionals working day after day in and on behalf of healthcare organizations across the country without whose work, nothing described in this book would be possible. Table of Contents Preface Prologue Acknowledgments About the Author Contributors Section I Understanding Health Information Systems and Technology Chapter 1 Alignment: Health Information Systems and Current Challenges in Health Care Learning Objectives Introduction Healthcare Cost and Quality Issues Motivation HIS and the U.S. Government’s Role and Goals in Health Care The Quality Crisis Furthers U.S. Government Involvement in HIS Consumer Expectations and Engagement Uses of HIS in Other Countries Protecting the Public’s Health Summary Key Terms Discussion Questions References Chapter 2 HIS Scope, Definition, and Conceptual Model Learning Objectives Introduction HIS Uses in Organizational and Community Settings Summary Key Terms Discussion Questions References Section II Systems and Management Chapter 3 HIS Strategic Planning Learning Objectives Introduction HIS Strategy: