Adaptive Health Management: Key Concepts & Study Resources

Course Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases, and Practical Applications (4th ed.): C427 Terminology and Key Concepts C427 Quizlet C427 Videos Topic 1 Practice Quiz Topic 2 Practice Quiz Topic 3 Practice Quiz Topic 4 Practice Quiz C427: Technology Applications in Healthcare Study Guide

Topic 1 – Roles & Functions: Topic 1 Cohort Video Chapter 1: Emerging Perspectives in health information systems/technologies Chapter 2 : Precision Medicine: Decoding the Biology of Health & Disease Chapter 3 : Adoption and Commercialization of Digital Health Topic 2 – Tools and Applications: Topic 2 Cohort Video, part 1 Topic 2 Cohort Video, part 2 Chapter 4: Data in Digital Health Systems Chapter 5 : Digital Health Enterprise Software: SCM, CRM, & ERP Chapter 6: Key Patient-Centric Technologies: EHR, CPOE, CDS & PP Chapter 7: Pharmacy Information Topic 3 – Health Informatics: Topic 3 Cohort Video Chapter 8: Digital Health Strategic Planning & Strategies for Health Systems Chapter 9: Decision Aiding and Predictive Systems Chapter 10: The Role of Informatics in Public Health Services Chapter 11: Health IS/IT Project Implementation, Innovation Procurement & Services Management Topic 4 – Security of Health Information: Topic 4 Cohort Video, part 1 Topic 4 Cohort Video, part 2 Topic 4 Cohort Video, part 3 Chapter 12: Clinical Confidentiality, Privacy & Ethical Issues in the Digital Age Policy Review III: Health IS/IT Standards Adoption in Health Systems Chapter 14: Healthcare Globalization through Health Information Technology-Enabled Initiatives Chapter 15: Exploring Healthcare Futures: Emerging Technology in Healthcare

Chapter 1: Emerging Perspectives in health information systems/technologies (Health IS/IT) Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 1 Topic 1 Cohort Video Over the past few decades, how we use technology and information in healthcare has changed significantly. This change has affected how healthcare is provided in North America and worldwide. People who work in healthcare, like doctors, researchers, and those who manage health information, are feeling the pressure to keep up with these changes. Guided Study Questions: 1. What is a digital health ecosystem? 2. What is CMS Meaningful Use? 3. What is the primary goal behind promoting a vision of a healthy, interoperable, and learning health IS/IT ecosystem? 4. Why is it challenging to integrate IT and medicine? Discuss the need for an integrative perspective for managing health IS/IT. 5. What are the five major components of a health IS/IT system? 6. Which component deserves the most attention in today’s health IS/IT environment, and why? 7. What are emergent perspectives of health IS/IT? 8. If you were the Chief Information Officer, which of the four types of health IS/IT cultures would you pursue, and why?

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Chapter 2: Precision Medicine: Decoding the Biology of Health and Disease Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 2 Topic 1 Cohort Video Precision Medicine (PM) is an approach to health care largely dependent on digitizing health data and bioinformatics, a field of study intersecting key areas of computer science and biology. Precision Medicine attempts to improve health outcomes by refining diagnosis, treatment, and disease prevention through understanding many factors that can contribute to the intrinsic biology of disease. Guided Study Questions: 1. What are the underlying principles of PM? 2. Discuss the appeal and challenges of adopting PM principles for patients and care providers. 3. What drives PM’s success or failure? 4. How is PM changing the practice of traditional medicine? 5. What significance does PM have on personalizing cancer treatments for cancer patients?

Chapter 3: Adoption and Commercialization of Digital Health Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 3 Topic 1 Cohort Video Digital health solutions hold the promise to redefine healthcare by dramatically enhancing the care experience, improving clinical outcomes, and reducing costs. Guided Study Questions: 1. Why are health systems likely to resist digital innovations? 2. What are ways to reduce the communication barriers between health systems and digital health innovators? 3. What are some good business practices and proven strategies for selling innovations to health systems? 4. What innovations will thrive in today’s digital health ecosystem?

Chapter 4: Data in Digital Health Ecosystems Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 4 Topic 2 Cohort Video This chapter provides an overview of healthcare data, the sources of such data, and the use as a primary and secondary data source, as well as issues and trends related to it. Guided Study Questions: 1. What are some possible sources of low-quality data? 2. Why is it important to keep erroneous data minimized? 3. Data stored in EHR systems are almost always reduced to the simplest form. What is this type of data called, and why is this done? 4. What is Data Stewardship? 5. Why does DGI's data governance framework exist, and what role does it play in the EHR? 6. What is the primary difference between data and information? What purpose does each serve in an EHR system? 7. Consider the implications of EHR systems in healthcare. Is it feasible for healthcare providers to use their data to discover health risks in a city or community? 8. What sort of contribution can secondary data provide beyond that of registries to improve healthcare delivery in general? 9. In considering the issues surrounding data errors and quality issues, what would be considered the common underlying component driving its cause? 10. What do you see as the trend of big data analytics? 11. Why do you think proper data analysis can aid in preventing healthcare fraud?

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Chapter 5: Digital Health Enterprise Software: SCM, CRM & ERP Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 5 Topic 2 Cohort Video The focus of this chapter is on HMIS administrative applications at the enterprise level. At this level, the performance of the overall health system depends on the building of an interoperable, integrated HMIS infrastructure, instilling effective communications among its connecting members, and the implementation of effectively integrated enterprise software to up-scale existing legacy administrative systems that go beyond just supporting the routine workflows and activities within the learning system. Guided Study Questions: 1. What are some of the major HMIS enterprise software systems? 2. What is SCM? 3. What is CRM? 4. What is ERP? 5. Why would it be (or not be) beneficial to combine SCM and CRM into a single system for healthcare services organizations? 6. What about combining SCM with ERP, or other combinations of HMIS enterprise software systems for healthcare services organizations? 7. How should one standardize service nomenclature, such as the process service names and outcomes, to achieve ease with implementing enterprise-wide software? 8. Why must people be sold on the software and be ready to change before moving ahead with a large-scale implementation, such as ERP? 9. What do you see as the trend of healthcare services organizations with the applications of HMIS enterprise software?

Chapter 6: Key Patient-Centric Technology: EHR, CPOE, CDS, and PP Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 6 Topic 2 Cohort Video This chapter focuses on the evolution of the four major patient-centric management systems that have evolved in the healthcare services industry. Guided Study Questions: 1. What is an Electronic Health Record (EHR)? 2. What is a Computerized Physician Order Entry (CPOE)? 3. What is a Clinical Decision Support System (CDS/CDSS)? 4. What are Patient Portals (PPs)? 5. What are RIS? 6. What are LIS? 7. What is the reason for classifying EHR, CPOE, and CDSS as patient- centric management systems? 8. Why might it be important to link EHR to CPOE and/or CDSS? What about linking EHR to LIS, PIS, RIS, and other clinical based IS? 9. Why is user resistance — particularly from physicians and nurses — often considered the greatest obstacle to successfully implementing patient-centric management systems? 10. Why are patient portals important, and how do they benefit patients?

Chapter 7: Pharmacy Informatics: Technologies for the Medication Use Process and Professional Education Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 7 Topic 2 Cohort Video Pharmacy is the field of health sciences that focuses on patients, medications, diseases, and safe and effective medication use processes. Pharmacy informatics centers on the effective management and delivery of medication-related data, information, and knowledge to improve health outcomes. Guided Study Questions: 1. What is the definition of the term "pharmacy informatics?" 2. What is Bar Coded Medication Administration (BCMA)? 3. What elements of informatics are included in the medication use process? 4. What is a Pharmacy Information System (PIS)? 5. How do you think a pharmacy information system (PIS) impacts the efficiency of pharmacy workflow? 6. How do you think a PIS impacts the patient care experience? 7. How do you think a PIS impacts the cost of healthcare?

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Chapter 8: Digital Health Strategic Planning and Strategies for Health Systems Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 8 Topic 3 Cohort Video Healthcare organizations are likely to use strategic planning and strategies as tools to convey their vision and expectation on intermediate and longer- term performance, as well as future directions, to their direct reports. In health systems organizations, strategic planning teams often comprise top executives and other key advisory members who share unique perspectives and insights. Guided Study Questions: 1. Differentiate between “strategic planning” and “strategy.” Why is understanding the different terminologies important for planners? 2. Planners in a health systems organization strategically plan and produce the health IT vision and define its strategic objectives. What are some of the inputs that the planning team would consider when developing the health IT strategic plans? 3. How do you think members of the planning teamwork to get the health IT strategy aligned with the organization’s strategy? 4. What makes strategic planning of health IT appear unique and more complex than most other business systems? Who are key stakeholders in health systems organizations? 5. How do advances in health IT impact the strategic planning process?

Chapter 9: Decision Aiding and Predictive Systems: A Framework for Data Mining & Machine Learning (ML) for Health Systems Management Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 9 Topic 3 Cohort Video The increased availability of data is transforming the healthcare industry, specifically EHR data that are cumulated through patient visits to the hospital and other care facilities in their life span. This chapter aims to provide the framework for applying data mining and machine learning in various healthcare applications. Guided Study Questions: 1. How is predictive analysis different from descriptive analysis? 2. Why and how do you think machine learning (ML) techniques can be used intelligently to deal with airborne diseases? 3. Provide examples of applications where ICU recordings of patients may be utilized to provide safer, higher quality, and cost-effective care to patients. 4. Early diagnosis of diseases is important — state how ML can be utilized for this purpose.

Chapter 10: The Role of Informatics in Public Health Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 10 Topic 3 Cohort Video Public Health Informatics is a field involving a variety of skills and competencies related to the strategic management of IT knowledge, information, and data to support public health programs. In the relatively new environment of public health informatics, the combined use of EHR analytics on the prevalence of chronic diseases and effective data communication with public health agencies can contribute to our understanding of chronic disease trends to improve targeted population health outcomes. Guided Study Questions: 1. Describe the difference between data, information, and knowledge and provide examples of each. 2. What is the distinct role of informatics in public health? How is it distinguishable from clinical informatics? 3. How would you describe the difference between public and population health? 4. What are some of the common data frameworks for electronic health data and what are their purposes?

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Chapter 11: Health IS/IT Project Implementation, Innovation Procurement, and Services Management Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 11 Topic 3 Cohort Video Health information systems/information technology (IS/IT) project implementation in health systems organizations entails a process whose success is dependent on the fulfillment of several key activities. This may include project planning, a thorough preliminary conception and initiation, broad and detailed project definition and planning, project launch or execution, project performance and control, and project closure. Guided Study Questions: 1. What are some of the critical success factors in health IT implementation? 2. With respect to health IT staffing, what are some of the major concerns for health IT planners? 3. Describe some useful tools in health IT implementation project management. 4. Why is end-user involvement important in health IT implementation? How can end-users be more involved in the process? 5. What are some of the models being used to implement innovation procurement? 6. What are the key benefits of innovation procurement? 7. What are the key concepts underlying IT services management? Why are these various concepts important, and how do these relate to the health IT post-implementation stage?

Chapter 12: Clinician Confidentiality, Privacy, and Ethical Issues in the Digital Age Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 12 Topic 4 Cohort Video In today’s healthcare settings, clinicians face a changing landscape of health information technology (IT) and legal requirements. This chapter provides an educational viewpoint for clinicians on the topics of confidentiality, privacy, and other relevant legal and ethical issues that surround the use of health IT. The purpose of this chapter is to highlight clinician competency requirements, potential issues that may arise, and ways to address these issues. Guided Study Questions: 1. What is PHI? 2. What is HIE? 3. What are HIPAA and HITECH? 4. Since most, if not all, EHR vendors supply security software, why should providers be concerned with security issues? 5. While some entities are covered under HIPAA Privacy and Security, others are not. What risk does a non-covered entity pose to a healthcare provider? 6. What should providers consider in the use and storage of mental health records? 7. Does the requirement for accurate medical documentation change with new technology? If so, how? 8. What is the role of the ONC? 9. What is the role of the OCR? 10. Other than privacy and security, what are other legal and ethical risks that are involved with the use of health IT?

Policy Review III: Health IT Standards Adoption in Health Systems Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Topic 4 Cohort Video Today, major standards have been applied across many hospital-based information systems, such as EHRs, CDS, CPOE, RIS, LIS, & PIS. Without these standards in health IT, the medical field would have been at a standstill in terms of rapid IT adoption and diffusion. Please define the following terms: 1. What is HL7? 2. DICOM & PACS 3. CPT Codes 4. SNOMED CT 5. LOINC 6. ICD Codes

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Chapter 14: Health Care Globalization Through Health Information Technology Enables Initiatives Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 14 Topic 4 Cohort Video This chapter discusses the difference between tele-care, telemedicine, tele- health, and e-health, the types of telemedicine, the economic perspectives of ICT and e-health, factors influencing the adoption of e-health, barriers to e-health adoption, stakeholder analys is, the WHO’s strategic framework for e-health development, and the flow of resources from developed and developing countries. Guided Study Questions: 1. Define tele-care, telemedicine, tele-health, and e-health. Discuss the similarities and differences among these terms. 2. Name four major types of telemedicine and provide some applications of each. 3. Discuss the production possibility frontier (PPF) and positive externality economic perspectives and their implications on e-health. 4. Identify factors and barriers influencing the adoption of e-health among healthcare organizations and providers. 5. Discuss the importance of the process of stakeholder analysis and identify the major stakeholders in globalized e-health. 6. Discuss the relevance of each tier in the World Health Organization (WHO) framework for strategic e-health development presented in this chapter.

Chapter 15: Exploring Healthcare Futures: Emerging Technology in Health Care Learning Resources: Adaptive Health Management Information Systems: Concepts, Cases and Practical Applications (4 th ed.) Ch 15 Topic 4 Cohort Video Global healthcare systems are being confronted with exceptional challenges. One of the most pressing issues is longevity; people are living longer, and the elderly population continues to increase. This chapter examines developing trends in healthcare as well as key emerging trends in the next 5-10 years. Guided Study Questions: 1. What are examples of "emerging technology in health care" today? 2. How do you see big healthcare data analytics developments impacting the future of health care? 3. Why is 3D printing unique for future patient survival? 4. Provide some case examples of AI, robots, and sensors in healthcare. 5. How do you think the future of healthcare would be sustainable economically with the rapid adoption of disruptive technologies when the process of innovation is never easy not cheap?

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