Dewan / Luo / Lorenzi Information Technology Essentials for Behavioral Health Clinicians

1. Auflage 2010
ISBN: 978-1-84996-344-2
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 213 Seiten

Reihe: Health Informatics

The purpose of this book is to be the premier resource for behavioural health clinicians who are considering adopting technology into their practice. Written by experts and policy makers in the field this book will be recognized as the gold standard. Other books currently in this field are extremely technical and are geared primarily to policy makers, researchers and informaticians. While this book will be a useful adjunct to that audience, it is primarily designed for the over .5 million behavioural health clinicians in the U.S. and the millions others around the world. Adoption of technology is slow in behavioural healthcare, and this book will enhance the adoption and utilization of various technologies in practice. I.T. vendors may also purchase this book for their customers.

Autoren/Hrsg.

Dewan, Naakesh

Luo, John

Lorenzi, Nancy M.

Inhaltsverzeichnis

1;Dedication;5
2;Foreword;6
3;Preface;9
4;Series Preface;10
5;Acknowledgments;11
6;Contents;12
7;Contributors;14
8;Part I: Overview;16
8.1;1: The Promise of Health Information Technology in Behavioral Health and Informatics: An Overview;17
8.1.1;Privacy;17
8.1.2;Technologies;18
8.1.3;Clinical Practice;18
8.1.4;Organizing and Managing Care;20
8.1.5;Massive Health IT Expansion and Financial Incentives;22
8.1.6;Impact Issues;23
8.1.7;Bibliography;23
8.2;2: Current Technologies for Behavioral Healthcare Clinical Practice;25
8.2.1;Introduction;25
8.2.2;Hardware;25
8.2.2.1;Desktop Vs. Laptop;26
8.2.2.2;Internet Security;27
8.2.2.3;Hardware/Software Security;28
8.2.2.4;Backup;30
8.2.2.5;Mobile Devices;32
8.2.3;Software;33
8.2.3.1;Website Components;33
8.2.3.2;Communication;34
8.2.3.3;Electronic Medical Records;35
8.2.4;Conclusion;37
8.2.5;References;37
8.3;3: Privacy of Technology and the Behavioral Health Professions;41
8.3.1;Introduction;41
8.3.2;Privacy, Confidentiality, and Security;42
8.3.3;Categories of Health Information Compromise;42
8.3.3.1;Access by an External Party;42
8.3.3.2;Access by an Internal Party Without Legitimate Cause;43
8.3.3.3;Access by an Internal Party with Legitimate Cause;43
8.3.4;Categories of “Sensitive” Health Information;44
8.3.5;Protecting Privacy in the Health Information Technology Environment;45
8.3.5.1;Isolation;45
8.3.5.2;Policy;46
8.3.5.3;Audit Trail;47
8.3.5.4;Role-Based Access;48
8.3.5.5;Granular Access Control;48
8.3.5.6;Security;49
8.3.5.7;Combining Approaches;50
8.3.6;Concerns and Consequences of Inadequate Privacy Protection;50
8.3.6.1;Erosion of Trust;50
8.3.6.2;Identity Theft;51
8.3.6.3;Stigma and Discrimination;51
8.3.7;Concerns and Consequences of Excessive Protection;51
8.3.8;Privacy Limitations of Paper-Based Record Keeping;52
8.3.9;Current and Future Developments;52
8.3.10;Recommendations;54
8.3.11;References;54
9;Part II: Clinical Practice Issues;59
9.1;4: Knowledge Delivery and Decision Support for Behavioral Healthcare Professionals;60
9.1.1;Knowledge Delivery Today;61
9.1.2;Knowledge and Information Dissected;62
9.1.3;The Future of Knowledge Acquisition: The Final Frontier;63
9.1.4;Direct Knowledge Acquisition;64
9.1.5;Indirect Knowledge Acquisition;64
9.1.6;Knowledge Acquisition Today;65
9.1.7;Internet and the World Wide Web: How They Changed Knowledge Exchange Multimedia, Hypertext, Ease of Use, Reach, Standardization;65
9.1.7.1;Standardization;65
9.1.7.2;Hypertext, Multimedia, Nonlinear Learning;66
9.1.7.3;Nonlinear Learning;66
9.1.8;Technology Versus Knowledge;66
9.1.8.1;Empower Yourself before Empowering Others;67
9.1.9;In Order to Obtain Empowerment over Your Data You Must;68
9.1.9.1;Evidence “Knowledge”-Based Clinical Information;68
9.1.10;Behavioral Healthcare Professional Information Needs;69
9.1.11;Patient/Consumer Information Needs;69
9.1.12;What to Expect;70
9.1.13;Measurement-Based Decision Support in Clinical Care;71
9.1.14;Data Mining;74
9.1.15;Knowledge Management;75
9.1.16;Summary;75
9.1.17;References;76
9.2;5: Insights on Telehealth and Virtual Reality;78
9.2.1;Introduction;78
9.2.2;Orientation;78
9.2.2.1;Telehealth;79
9.2.2.2;Synchronicity;79
9.2.3;General Considerations;79
9.2.4;Insight as Allegory;81
9.2.4.1;Approach – http://runningahospital.blogspot.com;82
9.2.4.2;Expectations – Pandora;82
9.2.4.3;Innovation – Norman Borlaug;83
9.2.4.4;Environment – Plato’s Cave;84
9.2.4.5;Digitization – The Tower of Babel;84
9.2.4.6;Virtual Reality – Mount Olympus;85
9.2.4.7;Model Design – The Great Pyramid;86
9.2.5;Conclusions;86
9.2.6;References;87
9.3;6: Managing Clinical Care in a Pervasive Computing Environment;89
9.3.1;Information Flow Dilemma in Contemporary Healthcare;91
9.3.1.1;Behavioral Healthcare Issues;91
9.3.1.2;A Primer on Data Capture;94
9.3.2;Integration of Multiple, Emerging Technologies;95
9.3.3;The Promise of Technology;98
9.3.4;Connected to an Increasingly Ubiquitous Network Structure…;100
9.3.5;Sharing Clinical Information: Leveraging Real Time Communication;101
9.3.6;The Analysis of Clinical Information: The Rise of Reflective Practice;103
9.3.7;Conclusion;104
9.3.8;Bibliography;104
9.4;7: Improving Quality and Accountability Through Information Systems;106
9.4.1;History of Quality in Healthcare;107
9.4.2;Continuous Quality Improvement;108
9.4.3;Healthcare Quality Assurance Evolves into Quality Improvement;109
9.4.4;Quality Improvement in Managed Healthcare;109
9.4.5;Quality Improvement Activities: An Application of CQI;110
9.4.5.1;Outcomes and Systemic Health Management Issues;112
9.4.6;Behavioral Health Informatics for Quality Improvement;115
9.4.6.1;Data Source Challenges;117
9.4.7;Future Directions: Information for Client-Centered Approach to Care Management;122
9.4.8;Conclusions and Recommendations;125
9.4.9;References;126
10;Part III: Patient and Client Centric Technologies Section;128
10.1;8: Social Networking, Health 2.0, and Beyond;129
10.1.1;Introduction;129
10.1.2;Background;130
10.1.2.1;Web 2.0: Fostering Interactivity, Engagement, and Community;130
10.1.2.2;Health Care-Based Internet Tools Go Health 2.0;131
10.1.3;Health 2.0;132
10.1.3.1;Social Networking;132
10.1.3.2;Provider Ratings;135
10.1.3.3;Health Tools;136
10.1.3.4;Peer Support;137
10.1.4;Conclusion;140
10.1.5;References;140
10.2;9: Computerized Psychotherapy;142
10.2.1;Introduction;142
10.2.2;Therapy;142
10.2.3;Drugs;144
10.2.4;Drugs Versus Therapy;144
10.2.5;Medication versus Psychotherapeutic Effectiveness;145
10.2.6;Face-to-Face Therapy versus Computer Therapy;145
10.2.7;Treatment Fundamentals;145
10.2.8;Perspective of Technology Pioneers;146
10.2.9;Medicine: A Profession in Need of Every Available Resource for Teaching;146
10.2.10;Today’s Emerging State of the Art;147
10.2.10.1;Panic/Phobic Disorders;148
10.2.10.2;Obsessive–Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD);148
10.2.10.3;Depression and Anxiety;148
10.2.10.4;Eating Problems;149
10.2.10.5;Addictions;149
10.2.11;Today’s Fears;150
10.2.11.1;What If People Don’t Want to Use It After It’s Been Built?;150
10.2.11.2;Attrition;150
10.2.11.3;What If It Doesn’t Do What It Was Intended to Do?;150
10.2.11.4;Will We Be Able to Charge for It?;151
10.2.11.5;How Will Therapists Be Impacted?;151
10.2.11.6;How Will Certification Emerge?;151
10.2.11.7;Will It Be Adequate Adequately Secure?;152
10.2.12;Implementation Challenges;152
10.2.13;Conclusion;153
10.2.14;References;153
11;Part IV: Organizational Issues;156
11.1;10: Leading Change in Implementing Technology;157
11.1.1;Executive Leadership;157
11.1.2;Chief Executive Officer;159
11.1.3;Chief Information Officer and Chief Quality Officer;161
11.1.4;Business Process Analysis and Improvement;162
11.1.4.1;Bottom-Up Methodology;162
11.1.4.2;Methodology Selection;163
11.1.5;Information Resources Management/Systems Development (Purchase or Build)/IT Architecture;164
11.1.6;Capital IT Investment Control;164
11.1.7;Performance Management;165
11.1.8;IT Training/Education/Communication;165
11.1.9;Strategic and Capital Planning;166
11.1.10;Organizational Aspects of Implementing Informatics Change;166
11.1.11;Change and Informatics – An Example;167
11.1.12;Types of Change;167
11.1.13;Magnitudes of Change;168
11.1.14;Microchanges and Megachanges;168
11.1.15;Classic Change Theories;169
11.1.16;Practical Change Management Strategies;173
11.1.17;Resistance to Organizational Change;175
11.1.18;Resistance Against What?;175
11.1.19;Intensity of Resistance;176
11.1.20;The Cast of Characters;178
11.1.21;Administration;179
11.1.22;Conclusion;180
11.1.23;Case Study;180
11.1.24;Key Performance Indicators;182
11.1.25;The Balanced Scorecard;184
11.1.26;Implementing a Performance Management System to Collect and Report Outcomes;185
11.1.26.1;Roger’s Diffusion of Innovation Curve;185
11.1.27;References;186
11.2;11: Evaluating the Impact of Behavioral Healthcare Informatics;188
11.2.1;What Does Evaluation Really Mean?;189
11.2.2;Common Evaluation Methods;190
11.2.3;Benefits of Evaluation;191
11.2.4;Critical Evaluation Issues;193
11.2.4.1;Mindset of the Evaluator(s);193
11.2.4.2;Stakeholders;194
11.2.4.3;Behavioral Healthcare Practitioner;194
11.2.5;What does Evaluation Entail?;195
11.2.5.1;The Link to Expectations;195
11.2.5.2;Baseline Analysis;195
11.2.5.3;System Expectations and Goals;196
11.2.5.4;Evaluating the Implementation;197
11.2.5.5;Evaluating the Quality of the System;197
11.2.5.6;Time Delays;198
11.2.5.7;What Do We Do with the Information?;198
11.2.6;Conclusion;199
11.2.7;References;199
11.3;12: How Behavioral Healthcare Informatics Systems Interface with Medical Informatics Systems: A Work in Progress;201
11.3.1;Behavioral Healthcare Informatics Systems in Primary Care;203
11.3.2;Behavioral Healthcare Informatics Systems in Mental Health Specialty Care;206
11.3.3;Conclusions;208
11.3.4;References;208
12;Glossary;211
13;Index;214