Finn / Bria Digital Communication in Medical Practice

1. Auflage 2009
ISBN: 978-1-84882-355-6
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 171 Seiten

Reihe: Health Informatics

Introducing Digital Communications into Your Medical Practice discusses how electronic medical records and personal health records now digitize patient information and make it accessible for review and easy to update by both doctors and patients. The text emphasizes on how the use of email and the internet will help patients to schedule appointments, access test results and research healthcare options. In addition, topics discussed include stories on how simple everyday telemedicine tools, such as telephones with cameras attached, enable doctors and nurses to carry on conversations with patients who are homebound and need daily monitoring. The text addresses the legislative initiatives that will protect physician and patients from the unauthorized access to medical records as well as discussing how e-prescribing doctor/pharmacist teams and automated databases help patients manage their medications more effectively. Case studies are also provided to illustrate real life situations showing how this technology is deployed and why it is so critical to healthcare.

Nancy B. Finn is President of Communication Resources, a consulting organization that helps small business and start-up companies communicate more effectively with customers, prospects and business, a published author and an adjunct faculty member at Bentley College in Massachusetts.William F. Bria, MD is Chief Medical Information Officer at Shiners Hospital for Children and President of the Association of Medical Directors of Information Systems.

Autoren/Hrsg.

Finn, Nancy B.

Bria, William F.

Inhaltsverzeichnis

1;Foreword;6
1.1;Enabling the Complexity of Communication in Health Care;6
2;Series Preface;8
3;Acknowledgments;10
4;Contents;13
5;A Visit to the Doctor: Three Scenarios;17
5.1;Scenario #1;17
5.2;Scenario #2;18
5.3;Scenario #3;18
6;eHealth and Patient Safety;23
6.1;Medical Error: Woe is Me; Woe is You;24
6.2;Keeping Patients Safe;25
6.3;The eHealth Triangle / The eHealth Professional;27
6.4;The eHospital;29
6.5;Case Study: The VA has HIT Covered;29
6.6;Case Study: The Dana Farber Cancer Institute;30
6.7;Reducing Errors in the Emergency Department;31
6.8;Case Study: The Dashboard at BIDMC;31
6.9;ePatients;32
6.10;eHealth Around the World;33
6.11;Europe;33
6.12;Asia;34
6.13;Key Points;35
6.14;References and Notes;36
7;New Health Care Models;37
7.1;Continuous Available Information on Every Patient;38
7.2;EHR in the Hospital Setting;40
7.3;Driving the Adoption of the EHR in Small Group and Solo Practices;40
7.4;Case Study: Group Health Cooperative;41
7.5;Installation, Implementation, and Impediments;42
7.6;EHR Early Adopters Around the World;44
7.7;Health Information Exchange and Compatibility;45
7.8;Regional Health Information Organizations Information Exchange;46
7.9;Case Study: The Indiana Network for Patient Care and Indiana Health Information Exchange;47
7.10;Case Study: The Taconic Health Information Network and Community;48
7.11;Santa Barbara Country Care Data Exchange (SBCCDE);49
7.12;Computer Physician Order Entry;50
7.13;Personal Health Records;51
7.14;Case Study: EMC Corporation;54
7.15;Key Points;55
7.16;References and Notes;56
8;Communication;58
8.1;The Media, the Message, and the Internet;58
8.2;The Telephone;59
8.3;Smart Phones and PDAs;60
8.4;Electronic Mail;61
8.5;Obstacles to Email Use;62
8.6;Email Benefits;63
8.7;Email Guidelines;64
8.8;Portals;65
8.9;Case Study: Kaiser Permanente;66
8.10;The eVisit;67
8.11;Case Study: Medem;69
8.12;Case Study: Relay Health;69
8.13;Key Points;71
8.14;References and Notes;72
9;Telemedicine;73
9.1;Why Telemedicine?;73
9.2;Telemedicine Technologies and Infrastructure;74
9.3;Obstacles;75
9.4;Cost;75
9.5;Reimbursement Policies;76
9.6;Licensing of Medical Professionals;77
9.7;Cultural Barriers;78
9.8;Standards;78
9.9;Telemonitoring and Home Healthcare;78
9.10;Telemedicine for Patients in Remote Areas;80
9.11;Case Study: Hayes Medical Center;80
9.12;Case Study: St. Alexius Telecare Network of North Dakota;81
9.13;Telerehabilitation;82
9.14;Speech and Language Therapy;82
9.15;Physical Therapy;83
9.16;Mental Health Services;83
9.17;Telehospice: Death with Dignity;84
9.18;Telemedicine around the World;84
9.19;The eICU: Remote Monitoring for Intensive Care;84
9.20;Key Points;85
9.21;References and Notes;86
10;Information Access: Information Overload;88
10.1;Healthcare Finds the Internet;88
10.2;Information Access Telecare Network of North Dakota;89
10.3;Information Overload;90
10.4;Resources for Physicians and Patients;93
10.5;Institutional Web Sites;97
10.6;Professional Organizations;97
10.7;Online Resources for Cancer;97
10.8;Online Resources for Cardiac and Lung Disease;98
10.9;Online Resources for Diabetes and Kidney Disease;98
10.10;Online Resources for HIV;99
10.11;Online Resources for Ordering Drugs;99
10.12;Key Points;101
10.13;References and Notes;102
11;Keeping Health Information Away from Prying Eyes;103
11.1;Medical Information is no Longer Private;104
11.2;Privacy Issues Concern Physicians and Patients;105
11.3;Protecting Data with a Secure Network;106
11.4;US Federal Regulations Regarding Privacy (HIPAA);108
11.5;The European Union on Privacy;111
11.6;The Internet;111
11.7;Email;111
11.8;Case Study: CVS;114
11.9;Key Points;116
11.10;References and Notes;117
12;Medicating Your Patients;118
12.1;Medication Error;118
12.2;Electronic Prescribing (E-Prescribing);119
12.3;Patient Information and Collaborative Drug Therapy;122
12.4;Hospital Policies;123
12.5;Confusion in the Naming of Drugs;124
12.6;Adherence;126
12.7;Online Pharmacies;127
12.8;Direct-to-Consumer Advertising;129
12.9;Resources for Safe Healthcare and Medication Advice;129
12.10;Key Points;130
12.11;References and Notes;131
13;All About Money;132
13.1;How We Measure Healthcare Costs;132
13.2;The Underinsured and the Uninsured;134
13.3;Controlling Health Expenses with Information Technology;137
13.4;Consumer-Directed Health Plans (CDHP);138
13.5;Health Reimbursement Accounts (HRA);139
13.6;Health Savings Accounts (HSA);139
13.7;Pay-for-Performance (P4P);140
13.8;Key Points;141
13.9;References and Notes;142
14;The Quality Quotient;143
14.1;A Broken System;144
14.2;Why Quality is so Hard to Achieve;145
14.3;Health Information Technology;145
14.4;Evidence-Based Healthcare Delivery;147
14.5;Quality Initiatives Require Change;148
14.6;Lessons Learned;150
14.7;Resources;150
14.8;Key Points;156
14.9;References and Notes;157
15;Heathcare 2020;158
15.1;A Portrait;158
15.2;Devices and Enablers;161
15.3;The Practice of Medicine in Healthcare 2020;165
15.4;Key Points;167
15.5;References and Notes;168
16;Glossary;169
17;Index;176