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healthcare information management
Questions and Answers of
Healthcare Information Management
4. Describe several key areas of consideration in the selection of a consulting firm.
3. What is the key reference that should be used in the evaluation of the need for consulting services?
2. Describe why the marketing process used by consulting firms may lead to confusion on the part of a potential client.
1. Explain the importance of knowing how to be a prudent buyer of consulting services.
4. What are the trends in making the best use of consulting firms and their employees?
3. Name four services that healthcare information systems consultants provide.
2. What would you look for in hiring a consultant?
1. What reasons would you give to your administrator to justify using consultants?
5. Should a hospital employ a consultant who has been known to have close ties to a vendor bidding on the hospital system? Under what conditions might this be a good idea, under what conditions would
4. Should the hospital already have a solution to its problems predetermined and only employ a consultant to verify their solution or should a consultant be employed in order to determine the optimum
3. What are the advantages of employing a free-lance consultant as opposed to employing a large consulting firm? What are the advantages of dealing with a large consulting firm?
2. How should a hospital prepare itself prior to employing a consultant?
1. What are some significant reasons that a hospital should employ a consultant?
5. What is different about maintaining patient confidentiality in a computerized environment?
4. What are two or three quality issues to be addressed in a clinical information system training program?
3. Why is it important to have a nurse instructor available even when system training can be self-instructional?
2. How soon before nurses use the computer on the job should they receive training?
1. Name one or two adult learning theories that are useful in teaching nurses to master clinical information systems.
5. In your opinion, is the computer now a required personal productivity tool for the healthcare executive?
4. List and describe briefly the capabilities of three or more software applications.
3. Review the five rules of thumb for developing computer literacy.
2. Identify three different technology-based sources of information available to the executive for professional training.
I. Discuss the role of self-assessment in developing and evaluating computer literacy.
4. As a radiology manager, what would be your prioritized list and the rationale for choosing which information system segments and interfaces to install? As a medical center manager, how would your
3. How would the SCRIP be assembled and maintained in a film-based system? In a filmless, digital electronic department?
2. What are the components of the clinical radiology information package(SCRIP), and what is the source of each? How can we expect it to be enhanced in the future?
1. What are the major components of computer support systems in diagnostic radiology? Include major system interfaces.
3. What are the major benefits of a laboratory computer system for:a. the laboratory?b. the physicians?c. the parent hospital and its network?
2. Who are the key players in the decision-making process for a laboratory computer system? Discuss their responsibilities.
1. What factors favor a laboratory's decision to acquire a laboratory computer system?
5. Some believe that in order to exploit computer technology for improved patient care, nursing informatics specialists must achieve a greater level of technical knowledge in information science. Do
4. What agencies are potential sources of funding for nursing informatics research?
3. List at least four target areas where more nursing research is indicated.
2. Name at least four areas where research has been conducted in nursing informatics.
1. What other theoretical bases, besides the ones listed, would be appropriate for nursing informatics research?
5. What expectations should nurse administrators have for future information system design?
4. How can nurse administrators ensure that organizational priorities will be addressed?
3. What system design goals are important to the development or selection of computer systems that provide information specific to correlated administrative issues?
2. What are the three fundamental systems that support nursing department operations?
1. What are the primary information management concepts embodied within accreditation standards and legislative initiatives?
9. The vendor of the selected new system will be concerned over the possible impact of interface overhead on the existing systems. [ ] Yes[ ] No
8. The institution can turn over all the planning, selection, acquisition, and installation of a new system to the consultant and forget the problems.[ ] Yes [ ] No
7. The selection and installation of a network is a good time to train the staff in the new technology. [ ] Yes [ ] No
6. In the event the in-house staff is not experienced with the proposed technology, it is better to make some mistakes while learning and save money by not hiring a consultant. [ ] Yes [ ] No
5. If the assigned vendor personnel are not cooperative and supportive, then just run them off and do all the work in-house. [ ] Yes [ ] No
4. If the information resources department does not like the vendor's contract, then the healthcare organization's legal staff or firm can handle the development of a suitable contract without
3. The information resources department will not have to be concerned with the preparation of a contract because the vendor usually has a standard contract. [ ] Yes [ ] No
2. The institution will not have to be involved with the implementation process once the contract is signed. [ ] Yes [ ] No
1. If an institution can find the right system, the vendor will be happy to take responsibility for the successful installation. [ ] Yes [ ] No
3. Currently the pharmacy is running on a mainframe-based application that has been in operation for some time. They are proposing to replace this application with one based on networked personal
2. What criteria should be applied to determine the cost effectiveness of a distributed LAN environment?
1. Can a network designed to support a distributed LAN architecture support the communications requirements of a mainframe environment?
6. Assume that a decision support system used in intensive care sets forth a poor prognosis for a patient, supported by extensive data. Can a managed care organization deem continued interventions
5. Clinical decision support systems pose a special set of ethical questions.Can a practitioner choose not to use such systems? What does their use imply for individual professional judgment? If
4. Consider the changing healthcare environment. Do health information networks intensify concerns regarding privacy and confidentiality?
3. As we move towards a computer-based patient record, segments of the physician community continue to voice concern regarding privacy and confidentiality. How can these and related concerns be best
2. Dispute or defend the statement with which Havens begins her chapter:"Ethical issues are not founded on whether technology is acceptable to humankind, but rather on whether people have the
1. How do the issues raised in this chapter affect you in your work? What can you gain from the study of ethics?
5. For the change scenario presented in this chapter, create a detailed change management plan that you think would lead to better results than those that were described in the scenario.
4. Why is the "feedback and options" phase so important in the change management model presented?
3. In the "Cast of Characters," which roles might physicians at various levels in the organizational hierarchy be most likely to play? Why? Least likely to play? Why? Answer the same questions for
2. What might be some ways to help people celebrate remembering the past and moving to the future?
1. Using your own words, define change management.
2. What are the benefits to the healthcare enterprise of a close CIO and clinician collaboration?
1. What is the role of a CIO in an integrated delivery system?
5. Briefly outline an evaluation process for an information and communication system unit. Who in the unit would be responsible for each element of the process?
4. Who in your healthcare organization would be involved in review ("buy off") at the institutional strategy level? At the functional strategy level?At the operational strategy level?
3. What are the critical success factors for information and communication systems strategic planning and management?
2. How does strategic planning differ from long-range planning?
1. Why has strategic planning as practiced since the 1960s failed so often?
7. Contrast the three design approaches described in this chapter. (Hint:Categorize a familiar system and note strengths/deficiencies.)
6. How does the communication architecture allow true clinical care applications to be more economical and justifiable?
5. Contrast the two stages of information delivery vehicles in terms of the types of competitive advantages that can be obtained in each.
4. How can timely information be used to enhance patient and visitor contact?
3. How can information systems encourage physician usage? What role does timeliness of information play in encouraging this physician usage?In what ways can services be most easily accessed inside
2. How can patient demographics be used for target marketing?
1. How does an information perspective affect management decisions?
5. Explain the importance of automated tools, project behaviors, and enterprise mechanisms to successful planning.
4. Describe how to ensure that IS strategic planning is "a process, not an event."
3. Outline the three phases of the planning process: vision, strategy, and implementation.
2. Describe the benefits of IS strategic planning, with attention to enterprise management and IS management.
1. Discuss the development of integrated delivery networks (IDNs) within the context of the changing healthcare system.
4. Explain the role of information systems in case management and in the guideline development process.
3. Briefly outline the guideline development process.
2. Define the elements of a case management guideline.
1. Describe the role of case management in managed care, with specific reference to multidisciplinary care delivery.
2. Comment on the plans for new service offerings at the Resource Center.How would you suggest "growing" the Center?
1. Describe the Community Resource Center developed by Bayfront Medical Center. Is the concept generalizable to other settings? What advantages might it offer?
3. Describe how the system that will result will differ from today's system.
2. Describe the activities in South Carolina designed to advance primary health care.
1. Discuss how information technology will enable us to move from the present "sick care" model to a "life cycle" model for health care.
3. What progress has occurred since the writing of this chapter. Consider both CDSS and wide area clinical networks? Cite examples. Are the hopes the authors expressed being realized?
2. Describe briefly the concept of clinical decision support systems (CDSS).Refer in your description to the systems reviewed: the Regenstrief Medical Record System, the diagnostic system developed
1. Identify two approaches to evaluating the effects of computer systems on health care.
6. Sketch your own view of the "virtual nursing center" concept.
5. How is AJN addressing user support and process issues? Consider the education and training components included as part of the grant.
4. What does the Network include as content? What plans are suggested for content expansion?
3. Briefly describe the project objectives and the project implementation process.
2. What aspects of rural nursing were identified as needing support? Consider both the literature search and the needs assessment in your response.
1. When and how did the AJN Network first develop?
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