1. Chapter 1 Introduction to Computers in Health Information Management
2. History of Computers in Healthcare
3. Early Information Systems
4. Modern Information Systems
5. Impact of Computers on Healthcare
6. Impact of Technology on Patient Care
7. Patient Safety
8. Evidence-Based Medicine
9. Introduction to Health Informatics
10. Introduction to Data Analytics
11. Impact on the HIM Profession
12. Chapter 2 Information Integrity and Data Quality
13. Data Sources
14. Primary Data Sources
15. Secondary Data Sources
16. Screen Design
17. Data Capture
18. Direct Data Entry
19. Unstructured Data Fields
20. Structured Data Fields
21. Drop-Down Menus
22. Check Box
23. Radio Buttons
24. Numeric Field
25. Date Field
26. Time Field
27. Autonumbering
28. Template-Based Data Entry
29. Speech Recognition
30. Natural Language Processing
31. Data Integrity vs. Data Quality
32. Data Dictionary
33. Metadata
34. Required Fields
35. Edit Check
36. Data Quality Management
37. Data Accessibility
38. Data Accuracy
39. Data Comprehensiveness
40. Data Consistency
41. Data Currency
42. Data Definition
43. Data Granularity
44. Data Precision
45. Data Relevancy
46. Data Timeliness
47. Data Integrity Issues
48. Data Collection
49. Data Cleansing
50. Data Mapping
51. Version Control
52. Security
53. Organizational Culture of the Healthcare Organization
54. Documentation Integrity Errors
55. Patient Identification
56. Authorship
57. Dictation Errors
58. Copying and Pasting
59. Amendments to the Health Record
60. Data Quality Measure
61. Policies and Procedures
62. Ensuring Data Integrity During the Sharing of Data
63. Chapter 3 Introduction to Databases and Data Analytics
64. Introduction to Databases and Data Analytics
65. Requirements for Establishing a Database
66. Database Management System
67. Natural Language Queries
68. Query by Example
69. Structured Query Language
70. Data Dictionary
71. Vocabulary Standards
72. Systematized Nomenclature of Medicine
73. Data Modeling
74. Data-Modeling Tools
75. Common Database Models
76. Relational Database Model
77. Key Field
78. Hierarchical Database Model
79. Network Database Model
80. Object-Oriented Database Model
81. Multidimensional Database Model
82. Data Repository and Data Warehouse
83. Data Repository
84. Data Warehouse
85. Data Mart
86. Data Mining
87. Online Analytical Processing
88. Common Uses and Examples in Healthcare and Health Information Management
89. Chapter 4 System Selection
90. Project Planning
91. Planning
92. Conducting a Feasibility Study
93. Setting the Budget
94. Goals and Objectives
95. Identifying the Project Manager and Project Team
96. Obtaining Buy-in from Management and Users
97. Organization of the Project
98. Project Team
99. Defining Scope of Project
100. Project Plan
101. Project Management Tools
102. Systems Analysis
103. System Design
104. Determining Who Will Build and Maintain the Information System
105. Choosing Between Integrated and Interfaced Information Systems
106. Integrated Information Systems
107. Interfaced Information Systems
108. System Selection
109. Request for Information and Request for Proposal
110. Letter of Introduction
111. Information for Potential Vendors
112. Description of the Proposed Information System
113. Other RFP Requirements
114. Evaluation of Proposed Information Systems
115. Onsite Demonstrations
116. Site Visits
117. Reviewing RFP Responses
118. Reference Checks
119. Selection of an Information System
120. Contract Negotiation
121. Chapter 5 System Implementation
122. System Implementation
123. Site Preparation
124. User Preparation
125. Installing Hardware and Software
126. Programming and Customization
127. User Configurations and Settings
128. User Interface Design
129. Reengineering Processes
130. Policy and Procedure Development and Documentation
131. Testing Plan
132. Types of Testing
133. Test Plan
134. Testing Documentation
135. Training
136. Planning for Training
137. Contents of the Plan
138. Selecting the Training Location
139. Scheduling the Training
140. Resources Needed
141. Train the Trainer
142. Conducting the Training
143. Evaluating the Training
144. Additional and Ongoing Training
145. Computer-Assisted Instruction
146. Documenting the Training
147. Conversion
148. Go-Live
149. Go-Live Models
150. Phased Approach
151. Pilot Method
152. Big Bang Method
153. Straight (Direct) Turnover
154. Parallel Processing
155. Planning for Go-Live
156. Initial Support
157. Ongoing Support
158. System Evaluation and Maintenance
159. Chapter 6 Computerization in Health Informaticsand Information Management
160. Traditional HIM Information Systems Job Titles and Descriptions
161. Contemporary HIM Information Systems Job Titles
162. Roles for the HIM Professional in the Healthcare Arena
163. Health Information Management Systems Functions
164. Disclosure of Health Information Systems
165. Disclosure of Health Information System Functionality
166. Disclosure of Health Information Reporting
167. Encoder and Grouper
168. Encoder and Grouper System Functionality
169. Encoder and Grouper System Reporting
170. Cancer and Other Registries
171. Cancer (Tumor) Registry
172. Cancer Registry Functionality
173. Cancer Registry Reporting
174. Trauma Registry
175. Trauma Registry Functionality
176. Trauma Registry Reporting
177. Chart Locator System
178. Chart Locator Functionality
179. Chart Locator Reporting
180. Chart Deficiency System
181. Chart Deficiency Functionality
182. Chart Deficiency System Reporting
183. Birth Certificate System
184. Birth Certificate System Functionality
185. Birth Certificate System Reporting
186. Dictation and Transcription Systems
187. Dictation System Functionality and Reporting
188. Transcription System Functionality and Reporting
189. Healthcare Quality Indicator System
190. Healthcare Quality Indicator System Functionality
191. Healthcare Quality Indicator System Reporting
192. Computer-Assisted Coding System
193. CAC System Functionality
194. CAC System Reporting
195. Clinical Documentation Improvement System
196. CDI Software Functionality
197. CDI Information System Reporting
198. Chapter 7 Administrative Information Systems
199. Financial Information System
200. Financial Information System Functionality
201. Impact on HIM
202. Human Resources Information System
203. Human Resource Information System Functionality
204. Impact on HIM
205. Decision Support System
206. Executive Information System
207. Master Patient Index
208. Master Patient Index Functionality
209. Enterprise Master Patient Index
210. Impact on HIM
211. Patient Registration (Registration—Admission, Discharge, Transfer)
212. Functionality
213. Impact on HIM
214. Scheduling System
215. Functionality
216. Impact on HIM
217. Practice Management
218. Functionality
219. Impact on HIM
220. Materials Management System
221. Functionality
222. Impact on HIM
223. Facilities Management
224. Functionality
225. Impact on HIM
226. Chapter 8 Clinical Information Systems
227. Clinical Decision Support
228. Document Management System
229. Document Management System Versus Electronic Health Record
230. Components of a Document Management System
231. Scanner
232. Scanning Workstation
233. Printers
234. Annotation
235. Advantages and Disadvantages
236. Space Savings
237. Retrieval of Large Number of Records
238. Productivity Gains
239. Online Availability of Information
240. System Security and Control
241. Database Retrieval
242. Lack of Manipulation or Reporting
243. Fear of Change
244. Implementation
245. Justification of Cost
246. Forms
247. Staffing Changes
248. Process Redesign
249. When to Scan the Health Record
250. Immediately Following Discharge
251. Scanning Upon Completion
252. Retrieval of Images
253. Future of Document Management System
254. Radiology Information System
255. Laboratory Information System
256. Nursing Information System
257. Pharmacy Information System
258. Interdisciplinary Charting System
259. Emergency Department System
260. Anesthesia Information System
261. Patient Monitoring System
262. Telehealth
263. Smart Card
264. Impact of Clinical Information Systems on HIM
265. Chapter 9 Electronic Health Record
266. Purpose and Components of the Electronic Health Record
267. Status of EHR Adoption
268. Certified EHR Technology
269. Components of EHR
270. Registration—Admission, Discharge, Transfer
271. Patient Financial Services
272. Order Communication and Results Retrieval
273. Ancillary, Clinical, and Department Applications
274. Patient Monitoring Systems
275. Document Management System
276. Clinical Messaging and Provider-Patient Portals
277. Results Management
278. Point-of-Care Charting
279. Computerized Physician or Provider Order Entry System
280. Electronic Medication Administration Record
281. Clinical Decision Support System
282. Health Information Exchange
283. Population Health
284. Benefits of the EHR
285. Barriers to EHR Use
286. Signatures
287. Copy and Paste Concerns
288. EHR Tools
289. Data Retrieval
290. Graphical User Interface
291. Color and Icons
292. Data Entry
293. Unstructured Data
294. Structured Data
295. Template-Based Entry
296. Natural Language Processing
297. Legal Issues
298. Unanticipated Issues in EHR Use
299. Transition Period—Hybrid Record
300. Impact on Health Information Management
301. Chapter 10 Consumer Informatics
302. Health Literacy
303. Consumer Health Applications
304. Telehealth
305. Consumer Informatics Applications
306. Patient Portals
307. Personal Health Record
308. Social Media
309. Chapter 11 Health Information Exchange
310. Interoperability and Health Information Exchange
311. History of Health Information Exchange
312. Benefits and Barriers to Health Information Exchange
313. Meaningful Use
314. Models of Health Information Exchange Architecture
315. Consolidated or Centralized Model
316. Federated or Decentralized Model
317. Hybrid Model
318. Methods of Health Information Exchange
319. Directed Exchange
320. Query-Based Exchange
321. Consumer-Mediated Exchange
322. Patient Identification
323. Health Information Exchange Privacy Concerns
324. Chapter 12 Security
325. Introduction to Health Information Portability and Accountability Act of 1996
326. Transaction and Code Sets Rule
327. Privacy Rule
328. Security Rule
329. American Recovery and Reinvestment Act of 2009
330. Security Threats and Safeguards
331. Administrative Safeguards and the Security Management Process
332. Risk Analysis
333. Risk Management
334. Sanction Policy
335. Information System Activity Review
336. Assigned Security Responsibility
337. Workforce Security
338. Managing a Security Incident
339. Ongoing Security Procedure Evaluation
340. Contingency and Business Continuity Planning
341. Data Recovery
342. Business Associate Contracts or Other Arrangements
343. Technical Safeguards
344. Access Control Systems and Authentication
345. Types of Authentication
346. User Authentication Methods
347. Audit Controls
348. Integrity
349. Malicious Software
350. Virus
351. Worms
352. Trojans
353. Bots
354. Spyware
355. Ransomware
356. Social Engineering
357. Baiting
358. Phishing
359. Email Hacking and Contacts
360. Pretexting
361. Quid pro quo
362. Vishing
363. Physical Safeguards
364. Facility Access Controls
365. Workstation Use and Security
366. Device and Media Controls
367. Mobile Security
368. Fire and Natural Disasters
369. Penalties
370. Certifications
371. Certified in Healthcare Privacy and Security
372. Certified Information Systems Security Professional
373. Certified Information Security Manager
374. Chapter 13 Security Compliance and Monitoring
375. Importance of Compliance
376. Covered Entity Compliance Plan
377. Introduction to Auditing and Monitoring
378. Internal vs. External Audits
379. Written Policies, Procedures, and Standards of Conduct
380. Chief Security Official (Compliance Officer)
381. Training and Education
382. Effective Communication
383. Enforcement
384. Prompt response to noncompliance
385. Standards
386. Benchmarking
387. Department of Health and Human Services
388. Results of the OCR Audit Program
389. Resolution Agreement
390. Audit Program
391. Selection
392. Planning
393. Metrics
394. Fieldwork
395. Audit
396. Data Collection
397. Data Analysis
398. Documentation of Compliance Activities
399. Corrective Action Plan
400. Reporting
401. Follow-up
402. Training
403. Compliance Monitoring and Information Systems
404. Computer Forensics
405. Databases
406. Dashboard
407. Appendix A RFI/RFP Template
408. Appendix B Check Your Understanding Answer Key
409. Glossary
410. Index

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