CONTENTS IN BRIEF
UNIT 1 Foundational Information UNIT 5 User Experience, Standards, Safety,
in Health Informatics and Analytics in Health Informatics
1 An Introduction to Health Informatics, 1 21 Improving the User Experience for Health Information
2 Theoretical Foundations of Health Informatics, 10 Technology, 352
3 Evidence-Based Practice, Practice-Based Evidence, 22 Informatics-Related Standards and Standards-Setting
and Health Informatics, 38 Organizations, 370
4 Models, Theories, and Research for Program 23 Data Science and Analytics in Healthcare, 391
Evaluation, 60 24 Patient Safety and Quality Initiatives in Health
5 Technical Infrastructure to Support Healthcare, 75 Informatics, 408
UNIT 2 Information Systems and Applications UNIT 6 Governance Structures, Legal, and
for the Delivery of Healthcare Regulatory Issues in Health Informatics
6 Electronic Health Records and Applications for 25 Legal Issues, Federal Regulations,
Managing Patient Care, 90 and Accreditation, 422
7 Administrative Applications Supporting 26 Privacy and Security, 436
Healthcare Delivery, 111 27 The Health Information Technology for Education and
8 Telehealth and Applications for Delivering Care Clinical Health Act, Meaningful Use, and Medicare
at a Distance, 131 Access and CHIP Reauthorization Act of 2015, 455
9 Home Health and Related Community-Based 28 Health Policy and Health Informatics, 474
Systems, 153 29 Health Information Technology Governance, 492
10 Clinical Decision Support Systems
in Healthcare, 170
11 Public Health Informatics, 184 UNIT 7 Education and Health Informatics
30 Informatics in the Curriculum for Healthcare
UNIT 3 Participatory Healthcare Informatics Professionals, 499
31 Distance Education: Applications, Techniques
12 The Engaged ePatient, 204 and Issues, 516
13 Social Media Tools for Practice and Education, 220 32 Informatics Tools for Educating Healthcare
14 Personal Health Records, 241 Professionals, 538
15 mHealth: The Intersection of Mobile Technology 33 Simulation in Healthcare Education, 557
and Health, 255
UNIT 8 International Health Informatics Efforts
UNIT 4 Managing the Life Cycle of a Health
34 International Efforts, Issues, and Innovations, 577
Information System
16 Strategic Planning and Selecting
an Information System, 271
UNIT 9 Historical Implications and Future
17 Project Management Principles Directions in Health Informatics
for Health Informatics, 284
35 The Evolution of Health Informatics, 594
18 Contract Negotiations and Software Licensing, 298
36 Future Directions and Future Research
19 Implementing and Upgrading an Information in Health Informatics, 612
System, 317
20 Downtime and Disaster Recovery for Health
Glossary, 630
Information Systems, 337
,Health Informatics
An Interprofessional Approach
Evolve Student Resources for Health Informatics:
An Interprofessional Approach, Second Edition
offers the following features:
• Student Review Questions
• Additional Readings
Activate the complete learning experience that comes with
each textbook purchase by registering at
http://evolve.elsevier.com/NelsonStaggers/informatics/
, SECOND EDITION 3251 Riverport Lane
St. Louis, Missouri 63043
HEALTH INFORMATICS: AN INTERPROFESSIONAL APPROACH, SECOND EDITION
ISBN: 978-0-323-40231-6
Copyright © 2018 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center
Health Informatics
and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
An Interprofessional Approach Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using
any information, methods, compounds, or experiments described herein. In using such information or
methods they should be mindful of their own safety and the safety of others, including parties for whom they
have a professional responsibility.
Ramona Nelson, PhD, RN-BC, Nancy Staggers, PhD, RN, With respect to any drug or pharmaceutical products identified, readers are advised to check the most current
ANEF, FAAN FAAN
information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration,
and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge
Professor Emerita, President, Summit Health Informatics; of their patients, to make diagnoses, to determine dosages and the best treatment for each individual
patient, and to take all appropriate safety precautions.
Slippery Rock University, Adjunct Professor, College of Nursing and
Slippery Rock, Pennsylvania; Department of Biomedical Informatics, To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any
liability for any injury and/or damage to persons or property as a matter of products liability, negligence or
President, Ramona Nelson Consulting, University of Utah, otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Allison Park, Pennsylvania Salt Lake City, Utah
Previous edition copyrighted 2014.
International Standard Book Number: 978-0-323-40231-6
Executive Content Strategist: Kellie White
Content Development Manager: Lisa Newton
Senior Content Development Specialist: Danielle M. Frazier
Publishing Services Manager: Jeff Patterson
Senior Project Manager: Jodi M. Willard
Design Direction: Ryan Cook
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, This page intentionally left blank
To my husband, Glenn M. Nelson, who always manages to be there
To my daughters, who managed to pick wonderful husbands,
Dorianne & Michael Hollis and Leslie-Ann & Kristopher Bidelson
and
To my grandchildren, who are today’s joy and tomorrow’s hope,
Mackenzie, Hope, Ella, and Molly
Ramona Nelson
To my father, Forest Thorpe, who supported education for women
during an age when it was deemed superfluous
and
To my husband, Bob Staggers, who has always been a champion of strong women
Nancy Staggers
UNIT 1 Foundational Information UNIT 5 User Experience, Standards, Safety,
in Health Informatics and Analytics in Health Informatics
1 An Introduction to Health Informatics, 1 21 Improving the User Experience for Health Information
2 Theoretical Foundations of Health Informatics, 10 Technology, 352
3 Evidence-Based Practice, Practice-Based Evidence, 22 Informatics-Related Standards and Standards-Setting
and Health Informatics, 38 Organizations, 370
4 Models, Theories, and Research for Program 23 Data Science and Analytics in Healthcare, 391
Evaluation, 60 24 Patient Safety and Quality Initiatives in Health
5 Technical Infrastructure to Support Healthcare, 75 Informatics, 408
UNIT 2 Information Systems and Applications UNIT 6 Governance Structures, Legal, and
for the Delivery of Healthcare Regulatory Issues in Health Informatics
6 Electronic Health Records and Applications for 25 Legal Issues, Federal Regulations,
Managing Patient Care, 90 and Accreditation, 422
7 Administrative Applications Supporting 26 Privacy and Security, 436
Healthcare Delivery, 111 27 The Health Information Technology for Education and
8 Telehealth and Applications for Delivering Care Clinical Health Act, Meaningful Use, and Medicare
at a Distance, 131 Access and CHIP Reauthorization Act of 2015, 455
9 Home Health and Related Community-Based 28 Health Policy and Health Informatics, 474
Systems, 153 29 Health Information Technology Governance, 492
10 Clinical Decision Support Systems
in Healthcare, 170
11 Public Health Informatics, 184 UNIT 7 Education and Health Informatics
30 Informatics in the Curriculum for Healthcare
UNIT 3 Participatory Healthcare Informatics Professionals, 499
31 Distance Education: Applications, Techniques
12 The Engaged ePatient, 204 and Issues, 516
13 Social Media Tools for Practice and Education, 220 32 Informatics Tools for Educating Healthcare
14 Personal Health Records, 241 Professionals, 538
15 mHealth: The Intersection of Mobile Technology 33 Simulation in Healthcare Education, 557
and Health, 255
UNIT 8 International Health Informatics Efforts
UNIT 4 Managing the Life Cycle of a Health
34 International Efforts, Issues, and Innovations, 577
Information System
16 Strategic Planning and Selecting
an Information System, 271
UNIT 9 Historical Implications and Future
17 Project Management Principles Directions in Health Informatics
for Health Informatics, 284
35 The Evolution of Health Informatics, 594
18 Contract Negotiations and Software Licensing, 298
36 Future Directions and Future Research
19 Implementing and Upgrading an Information in Health Informatics, 612
System, 317
20 Downtime and Disaster Recovery for Health
Glossary, 630
Information Systems, 337
,Health Informatics
An Interprofessional Approach
Evolve Student Resources for Health Informatics:
An Interprofessional Approach, Second Edition
offers the following features:
• Student Review Questions
• Additional Readings
Activate the complete learning experience that comes with
each textbook purchase by registering at
http://evolve.elsevier.com/NelsonStaggers/informatics/
, SECOND EDITION 3251 Riverport Lane
St. Louis, Missouri 63043
HEALTH INFORMATICS: AN INTERPROFESSIONAL APPROACH, SECOND EDITION
ISBN: 978-0-323-40231-6
Copyright © 2018 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center
Health Informatics
and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
An Interprofessional Approach Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using
any information, methods, compounds, or experiments described herein. In using such information or
methods they should be mindful of their own safety and the safety of others, including parties for whom they
have a professional responsibility.
Ramona Nelson, PhD, RN-BC, Nancy Staggers, PhD, RN, With respect to any drug or pharmaceutical products identified, readers are advised to check the most current
ANEF, FAAN FAAN
information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration,
and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge
Professor Emerita, President, Summit Health Informatics; of their patients, to make diagnoses, to determine dosages and the best treatment for each individual
patient, and to take all appropriate safety precautions.
Slippery Rock University, Adjunct Professor, College of Nursing and
Slippery Rock, Pennsylvania; Department of Biomedical Informatics, To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any
liability for any injury and/or damage to persons or property as a matter of products liability, negligence or
President, Ramona Nelson Consulting, University of Utah, otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Allison Park, Pennsylvania Salt Lake City, Utah
Previous edition copyrighted 2014.
International Standard Book Number: 978-0-323-40231-6
Executive Content Strategist: Kellie White
Content Development Manager: Lisa Newton
Senior Content Development Specialist: Danielle M. Frazier
Publishing Services Manager: Jeff Patterson
Senior Project Manager: Jodi M. Willard
Design Direction: Ryan Cook
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, This page intentionally left blank
To my husband, Glenn M. Nelson, who always manages to be there
To my daughters, who managed to pick wonderful husbands,
Dorianne & Michael Hollis and Leslie-Ann & Kristopher Bidelson
and
To my grandchildren, who are today’s joy and tomorrow’s hope,
Mackenzie, Hope, Ella, and Molly
Ramona Nelson
To my father, Forest Thorpe, who supported education for women
during an age when it was deemed superfluous
and
To my husband, Bob Staggers, who has always been a champion of strong women
Nancy Staggers
