2025/2026
Issues facing healthcare providers (7) - ANSWER -Costs Rising
-Quality variations in clinical care
-safety (patient)
-evidence decision making
-administrative process complexity
-consumerish/heightened expectations
-research & tech advances
Providers of care (7) - ANSWER -Hospitals
-Ambulatory centers/clinics
-Long term care providers (30+ days)
-Public health agencies
-Community health programs
-physician practices
-pharmacies
Hospital characteristics (5) - ANSWER -Level of care provided (primary,
secondary, tertiary, sub-acute)
,-Ownership (profit / non)
-Geographic location (urban/metropolitan MSA 50k+ / rural)
-Payor mix (Govt, private)
-Teaching status (teaching hosp, academic med cntr, non-teaching hosp)
Ambulatory centers/clinics - ANSWER Services withOUT overnight stay
Long Term Care Services (4) - ANSWER 30+ days
-Nursing Home
-Rehab
-Mental Health
-Home Health
Physician Practice types (2) - ANSWER -Group practices
-Solo practices
CPOE - ANSWER Computerized Practitioner Order Entry (used at
pharmacies)
Integrated Delivery Network (IDN) - ANSWER Variety of providers
organized to provide a continuum of care (with integrated administration
and information sharing)
Formed through
,-Merger/Acquisition
-Joint venture
-Alliance
-Network (e.g. virtual organization... IPA)
Key factors to IDN success (2) - ANSWER -Physician involvement
-Interoperable info systems
Payment Systems (2) - ANSWER Private Financing
-private insurance
-out of pocket (fee for service)
Public financing
-National Health Insurance System.. private providers (Canada)
-National HEAlth system (Britain) govt providers
Healthcare Workforce (4) - ANSWER Physicians
-Primary care
-Specialists
Mid-Level practitioners
-Physician Assistants
-Advanced practice nurses
, Nurses
-RNs
-Nursing Informatics
Other
-Administration
-Board members
-Government/payor organizations
-Vendors
-Consultants
-Informatics
Functions of IT Department (4) - ANSWER -Operations & tech support
-Applications
-Specialized groups (e.g. process improvement)
-IT Administration (oversee, governance, strategy, staffing, budget)
IT Professionals (Executive) - ANSWER CIO (Manages dept, leadership)
CTO (guides tech architecture, tracks new technologies)
CSO (security)
CMIO (Represents physicians in system design)