Transforming Health Care Through Information: Case Studies

1. Front Matter

   Pages i-xx

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2. Managing Change

   1. Front Matter

      Pages 2-6

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   2. Back Breaking Work: Implementing a Spine Registry in an Orthopedic Clinic

      • Brian C. Drolet

      Pages 7-13

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   3. A RHIO Struggling to Form: Will it Get Off the Ground?

      • Paul Zlotnik, Denny Lee, Mike Minear, Prashila Dullabh

      Pages 15-27

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   4. A Rough Ride at the Theodore Roosevelt Cancer Center

      • Karen Albert, Nitika Gupta, Teresa Mason, Purvi Mehta

      Pages 29-45

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   5. Implementation of an Electronic Prescription Writer in Ambulatory Care

      • Minhui Xie, Kevin B. Johnson

      Pages 47-56

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   6. Online Health Care: A Classic Clash of Technology, People, and Processes

      • John Butler, Dan Dalan, Brian McCourt, John Norris, Randall Stewart

      Pages 57-68

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3. Patient Safety

   1. Front Matter

      Pages 70-72

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   2. A Dungeon of Dangerous Practices

      • Andrew Amata, Allen Flynn, Michelle Morgan, Teresa Smith, Mary Tengdin

      Pages 73-81

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   3. Different Sides of the Story

      • Allison B. McCoy

      Pages 83-84

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   4. Barcode Medication Administration Implementation in the FIAT Health System

      • Linda Chan, William Greeley, Don Klingen, Brian Machado, Michael Padula, John Sum et al.

      Pages 85-96

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   5. H.I.T. or Miss

      • James McCormack, Bimal R. Desai, Jennifer Garvin, Randal Hamric, Kirk Lalwani, Andi Lushaj et al.

      Pages 97-100

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4. Organizational Impact and Evaluation

   1. Front Matter

      Pages 102-106

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   2. The Implementation of Secure Messaging

      • Zhou Yan

      Pages 107-114

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   3. Who Moved My Clinic? Donnelly University Pediatric Rehabilitation: The Wheelchair Clinic

      • Fredrick Hilliard

      Pages 115-125

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   4. OncoOrders: The Early Years

      • Chris Raggio, Judith W. Dexheimer

      Pages 127-133

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   5. Implementing a Computerized Triage System in the Emergency Department

      • Scott R. Levin, Daniel J. France, Dominik Aronsky

      Pages 135-153

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   6. Medication Barcode Scanning: Code “Moo”: Dead COW

      • Laurie L. Novak, Kathy S. Moss

      Pages 155-160

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5. Integration

   1. Front Matter

      Pages 162-165

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   2. Project NEED: New Efficiency in an Emergency Department

      • Barry Little, Denise Johnson, Jennifer Tingle, Mary Stanfill, Michael Roy

      Pages 167-177

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By any measure, our field of clinical informatics is poised for rapid growth and expansion. A confluence of forces and trends, including pressure to contain health care costs and simultaneously expand access and coverage, a desire to reduce me- cal error and health care disparities, the need to better understand and optimize our clinical interventions and delivery systems, the need to translate new knowledge into practice quickly and effectively, and the need to demonstrate the value of our services, all call for the application of the methods and techniques of our field – some of which are well honed with experience, and some of which are still in the process of being discovered. Clinical informatics is not the only solution to what ails health care, but it is a critical component of the solution. Our methods and techniques are similar in many ways to the knowledge base of any interdisciplinary field: some are informed by experience, the trials and tribulations of figuring out what works through real world implementation, some are informed by controlled experimentation in randomized controlled trials and related studies, some are informed by critical observation and analysis, and some are developed through laboratory evaluation rather than field trials. As we develop both the basic science, as well as the applied science, of our field, there is a cri- cal role for learning from others by way of case reports and stories.

• Health Care
• Health Informatics
• Hospital
• disease management
• healthcare
• patients
• quality
• rehabilitation
• safety

From the reviews of the third edition: “This third edition of a useful overview of clinical informatics uses real life implementation cases and stories surrounding four major areas -- change management, patient safety, organizational impact and evaluation, and integration. … The book is intended for healthcare professionals who are leading the transformation of healthcare by using information and knowledge. It is valuable not only for informatics clinicians, but also for anyone in healthcare, whether executives, managers, consultants, or students.” (Katie Dejuras, Doody’s Review Service, March, 2010)

• Clinical Informatics Research &, Partners HealthCare System, Wellesley, U.S.A.

  Laura Einbinder, Jonathan Einbinder

• Medical Center, Vanderbilt University, Nashville, U.S.A.

  Nancy M. Lorenzi

• Div. Medical Informatics & Clinical , Oregon Health & Science University, Portland, U.S.A.

  Joan Ash

• Dept. Biomedical Informatics, Vanderbilt University, Nashville, U.S.A.

  Cynthia S. Gadd

Nancy Lorenzi, PhD, is a professor of Biomedical Informatics and Assistant Vice Chancellor for Health Affairs at Vanderbilt University Medical Center, Nashville, Tennessee.

Joan S. Ash, PhD, is a professor of Medical Informatics and Outcomes Research at the Oregon Health and Science University Medical School, Portland Oregon.

Jonathan Einbinder, MD, MPH is Corporate Manager in Quality Data Management at Partners Healthcare System, Wellesley, Massachusetts.

Cindy Gadd, PhD is a professor in Informatics at the Vanderbilt University Medical Center, Nashville, Tennessee.

Laura Einbinder, MBA is a Consultant at Einbinder & Associates in Medfield, Massachusetts.

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