"This book will be a terrific introduction to the field of clinical IT and clinical informatics" -- Kevin Johnson "Dr. Braunstein has done a wonderful job of exploring a number of key trends in technology in the context of the transformations that are occurring in our health care system" -- Bob Greenes "This insightful book is a perfect primer for technologists entering the health tech field." -- Deb Estrin "This book should be read by everyone.​" -- David Kibbe This book provides care providers and other non-technical readers with a broad, practical overview of the changing US healthcare system and the contemporary health informatics systems and tools that are increasingly critical to its new financial and clinical care paradigms. US healthcare delivery is dramatically transforming and informatics is at the center of the changes. Increasingly care providers must be skilled users of informatics tools to meet federal mandates and succeed under value-based contracts that demand higher quality and increased patient satisfaction but at lower cost. Yet, most have little formal training in these systems and technologies. Providers face system selection issues with little unbiased and insightful information to guide them. Patient engagement to promote wellness, prevention and improved outcomes is a requirement of Meaningful Use Stage 2 and is increasingly supported by mobile devices, apps, sensors and other technologies. Care providers need to provide guidance and advice to their patients and know how to incorporated as they generate into their care. The one-patient-at-a-time care model is being rapidly supplemented by new team-, population- and public health-based models of care. As digital data becomes ubiquitous, medicine is changing as research based on that data reveals new methods for earlier diagnosis, improved treatment and disease management and prevention. This book is clearly written, up-to-date and uses real world examples extensively to explain the tools and technologies and illustrate their practical role and potential impact on providers, patients, researchers, and society as a whole.

Health Informatics (HI) focuses on the application of Information Technology (IT) to the field of medicine to improve individual and population healthcare delivery, education and research. This extensively updated fifth edition reflects the current knowledge in Health Informatics and provides learning objectives, key points, case studies and references.

This essential text provides a readable yet sophisticated overview of the basic concepts of information technologies as they apply in healthcare. Spanning areas as diverse as the electronic medical record, searching, protocols, and communications as well as the Internet, Enrico Coiera has succeeded in making this vast and complex area accessible and understandable to the non-specialist, while providing everything that students of medical informatics need to know to accompany their course.

Despite its high cost, the US healthcare system produces relatively short life spans, and is wasteful, inefficient and has serious safety and quality issues. While other industries have surmounted similar challenges by transforming themselves through information technology, healthcare lags behind. Major reasons are that our approaches to care delivery and financial incentives were designed for a bygone era. Beyond that the technology offered to practitioners has often been overly expensive, poorly designed, overly proprietary, hard to implement and difficult to use. Spurred by a unique, one-time Federal stimulus and the new mobile, wireless and cloud technologies now available, this landscape is rapidly changing. To succeed going forward practitioners, and those interested in entering the field, need to understand the new driving forces and have a basic understanding of contemporary clinical informatics. Practitioners, in particular, need to understand the alternative technologies and approaches available for their use in individual patient care and more continuous management of their chronic disease patients. To efficiently meet these needs, this book provides an introduction to the rationale for care transformation through clinical informatics; its application to patient care outside of hospitals; and a look at its future. Key points are illustrated throughout by actual examples of open source and commercial health IT products and services. While written with practitioners and students entering the field of clinical informatics in mind, the book eschews technical terminology and is easily accessible by the lay reader not proficient in clinical medicine or information technology.

As director of a training program in medical informatics, I have found that one of the most frequent inquiries from graduate students is, "Although I am happy with my research focus and the work I have done, how can I design and carry out a practical evaluation that proves the value of my contribution?" Informatics is a multifaceted, interdisciplinary field with research that ranges from theoretical developments to projects that are highly applied and intended for near-term use in clinical settings. The implications of "proving" a research claim accordingly vary greatly depending on the details of an individual student's goals and thesis state ment. Furthermore, the dissertation work leading up to an evaluation plan is often so time-consuming and arduous that attempting the "perfect" evaluation is fre quently seen as impractical or as diverting students from central programming or implementation issues that are their primary areas of interest. They often ask what compromises are possible so they can provide persuasive data in support of their claims without adding another two to three years to their graduate student life. Our students clearly needed help in dealing more effectively with such dilem mas, and it was therefore fortuitous when, in the autumn of 1991, we welcomed two superb visiting professors to our laboratories.

The American Medical Informatics Association (AMIA) defines the term biomedical informatics (BMI) as: The interdisciplinary field that studies and pursues the effective uses of biomedical data, information, and knowledge for scientific inquiry, problem solving and decision making, motivated by efforts to improve human health. This book: Applied Interdisciplinary Theory in Health Informatics: A Knowledge Base for Practitioners, explores the theories that have been applied in health informatics and the differences they have made. The editors, all proponents of evidence-based health informatics, came together within the European Federation of Medical Informatics (EFMI) Working Group on Health IT Evaluation and the International Medical Informatics Association (IMIA) Working Group on Technology Assessment and Quality Development. The purpose of the book, which has a foreword by Charles Friedman, is to move forward the agenda of evidence-based health informatics by emphasizing theory-informed work aimed at enriching the understanding of this uniquely complex field. The book takes the AMIA definition as particularly helpful in its articulation of the three foundational domains of health informatics: health science, information science, and social science and their various overlaps, and this model has been used to structure the content of the book around the major subject areas. The book discusses some of the most important and commonly used theories relevant to health informatics, and constitutes a first iteration of a consolidated knowledge base that will advance the science of the field.

This book focuses on the role of computers in the provision of medical services. It provides both a conceptual framework and a practical approach for the implementation and management of IT used to improve the delivery of health care. Inspired by a Stanford University training program, it fills the need for a high quality text in computers and medicine. It meets the growing demand by practitioners, researchers, and students for a comprehensive introduction to key topics in the field. Completely revised and expanded, this work includes several new chapters filled with brand new material.

"This book addresses how health apps, in-home measurement devices, telemedicine, data mining, and artificial intelligence and smart medical algorithms are all enabled by the transition to a digital health infrastructure.....it provides a comprehensive background with which to understand what is happening in healthcare informatics and why."—C. William Hanson, III, MD, Chief Medical Information Officer and Vice President, University of Pennsylvania Health System. "This book is dedicated to the frontline healthcare workers, who through their courage and honor to their profession, helped maintain a reliable service to the population at large, during a chaotic time. These individuals withstood fear and engaged massive uncertainty and risk to perform their duties of providing care to those in need at a time of crisis. May the world never forget the COVID-19 pandemic and the courage of our healthcare workers".—Stephan P. Kudyba, Author Healthcare Informatics: Evolving Strategies in the Digital Era focuses on the services, technologies, and processes that are evolving in the healthcare industry. It begins with an introduction to the factors that are driving the digital age as it relates to the healthcare sector and then covers strategic topics such as risk management, project management, and knowledge management that are essential for successful digital initiatives. It delves into facets of the digital economy and how healthcare is adapting to the geographic, demographic, and physical needs of the population and highlights the emergence and importance of apps and telehealth. It also provides a high-level approach to managing pandemics by applying the various elements of the digital ecosystem. The book covers such technologies as: Computerized physician order entry (CPOE) Clinical Information Systems Alerting systems and medical sensors Electronic healthcare records (EHRs) Mobile healthcare and telehealth. Apps Business Intelligence and Decision Support Analytics Digital outreach to the population Artificial Intelligence The book then closes the loop on the efficiency enhancing process with a focus on utilizing analytics for problem solving for a variety of healthcare processes including the pharmaceutical sector. Finally, the book ends with current and futuristic views on evolving applications of AI throughout the industry.

This textbook begins with an introduction to the US healthcare delivery system, its many systemic challenges and the prior efforts to develop and deploy informatics tools to help overcome those problems. It goes on to discuss health informatics from an historical perspective, its current state and its likely future state now that electronic health record systems are widely deployed, the HL7 Fast Healthcare Interoperability standard is being rapidly accepted as the means to access the data stored in those systems and analytics is increasing being used to gain new knowledge from that aggregated clinical data. It then turns to some of the important and evolving areas of informatics including population and public health, mHealth and big data and analytics. Use cases and case studies are used in all of these discussions to help readers connect the technologies to real world challenges. Effective use of informatics systems and tools by providers and their patients is key to improving the quality, safety and cost of healthcare. With health records now digital, no effective means has existed for sharing them with patients, among the multiple providers who may care for them and for important secondary uses such as public/population health and research. This problem is a topic of congressional discussion and is addressed by the 21st Century Cures Act of 2016 that mandates that electronic health record (EHR) systems offer a patient-facing API. HL7’s Fast Healthcare Interoperability Resources (FHIR) is that API and this is the first comprehensive treatment of the technology and the many ways it is already being used. FHIR is based on web technologies and is thus a far more facile, easy to implement approach that is rapidly gaining acceptance. It is also the basis for a ‘universal health app platform’ that literally has the potential to foster innovation around the data in patient records similar to the app ecosystems smartphones created around the data they store. FHIR app stores have already been opened by Epic and Cerner, the two largest enterprise EHR vendors. Provider facing apps are already being explored to improve EHR usability and support personalized medicine. Medicare and the Veteran’s Administration have announced FHIR app platforms for their patients. Apple’s new IOS 11.3 features the ability for consumers to aggregate their health records on their iPhone using FHIR. Health insurance companies are exploring applications of FHIR to improve service and communication with their providers and patients. SureScripts, the national e-Prescribing network, is using FHIR to help doctors know if their patients are complying with prescriptions. This textbook is for introductory health informatics courses for computer science and health sciences students (e.g. doctors, nurses, PhDs), the current health informatics community, IT professionals interested in learning about the field and practicing healthcare providers. Though this textbook covers an important new technology, it is accessible to non-technical readers including healthcare providers, their patients or anyone interested in the use of healthcare data for improved care, public/population health or research.

The practice of modern medicine and biomedical research requires sophisticated information technologies with which to manage patient information, plan diagnostic procedures, interpret laboratory results, and carry out investigations. Biomedical Informatics provides both a conceptual framework and a practical inspiration for this swiftly emerging scientific discipline at the intersection of computer science, decision science, information science, cognitive science, and biomedicine. Now revised and in its third edition, this text meets the growing demand by practitioners, researchers, and students for a comprehensive introduction to key topics in the field. Authored by leaders in medical informatics and extensively tested in their courses, the chapters in this volume constitute an effective textbook for students of medical informatics and its areas of application. The book is also a useful reference work for individual readers needing to understand the role that computers can play in the provision of clinical services and the pursuit of biological questions. The volume is organized so as first to explain basic concepts and then to illustrate them with specific systems and technologies.