The CPHIMS Review Guide, 4th Edition Preparing for Success in Healthcare Information and Management Systems

Whether you’re taking the CPHIMS exam or simply want the most current and comprehensive overview in healthcare information and management systems today, this completely revised and updated fourth edition has it all. But for those preparing for the CPHIMS exam, this book is also an ideal study partner. The content reflects the outline of exam topics covering healthcare and technology environments; clinical informatics; analysis, design, selection, implementation, support, maintenance, testing, evaluation, privacy and security; and management and leadership. Candidates can challenge themselves with the sample multiple-choice questions given at the end of the book. The benefits of CPHIMS certification are broad and far-reaching. Certification is a process that is embraced in many industries, including healthcare information and technology. CPHIMS is recognized as the ‘gold standard’ in healthcare IT because it is developed by HIMSS, has a global focus and is valued by clinicians and non-clinicians, management and staff positions and technical and nontechnical individuals. Certification, specifically CPHIMS certification, provides a means by which employers can evaluate potential new hires, analyze job performance, evaluate employees, market IT services and motivate employees to enhance their skills and knowledge. Certification also provides employers with the evidence that the certificate holders have demonstrated an established level of job-related knowledge, skills and abilities and are competent practitioners of healthcare IT.

Contents Acknowledgments Preface Editor SECTION I GENERAL 1 The Healthcare Environment Learning Objectives Introduction Healthcare Organizations Hospitals Outpatient or Ambulatory Care Community Health Organizations Diagnostic and Pharmaceutical Services Healthcare Payers Interrelations within and across Healthcare Organizations Enabling Access to Comprehensive Care Services Assuring Effective Transfers of Care Ensuring the General Portability of Care Reporting Public and Population Health Information Obtaining Appropriate Reimbursement for Quality Care Supporting Particular Organizational Models of Care Roles and Responsibilities of Healthcare Information and Management Systems Professions Roles of Government, Regulatory, Professional, and Accreditation Agencies in Healthcare Government Healthcare Regulators Professional Associations Accreditation Organizations Summary References 2 The Technology Environment … Learning Objectives … Introduction … Hardware in Healthcare IT … Technology Infrastructure Servers Data Storage Mobile Devices Medical Devices Networks in Healthcare IT Network Infrastructure Communications Software in Healthcare IT Clinical Applications Administrative Applications Financial Applications Consumer Applications Key Trends and Issues in Healthcare Technologies Health Information Exchanges Interoperability and Standards Data Integration Data Warehouses Clinical and Business Intelligence (CBI) Telehealth and Telemedicine Privacy and Security Conclusion References SECTION II SYSTEMS 3 Systems Analysis Learning Objectives Introduction Healthcare Problems and Opportunities for IT Implementation Clinical Functions Applications for Clinical Functions Administrative and Financial Services Applications for Administration and Finance Infrastructure Security-Related Applications Needs Analysis in Healthcare Facilities Operational Needs Staff Productivity and Satisfaction Increased Revenue and Cost Optimization Patient Safety Quality of Care Patient Access to Services Needs Summary Needs Prioritization Work Plan Development Executive Summary Introduction and Background Goals and Objectives Resources Work Plan Accountability Current Clinical Processes Current Healthcare IT Integration Status Deficiencies in Current IT Healthcare Practices Patient Support and Satisfaction Reduction in Revenue Generation Prescription Errors Industry Standardization Alternative Approaches to Current Healthcare Processes Industry Standardization Alternative Ways to Reduce Prescription Errors Alternative Processes for Revenue Generation Comparative Analysis of Alternatives Proposal Evaluation Cost–Benefit Analysis Proposal Sensitivity Analysis References 4 Systems Design Learning Objectives Introduction Business Process Management Compatibility of System Components Standards Compliance Process to Address Industry Trends Structure of the System Design Team Detailed Technical Specifications Usability Business Process Reengineering Information Infrastructure Data Management Creating a Request for Information (RFI) Making a Buy versus Build Decision Process for a Build Decision Buy Decision: Best-of-Breed versus Single-Vendor Solution Creating a Request for Proposal (RFP) Summary References 5 Systems Selection, Implementation, Support, and Maintenance Learning Objectives Introduction Solution Selection Criteria Selecting Review Team Members Solution Selection Activities Implementation Process Organizational Change Management Implementation Strategies Implementing Solutions System Integration to Support Business Requirements User and Operational Manuals and Training Activation Planning and Immediate Postactivaton Activities Managing Healthcare Information Systems Analyzing Data for Problems and Trends Ensuring Critical Functions Are Repaired, Maintained, or Enhanced Business Continuity and Disaster Recovery Plans Bibliography 6 Systems Testing and Evaluation Learning Objectives Introduction Purpose of Systems Testing Test Methodology Test Strategy Test Tools Test Execution Test Controls Test Reporting Final Evaluation References 7 Systems Privacy and Security Learning Objectives Introduction Defining Requirements, Policies, and Procedures Risk Assessment Vulnerability Remediation User Access Controls Confidentiality, Integrity, and Availability Organizational Roles Data Management Controls Disaster Recovery and Business Continuity Plans Auditing Ongoing System Evaluation References SECTION III ADMINISTRATION 8 Administration Leadership Learning Objectives Introduction 8Participation in Organizational Strategic Planning Mission Vision Values Goals Organizational Environment Forecasting Technical and Information Needs of an Organization Developing the IT Strategic Plan Implementing the IT Strategic Plan Evaluating Performance Evaluating Effectiveness and User Satisfaction Promoting Stakeholder Understanding of IT Opportunities and Constraints Developing Policies and Procedures for Information and Systems Management Complying with Legal and Regulatory Standards Adhering to Ethical Business Principles Employing Comparative Analysis Strategies Budgets Other Financial and Nonfinancial Indicators Benchmarks Quality Indicators Preparing and Delivering Business Communications Facilitating Group Discussions and Meetings Providing In-House Consulting Services Developing Educational Strategies for IT Staff Staying Current on IT Technologies and Trends Managing Risk Quality Standards and Practices ……………………………………………………. References …………………………………………………………………………... 9 Administration Management .. Learning Objectives Introduction …………………………………………………………………………. Roles and Responsibilities for IT-Related Functions ……………………………… Senior Management Roles and Responsibilities ………………………………. General IT Roles and Responsibilities ………………………………………… Healthcare IT Roles and Responsibilities ……………………………………… Careers in Healthcare IT…………………………………………………………. Achieving Staff Competency in Information and Management System Skills ……………………………….……………………………….………………… Employee Development ……………………………….………………………… Organizational Training and In-Service Programs ……………………………… Job-Related IT Certifications ……………………………………………………. Miscellaneous Professional Development ………………………………………. Performance Evaluation ……………………………….………………………… Managing Projects and Project Portfolios ……………………………….……………. Managing Vendor Relationships ……………………………….……………………... Facilitating Steering Committee Meetings ……………………………….…………… Adhering to Industry Best Practices ……………………………….………………….. Developing System, Operational, and Department Documentation ………………….. System Documentation ……………………………….………………………….. Operational Documentation ……………………………….……………………... Department Documentation ……………………………….……………………… Providing Customer Service ……………………………….………………………….. Service-Level Management ……………………………….……………………… Request Tracking ……………………………….………………………………… Problem Resolution ……………………………….………………………………. Managing Budget and Financial Risks ……………………………….………………... Financial Risk Management ……………………………….…………………………… Budget Risk Management ……………………………….……………………………… Managing Customer Relationships with Business Leaders …………………………….. Summary ……………………………….……………………………….………………. References………………….……………………………….…………………………. 10 Questions … Chapter 1: The Healthcare Environment ………………………………………… Chapter 2: The Technology Environment ………………………………………. Chapter 3: Systems Analysis ……………………………….…………………… Chapter 4: Systems Design ……………………………….……………………… Chapter 5: Systems Selection, Implementation, Support, and Maintenance ........... Chapter 6: Systems Testing and Evaluation ……………………………………… Chapter 7: Systems Privacy and Security ………………………………………… Chapter 8: Administration Leadership ……………………………….…………… Chapter 9: Administration Management …………………………………………. 11 Answer Key … Chapter 1: The Healthcare Environment … Chapter 2: The Technology Environment … Chapter 3: Systems Analysis … Chapter 4: Systems Design …. Chapter 5: Systems Selection, Implementation, Support, and Maintenance ........

HIMSS is a global voice, advisor and thought leader of health transformation through Health IT with a unique breadth and depth of expertise and capabilities to improve the quality, safety, and efficiency of health, healthcare and care outcomes. As the leading source of Health IT, HIMSS designs and leverages key data assets, predictive models and tools to advise global leaders, stakeholders and influencers of best practices in Health IT so they have the right information at the point of decision. Through its HIT network of over 1 million experts, over 200 knowledge exchanges and collaborations, including 60,000 plus members, HIMSS drives innovative; forward thinking around best uses of technology in support of better connected care, improved population health and low cost of care. HIMSS is a not for profit, headquartered in Chicago, Illinois with additional offices in North America, Latin America, Europe, United Kingdom and Asia.