Information Technology Essentials for Behavioral Health Clinicians (eBook)

Naakesh Dewan, John Luo, Nancy M. Lorenzi (Herausgeber)

eBook Download: PDF

2010
XX, 213 Seiten
Springer London (Verlag)
978-1-84996-344-2 (ISBN)

Infos

The purpose of this book is to be the premier resource for behavioural health clinicians who are considering adopting technology into their practice. Written by experts and policy makers in the field this book will be recognized as the gold standard. Other books currently in this field are extremely technical and are geared primarily to policy makers, researchers and informaticians. While this book will be a useful adjunct to that audience, it is primarily designed for the over .5 million behavioural health clinicians in the U.S. and the millions others around the world. Adoption of technology is slow in behavioural healthcare, and this book will enhance the adoption and utilization of various technologies in practice. I.T. vendors may also purchase this book for their customers.

Inhalt

Dedication 5
Foreword 6
Preface 9
Series Preface 10
Acknowledgments 11
Contents 12
Contributors 14
Part I: Overview 16
1: The Promise of Health Information Technology in Behavioral Health and Informatics: An Overview 17
Privacy 17
Technologies 18
Clinical Practice 18
Organizing and Managing Care 20
Massive Health IT Expansion and Financial Incentives 22
Impact Issues 23
Bibliography 23
2: Current Technologies for Behavioral Healthcare Clinical Practice 25
Introduction 25
Hardware 25
Desktop Vs. Laptop 26
Internet Security 27
Hardware/Software Security 28
Backup 30
Mobile Devices 32
Software 33
Website Components 33
Communication 34
Electronic Medical Records 35
Conclusion 37
References 37
3: Privacy of Technology and the Behavioral Health Professions 41
Introduction 41
Privacy, Confidentiality, and Security 42
Categories of Health Information Compromise 42
Access by an External Party 42
Access by an Internal Party Without Legitimate Cause 43
Access by an Internal Party with Legitimate Cause 43
Categories of “Sensitive” Health Information 44
Protecting Privacy in the Health Information Technology Environment 45
Isolation 45
Policy 46
Audit Trail 47
Role-Based Access 48
Granular Access Control 48
Security 49
Combining Approaches 50
Concerns and Consequences of Inadequate Privacy Protection 50
Erosion of Trust 50
Identity Theft 51
Stigma and Discrimination 51
Concerns and Consequences of Excessive Protection 51
Privacy Limitations of Paper-Based Record Keeping 52
Current and Future Developments 52
Recommendations 54
References 54
Part II: Clinical Practice Issues 59
4: Knowledge Delivery and Decision Support for Behavioral Healthcare Professionals 60
Knowledge Delivery Today 61
Knowledge and Information Dissected 62
The Future of Knowledge Acquisition: The Final Frontier 63
Direct Knowledge Acquisition 64
Indirect Knowledge Acquisition 64
Knowledge Acquisition Today 65
Internet and the World Wide Web: How They Changed Knowledge Exchange Multimedia, Hypertext, Ease of Use, Reach, Standardization 65
Standardization 65
Hypertext, Multimedia, Nonlinear Learning 66
Nonlinear Learning 66
Technology Versus Knowledge 66
Empower Yourself before Empowering Others 67
In Order to Obtain Empowerment over Your Data You Must 68
Evidence “Knowledge”-Based Clinical Information 68
Behavioral Healthcare Professional Information Needs 69
Patient/Consumer Information Needs 69
What to Expect 70
Measurement-Based Decision Support in Clinical Care 71
Data Mining 74
Knowledge Management 75
Summary 75
References 76
5: Insights on Telehealth and Virtual Reality 78
Introduction 78
Orientation 78
Telehealth 79
Synchronicity 79
General Considerations 79
Insight as Allegory 81
Approach – http://runningahospital.blogspot.com 82
Expectations – Pandora 82
Innovation – Norman Borlaug 83
Environment – Plato’s Cave 84
Digitization – The Tower of Babel 84
Virtual Reality – Mount Olympus 85
Model Design – The Great Pyramid 86
Conclusions 86
References 87
6: Managing Clinical Care in a Pervasive Computing Environment 89
Information Flow Dilemma in Contemporary Healthcare 91
Behavioral Healthcare Issues 91
A Primer on Data Capture 94
Integration of Multiple, Emerging Technologies 95
The Promise of Technology 98
Connected to an Increasingly Ubiquitous Network Structure… 100
Sharing Clinical Information: Leveraging Real Time Communication 101
The Analysis of Clinical Information: The Rise of Reflective Practice 103
Conclusion 104
Bibliography 104
7: Improving Quality and Accountability Through Information Systems 106
History of Quality in Healthcare 107
Continuous Quality Improvement 108
Healthcare Quality Assurance Evolves into Quality Improvement 109
Quality Improvement in Managed Healthcare 109
Quality Improvement Activities: An Application of CQI 110
Outcomes and Systemic Health Management Issues 112
Behavioral Health Informatics for Quality Improvement 115
Data Source Challenges 117
Future Directions: Information for Client-Centered Approach to Care Management 122
Conclusions and Recommendations 125
References 126
Part III: Patient and Client Centric Technologies Section 128
8: Social Networking, Health 2.0, and Beyond 129
Introduction 129
Background 130
Web 2.0: Fostering Interactivity, Engagement, and Community 130
Health Care-Based Internet Tools Go Health 2.0 131
Health 2.0 132
Social Networking 132
Provider Ratings 135
Health Tools 136
Peer Support 137
Conclusion 140
References 140
9: Computerized Psychotherapy 142
Introduction 142
Therapy 142
Drugs 144
Drugs Versus Therapy 144
Medication versus Psychotherapeutic Effectiveness 145
Face-to-Face Therapy versus Computer Therapy 145
Treatment Fundamentals 145
Perspective of Technology Pioneers 146
Medicine: A Profession in Need of Every Available Resource for Teaching 146
Today’s Emerging State of the Art 147
Panic/Phobic Disorders 148
Obsessive–Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) 148
Depression and Anxiety 148
Eating Problems 149
Addictions 149
Today’s Fears 150
What If People Don’t Want to Use It After It’s Been Built? 150
Attrition 150
What If It Doesn’t Do What It Was Intended to Do? 150
Will We Be Able to Charge for It? 151
How Will Therapists Be Impacted? 151
How Will Certification Emerge? 151
Will It Be Adequate Adequately Secure? 152
Implementation Challenges 152
Conclusion 153
References 153
Part IV: Organizational Issues 156
10: Leading Change in Implementing Technology 157
Executive Leadership 157
Chief Executive Officer 159
Chief Information Officer and Chief Quality Officer 161
Business Process Analysis and Improvement 162
Bottom-Up Methodology 162
Methodology Selection 163
Information Resources Management/Systems Development (Purchase or Build)/IT Architecture 164
Capital IT Investment Control 164
Performance Management 165
IT Training/Education/Communication 165
Strategic and Capital Planning 166
Organizational Aspects of Implementing Informatics Change 166
Change and Informatics – An Example 167
Types of Change 167
Magnitudes of Change 168
Microchanges and Megachanges 168
Classic Change Theories 169
Practical Change Management Strategies 173
Resistance to Organizational Change 175
Resistance Against What? 175
Intensity of Resistance 176
The Cast of Characters 178
Administration 179
Conclusion 180
Case Study 180
Key Performance Indicators 182
The Balanced Scorecard 184
Implementing a Performance Management System to Collect and Report Outcomes 185
Roger’s Diffusion of Innovation Curve 185
References 186
11: Evaluating the Impact of Behavioral Healthcare Informatics 188
What Does Evaluation Really Mean? 189
Common Evaluation Methods 190
Benefits of Evaluation 191
Critical Evaluation Issues 193
Mindset of the Evaluator(s) 193
Stakeholders 194
Behavioral Healthcare Practitioner 194
What does Evaluation Entail? 195
The Link to Expectations 195
Baseline Analysis 195
System Expectations and Goals 196
Evaluating the Implementation 197
Evaluating the Quality of the System 197
Time Delays 198
What Do We Do with the Information? 198
Conclusion 199
References 199
12: How Behavioral Healthcare Informatics Systems Interface with Medical Informatics Systems: A Work in Progress 201
Behavioral Healthcare Informatics Systems in Primary Care 203
Behavioral Healthcare Informatics Systems in Mental Health Specialty Care 206
Conclusions 208
References 208
Glossary 211
Index 214

Produkt-Details

• Erscheint lt. Verlag: 2.11.2010
• Reihe/Serie: Health Informatics
• Reihe/Serie: Health Informatics
• Zusatzinfo: XX, 213 p.
• Verlagsort: London
• Sprache: englisch
• Themenwelt: Geisteswissenschaften ► Psychologie ► Allgemeine Psychologie
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie
• Themenwelt: Technik ► Medizintechnik
• Schlagworte: Behavioral Health • Clinicians
• ISBN-10: 1-84996-344-4 / 1849963444
• ISBN-13: 978-1-84996-344-2 / 9781849963442