Health Informatics for Medical Librarians. Ana D. Cleveland and Donald B. Cleveland. Table of Contents

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1 Health Informatics for Medical Librarians Ana D. Cleveland and Donald B. Cleveland Table of Contents List of Tables List of Sidebars Preface Acknowledgments Part I: Understanding Health Informatics Chapter 1: Introduction and Overview Ubiquitous Need for Health Information Relationship of Healthcare and Information The Ubiquity of Healthcare Information Understanding the Information Problem The Nature of Information What is Health Informatics? Health Informatics as a Discipline Health Informatics as a Profession The Vital Role of Health Information Technology Background of Health and Computers The Challenges in Information Technology in Healthcare Information Technology and People 1

2 The Extent of Health Informatics Applications Comment [MSW1]: Note This heading needs to be input/placed in the chapter itself. Chapter 2: The Environment of Modern Medicine The Universality of Healthcare New Healthcare Paradigm Structure of the Healthcare System Types of Services Paying for Healthcare The People in Healthcare Physicians Hospitalists Biomedical Engineers Chiropractors Clinical Laboratory Technologists Dentists Dental Assistants Dental Hygienists Health Informationists Licensed Practical/Vocational Nurses Nurse Practitioners 2

3 Paramedics Pharmacists Physician Assistants Registered Nurses Veterinarians Medical Research Recent Trends Group Medical Practice Managed Care Role of the Patient Outpatient Care Long-term Care Complementary and Alternative Medicine (CAM) Uninsured Populace The Internet and Integrated Medical Information Systems Health Informatics Skills and Competencies in the 21 st Century Chapter 3: Informatics Impacting Modern Healthcare Medical Decision-making The Nature and Importance of Medical Data Desirable Characteristics of Medical Data 3

4 Data Gathering Documentation Data for Documentation of Healthcare Operations From Data to Information The Medical Decision-making Process Examples of the Impact of Health Informatics Changes in Patient Care The People Factor The Rise of Evidence-Based Medicine (EBM) Telehealth and Access to Healthcare Chapter 4: Major Applications Areas Direct Patient Care Informatics Primary Care Informatics Nursing Informatics Dental Informatics Behavioral Informatics Public Health Informatics Veterinary Informatics Bioinformatics Support Services Informatics Pharmaceutical Informatics 4

5 Pathology Informatics Laboratory Informatics Medical Imaging Informatics Consumer Health Informatics Chapter 5: Health Sciences Librarians and Health Informatics Health Science Libraries The Leadership of the U.S. National Library of Medicine (NLM) Impacts and Changes in Health Sciences Libraries Changing Healthcare Environments Impact of Computers and Related Information Technologies The Medical Library Assistance Act (MLAA) Information Needs and Searching Behavior of Healthcare Providers Intersections of Health Sciences Librarianship and Health Informatics Common Intellectual Base and Operational Theorems New Roles and Opportunities Health Information Technology (HIT) Management Evidence-Based Medicine (EBM) and the Health Sciences Librarian Patient/Consumer Services The Informationist Health Sciences Librarians and Bioinformatics 5

6 Education and Training for Health Sciences Librarians Health Sciences Librarians and a Relevant Research Agenda Health Sciences Librarians and Research Research Partnerships with Health Informatics Part II: Mastering Health Informatics Chapter 6: The Organization of Medical Knowledge Organization of Knowledge Knowledge Management and Health Information Medical Terminology Definitions Medical Ontologies Medical Classification and Coding Classification and Coding Examples Registries Registries Examples The Medical Literature Medical Textbooks and Reference Tools Medical Journals Trends and Prognosis for Biomedical Journals Bibliographic Control 6

7 Cataloging and Classification Subject Vocabularies The Indexing Function Chapter 7: Health Information Technology Managing Healthcare Information with Technology The Expectations of Healthcare Information Technology (HIT) Networking with Telecommunications Medical Database Management Database Management Systems (DBMS) Biomedical Databases The Internet Health Consumers and the Internet Web-based Healthcare Information Systems Mobile, Wireless, and Wearable Technology Health Sciences Artificial Intelligence (AI) Healthcare Artificial Intelligence Applications Virtual Reality (VR) Connectivity and Interoperability National Health Information Infrastructure (NHII) 7

8 Chapter 8: The Electronic Health Record The Nature of Health Records Problem-oriented Health Records Personal Health Records The Electronic Health Record Definition Need for the Electronic Health Record Universality of EHRs Challenges Electronic vs. Paper Patient Records Basic Electronic Health Record Functions The Ideal Electronic Health Record Selection of an EHR User Interfaces Implementation of the EHR Web-based Systems Issues and Caveats Health Record Information Ownership Trends and Potential of the Electronic Health Record A National Health Record 8

9 Opportunity for the Health Sciences Librarian Chapter 9: Healthcare Information Management Systems Information Management Correct Information at the Right Time Complexity of Healthcare Information Systems Understanding Information Needs and Opportunities Information Resources Management (IRM) Major Types of Health Information Systems Clinical Information Systems (CIS) Hospital Information Systems (HIS) Supportive Health Information Systems Healthcare Information System Analysis Basic Rules for Acquiring an Information Management System Successful Information System Implementation Evaluation of an Information System The Role of the Library Chapter 10: Medical Imaging 9

10 Introduction Medical Imaging Basics Digital Imaging Imaging and Medical Practice Imaging Acquisition Modalities Major Uses of Imaging in Healthcare Managing Imaging Information Image Manipulation Transporting Images Image Organization, Storage, and Retrieval Image Indexing Image Access Image Quality Picture Archiving and Communication Systems (PACS) Emerging Imaging Technologies Medical Images and the Health Sciences Librarian Chapter 11: Ethical and Legal Issues in Health Informatics Ethics and Medicine Concept of Professional Ethical Codes Ethics in the Practice of Medicine 10

11 Ethics in Medical Research Ethics and Informatics Medical Legal Issues Informed Consent Information Ownership Negligence (Malpractice) Product Liability Fraud and Abuse Privacy and Confidentiality Issues Secondary Use of Patient Data Health Grid Computing Health Insurance Portability and Accountability Act of 1996 (HIPAA) USA PATRIOT Act and Medical Privacy Issues for Health Sciences Librarians Chapter 12: Bioinformatics and Genomic Medicine Defining Bioinformatics Areas of Bioinformatics Study Deoxyribonucleic Acid (DNA): The Information Key to Life Genes and Genetics The Genome 11

12 Genome Mapping The Human Genome Project (HGP) Stem Cell Research Gene Testing Genetic Engineering and Cloning Genomic Databases Bioinformatics Applications Genomic Medicine Personalized Medicine Societal Concerns Impact and Hopes Role of the Health Information Professional Chapter 13: The Age of Health Informatics Education, Research, and Career Paths Educational Pathways Continuing Education (CE) Health Informatics Research Career Opportunities Professional Associations Trends and Horizons in Health Informatics 12

13 Advances in Health Informatics Technologies Medical Informatics and an Innovative Internet Emerging Health Informatics Specialties A Final Word Index 13

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