C

Case studies

hospital information systems, 119-120

maternal and child health care, 173-175

Centers for Disease Control, 155-156, 185

Change agents, 151-161, 163, 166, 168-169, 183, 184

Chart Checker, 123-124

Chronic diseases, general, 46, 64, 66

Clinical practice guidelines, 2, 9, 51, 67, 98, 164, 181, 190

Clinical processes and systems, 47, 48, 56, 66-67, 85, 100-101, 121-126

decision support/problem solving, 7, 51, 53, 55, 61-62, 63-64, 68-69, 74, 81, 84, 90-93, 95, 105, 112, 117, 124-125, 136, 149, 181, 223

department-level information systems, 112, 113, 136

historical perspectives, 111-113

knowledge-based system, 74, 88, 92, 95, 105, 110, 119, 124-125, 181

laboratory tests, 64, 116, 123

linkages, 6, 88

Classification, see Standards: data exchange and vocabulary

Coding standards for data elements, 13-14, 25, 39

Common Object Request Broker Architecture, 31

Composite Health Care System, 121

Computer-based Patient Record Institute, 10, 14, 50, 167, 168, 177 , 182, 183-185, 187, 188, 189, 191-195

Davies CPR Recognition Program, 8, 16

Computer-Stored Ambulatory System Record Systems (COSTAR), 112, 115-117

Computers at Risk: Safe Computing in the Information Age, 189

Confidentiality, 46, 47, 48, 67, 82, 80, 86-87, 95, 147-148, 153, 169, 181, 188, 192, 200, 207, 208-209, 214-216, 221-222

contract provisions, 221

design for, 14-15, 40, 139

European systems, 37-38

future systems, 94

individual practitioners' patient records, 57, 67

insurer access and, 80, 209, 210

Internet and, 4

pharmacy records, 57

privacy defined, 67

secondary databases, 110

standards, 13, 40, 131, 188

state law, 147-148, 208-209

technological aspects, 110, 126, 127-129

Communications infrastructure, 7-8

see also Networks;

Telecommunications

Connectivity, see Linkage and integration

Content issues, 59, 60-61, 80

definition of, 163, 183

outpatient records, 63

standards, 63, 140, 187

tables of, in computerized records, 82

Contracts, 200-201, 219-221

Coordination, see Organizational factors

Coordination and Continuity in Health Care (CoCo) project, 32, 33-34

COSTAR, 112, 115-117

Cost factors, 46, 49, 53, 58, 66, 68, 89, 93, 153, 154, 158, 161, 169-170, 178, 179, 181, 182, 186, 189-190

administrative, 46, 51, 68, 98, 193

clerical, 123, 141

computing technology, 7, 15-16, 69-70, 105-106, 112, 126, 127, 136 , 137, 141, 146

containment issues, 1-2, 15-16, 26, 35

data entry, 7, 84, 89, 126

demonstration projects, 157

design and development aspects, 15, 139, 140-142, 164

diffusion of technology, 145-146

hospital systems, 53, 63, 64, 137, 141

insurers, 65-66, 145, 154, 194

malpractice insurance, 124

maternal and child health care program, 156

medical information systems, 141, 146

per patient, 53, 145

secondary databases, 50, 110, 177, 193

sharing, 50, 51, 165-168, 177, 183, 193-194, 196

standards, 146

technological innovations, general, 69-70, 105-106, 112, 126, 127, 136, 137, 141, 146

voice recognition, 127

Council on Ethical and Judicial Affairs of the American Medical Association , 206

Court cases, see Litigation



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