Previous edition: 2008.

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Includes bibliographical references and index.

Although informatics trainees and practitioners who assume operational computing roles in their organization may have reasonably advanced understanding of theoretical informatics, many are unfamiliar with the practical topics - such as downtime procedures, interface engines, user support, JCAHO compliance, and budgets - which will become the mainstay of their working lives. Practical Guide to Clinical Computing Systems 2nd edition helps prepare these individuals for the electronic age of health care delivery. It is also designed for those who migrate into clinical computing operations roles.

Machine generated contents note: 1. Introduction and Overview of Clinical Computing Systems within a Medical Center / Thomas H. Payne -- 1. healthcare setting -- 2. Rising dependence on clinical computing systems -- 3. importance of computing operations and support -- 4. Importance of monitoring performance -- 5. Real-world problems and their implications -- 6. Introducing clinical computing systems can introduce errors -- 7. We need greater emphasis on safe operations of clinical computing systems -- References -- 2. Architecture of Clinical Computing Systems / Kent A. Beckton -- 1. What is architecture, and why is it important? -- 2. Architectural models -- 3. Architecture of computing systems in healthcare organizations -- 4. End-user applications: strengths/weaknesses of web and other development choices -- 5. Examples of clinical computing architectures -- References -- 3. Creating and Supporting Interfaces / Kent A. Beckton -- 1. Integrating and interfacing applications -- 2. HL7 in the real-world -- 3. What is needed to succeed with interface development -- 4. Other standards -- 5. Data exchange and meaningful use -- 6. Final thoughts regarding interfaces -- References -- 4. Infrastructure / David Chou -- 1. Introduction -- 2. Data centers -- 3. Servers, operating systems, and databases -- 4. Managing the desktop and other clients -- 5. Backup, redundancy, disaster planning, and recovery -- 6. Operations -- 7. Cloud computing and outsourcing -- 8. Summary -- References -- 5. Security / Soumitra Sengupta -- 1. Introduction -- 2. Security -- 3. Summary -- References -- 6. From Project to Operations: Planning to Avoid Problems / Wendy Giles -- 1. Introduction -- 2. System acquisition -- 3. Project phase -- 4. Summary -- Reference -- 7. Implementation and Transition to Operations / Christopher Sharp -- 1. Introduction -- 2. Background -- 3. Planning for implementation -- 4. Designing and building the system -- 5. Testing the system -- 6. Training, activation, and go-live support -- 7. Transition to operations and optimization -- 8. Conclusions -- References -- 8. Troubleshooting: What Can Go Wrong and How to Fix It / Benoit Debande -- 1. grand challenge: complex systems -- 2. Digging into reality: perfect redundancy ... myth or reality? -- 3. How to deal with troubleshooting: mitigation strategies -- 4. Conclusion -- 9. Working with the User Community / Carl Christensen -- 1. Training and support -- 2. Multi-EMR environment considerations -- 3. Communications -- 4. Leadership and user engagement -- 5. Organizing teams and systems to work with users -- 6. Role of the help desk -- 7. Future trends -- References -- 10. Health Information Management and the EMR / Jacquie Zehner -- 1. Uses of the EMR -- 2. Goals of health information management within the medical centers -- 3. Hybrid of medical record media -- 4. transition to the EMR takes years -- 5. Health information management -- 11. Legal Issues in Medical Records/Health Information Management / Sally Beahan -- 1. Organizational groups and regulations that affect medical records -- 2. Federal laws and entities that affect medical records -- 3. State laws that affect medical record documentation -- 4. joint commission -- 5. Government mandates that impact HIM -- 6. Conclusion -- 7. Links to additional information -- 12. Working with Organizational Leadership / Charles Gutteridge -- 1. leadership landscape -- the information revolution -- 2. Shaping a new leadership landscape driven by health IT -- 3. Developing new leaders -- 4. Working with organizational leaders on strategic change -- 5. Leadership toolkits -- 6. Integrating the enterprise using information technology -- 13. Careers in Biomedical Informatics and Clinical Computing / David Masuda -- 1. Introduction -- 2. biomedical informatics workforce -- 3. Education and training in biomedical informatics -- 4. Resources -- 5. Conclusions -- References.