PART A
General and Institutional Framework for the Development of Healthcare Information Systems

Section A1
Conceptual Framework for Information Systems Development

A.1.1. Concepts and Goals of Information Systems in Healthcare           Delivery Organizations  

A.1.2. The Process of Setting Up Information Systems

     A.1.2.1. The Process

     A.1.2.2. Standards – the Principal Strategic Issue

     A.1.2.3. Cost-Benefit Analysis

     A.1.2.4. Incremental Development

     A.1.2.5. Stakeholder Support

     A.1.2.6. Security and Confidentiality

     A.1.2.7. Education and Training

    A.1.2.8. Project Management

    A.1.2.9. Ongoing Evaluation and Development

Section A2
Infrastructure for Health Services Information Systems and Technology (IS&T)

A.2.1. Hardware and Software

A.2.2. Systems Architecture

     A.2.2.1. Open Versus Proprietary Systems

     A.2.2.2. Network Computing

A.2.3. Human Resource Infrastructure

     A.2.3.1. Data Management Activities

     A.2.3.2. User Education and Training

A.2.4. Security and Confidentiality

A.2.5. Legal Issues Related to Software

     A.2.5.1. Some Relevant Definitions

     A.2.5.2. Trends in Software Design and Developer’s Rights

     A.2.5.3. Ownership Rights

     A.2.5.4. Understanding Software Copyright Protection

     A.2.5.5. Copyright Issues in Contracted Software Development

     A.2.5.6. Developer’s Responsibilities

Section A3
Organizational Environment and Content Requirements for Health Promotion and Care Information

A.3.1. Information and Healthcare Services

     A.3.1.1. Health Services as Object of Investigation and Evaluation

     A.3.1.2. Healthcare and Health Promotion Productive Processes                 and Indicators

     A.3.1.3. Healthcare Networks

A.3.2. Information Requirements and Levels of Management

A.3.3. Operational and Management Support

A.3.4. The Decision-Making Requirements

     A.3.4.1. Autonomy without Fragmentation

     A.3.4.2. Levels of Decision-Making and Information Systems

     A.3.4.3. Decision-Making Processes

A.3.5. Content Requirements for Healthcare Information

     A.3.5.1. Patient-Based Data

     A.3.5.2. Aggregated Variables and Indicators

Section A4
Evolution and Current Challenges for Healthcare Information Systems

A.4.1. Evolution and Dissemination of Healthcare Information Systems           and Technology

A.4.2. Challenges in the Deployment of Healthcare Information Systems           and Technology

     A.4.2.1. Dynamics of Technological Changes

     A.4.2.2. Complexity and Changes in Healthcare Organizations

     A.4.2.3. The Healthcare Delivery Process

     A.4.2.4. The Variety and Detail of Healthcare Information

     A.4.2.5. Different Perspectives in Provider- and
                 Procedure-Oriented Sources

     A.4.2.6. The Need for National Policies and Strategies

References

1. PAHO Core Data Indicators
2. OECD Healthcare Indicators
3. Health Databases Protection and Confidentiality
4. Functional Requirements for Healthcare Documentation
5. Health Insurance Portability and Accountability Act Security Standards