Perspectives on Healthcare IT, clinical informatics, emerging technology, and life at the intersection of nursing and enterprise systems.
Out of network describes clinicians and facilities that sit outside a given health plan’s contracted network. This post explains the HIMSS Dictionary definition and why network status data matters in registration and billing, then reviews four studies: radiologists’ out-of-network claims falling from 12.6 percent to 1.1 percent, two analyses of state surprise billing laws, and a study of how balance billing bans changed emergency department use.
The Life Safety Code is a set of fire protection requirements meant to give health care facilities a reasonable degree of safety from fire, smoke, and panic, published by the National Fire Protection Association. This post explains the HIMSS Dictionary definition and the CMS rule that adopted the 2012 edition, then reviews four studies: a nurse manager’s guide to dialysis surveys, a study of 5,914 nursing homes and hurricane exposure, a Hurricane Michael cohort of 294 homes, and a survey-metric analysis.
Interactive voice response (IVR) lets callers reach information by phone without a live agent. The HIMSS Dictionary frames it around payer information such as what a claim paid, where it stands, and whether a patient is covered. This post explains that definition and then reviews five studies: a meta-analysis of 15 trials on health behavior change, a tobacco cessation review, a phone-based incident reporting system, a postoperative follow-up pilot, and a survey on voice-assistant screening in cardiology clinics.
The DSM is the American Psychiatric Association manual that clinicians and researchers use to diagnose and classify mental disorders. This post explains the HIMSS Dictionary definition and how DSM diagnoses connect to ICD-10-CM codes in health records, then reviews five studies: a comparison of 103 diagnoses in ICD-11 and DSM-5, a PTSD prevalence comparison, a gaming disorder criteria comparison, a pediatric aggression code validation, and a Taiwan claims code study.
Biosurveillance is the ongoing work of collecting health signals, combining sources, judging what they mean, and passing findings to decision makers, across people, animals, and plants. This post explains the HIMSS Dictionary definition, then reviews five studies: natural language processing that beat ICD-10 codes at finding COVID-19 symptoms, a language-model topic tool applied to 1,841 VA notes, a survey of Korean government agencies, toxicology testing in six Minnesota emergency departments, and a Wisconsin overdose pilot.
Activity-based costing assigns costs to the activities that cause them rather than to departments. This post explains the HIMSS Dictionary definition, then reviews five sources: a systematic review of cost measurement in value-based health care that found 215 studies, a breast cancer study that used location-system data to cost care at multiple sites, a cornea surgery analysis of 559 procedures built on EHR data, a pharmacy costing model for diabetes care, and a review of the basic steps of time-driven costing.
A workstation is a computer, and often the area around it, set up to perform a defined set of tasks such as entering orders, recording notes, or reading images. This post explains the HIMSS Dictionary definition and the HIPAA Security Rule meaning, then reviews four studies: a 64-item nurse station ergonomics tool tested at 133 stations, an 814-radiologist survey on musculoskeletal symptoms, a review of radiology workstation optimization, and a review of home teleradiology workstation requirements.
A social network is a web of people and the connections between them, and the term also names the websites and apps where people with shared interests exchange information. This post explains the HIMSS Dictionary definition, then reviews five studies: a method paper on network analysis in nursing, a map of 136 military nurse scientists, a call for nurses as knowledge bridge builders, a survey of 164 nurses on trusted security sources, and a network analysis of cancer conversations on Twitter.
Outbreak management is the capture and handling of information tied to investigating and containing a disease outbreak or public health emergency. This post explains the HIMSS Dictionary definition and the steps of a field investigation, then reviews a systematic review of web-based outbreak apps, a Canadian military system, a method for finding case clusters in EHR data, and a hospital system that paired sequencing with EHR machine learning.
A medical device interface is every point where a person and a device meet, from unpacking and calibration to daily use and cleaning. This post explains the HIMSS Dictionary definition, then reviews studies of home-use devices, a heuristic evaluation that found 43 usability problems in a smart pump, nurses’ views of two pump interfaces, a pediatric ICU pump comparison, and a review on human factors in procurement.
Healthcare terminology is a collective term for the range from code sets and classifications to nomenclatures and structured vocabularies. This post explains the HIMSS Dictionary definition, then reviews five studies: a Korean survey of 325 professionals that found low knowledge of SNOMED CT and LOINC, a nursing study that mapped 1,271 patient education titles to SNOMED CT with 3.9 percent unmapped, a Dutch framework for maintaining terminologies, a study of junior learners and jargon, and a review of evidence-based healthcare terms.
A patient record is the organized history of a patient’s health kept by a physician, nurse, or other practitioner. This post explains the HIMSS Dictionary definition, then reviews five 2026 studies: a technology acceptance model tested on Germany’s national electronic patient record (ePA) with 149 valid responses, an interview study of 23 users who tried to access the ePA through insurer apps, a FHIR-based research patient record dashboard, an Epic-integrated COPD self-management app co-designed over six improvement cycles, and 45 leader interviews on record implementation and hospital consolidation.
A needs assessment is an organized way to find out what is required to reach a goal, beginning with a gap analysis of the current and desired states. This post explains the HIMSS Dictionary definition, then reviews five 2026 studies: a breast cancer chemotherapy platform built from a needs assessment, a chatbot for postpartum mothers with opioid use disorder based on 12 patient and 11 provider interviews, a generative AI chatbot designed after surveying 511 psychiatric outpatients, an ICU palliative care review, and a clerkship assessment of 42 students.
A payer is an outside organization that funds or insures healthcare costs, from insurers and managed care plans to ACOs, government programs, and administrators. This post explains the HIMSS Dictionary definition and the 2024 national spending figures from CMS, then reviews four 2026 studies: interviews with nine health system and payer leaders on digital tool adoption, a payer-perspective model of stroke rehabilitation costs, a Greek dialysis micro-costing study, and an all-payer analysis of 77,248 patients.
An indicator is a measurable variable that shows how closely care meets a standard or how much quality has been achieved. This post explains the HIMSS Dictionary definition, then reviews five 2026 studies: a Belgian primary care tool that translated 36 kidney disease quality indicators into 80 EMR queries and ended up with 14 on dashboards, a laboratory study of 51,072 test requests, a scoping review of how surgical volume data are collected, and two nursing Delphi studies that built indicator systems of 42 and 30 third-level indicators.
A handheld is a portable computer small enough to hold in one hand, from smartphones to more powerful devices, used in clinical practice for tasks such as ordering prescriptions, accessing records, and documenting encounters. This post explains the HIMSS Dictionary definition and then reviews five studies on handheld devices at the point of care: a 139-patient handheld ultrasound study in which 85 percent of clinical questions were answered, an AI-assisted handheld echocardiography implementation, a narrative review of nine prospective studies, a Pacific training program, and a smartphone video movement analysis platform.
Demographic data describe the characteristics of a population, such as age, sex, race and ethnicity, and primary language. This post explains the HIMSS Dictionary definition, then reviews five studies: a pediatric emergency department study of 295 adolescent and caregiver pairs that found variable concordance between reported race and ethnicity and the EHR, an equity analytics review at a children’s hospital, a survey of 507 Maryland primary care practices, a study of sexual orientation data for transgender patients, and a risk model that improved when demographic and clinical data were added.
A health information system is a computer system that captures, stores, processes, communicates, and presents healthcare information, including patient medical record information. This post explains the HIMSS Dictionary definition, then reviews five 2026 studies: an Ethiopian electronic community system that raised maternal continuum of care completion from 19.6 to 47.7 percent, a Somali facility assessment of 1,219 sites, a Tanzanian data quality review that found neonatal deaths under-captured, a Saudi evaluation of 490 providers, and a Ugandan co-design of death notification.
A simulation exercise is a staged, realistic trial of how people and systems perform. This post explains the HIMSS Dictionary definition, then reviews five studies: a Heidelberg mass casualty exercise with 91 simulated casualties and geotracking that found triage accuracy of 75.4 percent, an interviews study of ambulance nurses trained on intimate partner violence, a 12-student bladder ultrasound simulation, a Canadian military trauma simulation with 21 providers, and a multinational trauma exercise that used virtual patients.
ZigBee is a specification for a suite of communication protocols that use small, low-power digital radios in personal-area networks. This post explains the HIMSS Dictionary definition, then reviews five studies: an IEEE 11073 and ZigBee Health Care Profile monitoring platform deployed to frail elderly and diabetic patients, a hospital vital sign monitoring design for mass casualty events, a simulation of coding for reliable IoMT communication, a ZigBee-based indoor location system for rehabilitation care, and a cloud-based postoperative virtual ward compared across 72,240 and 68,424 patients.