Topic: Overview of BMI. Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 1

Size: px
Start display at page:

Download "Topic: Overview of BMI. Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 1"

Transcription

1 Introduction to Biomedical Informatics Topic: Overview of BMI Funded by NIH Grant XYZ Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 1

2 Outline Introduction to the class Motivating example: health records Origins ofbmi Relationship of BMI to other disciplines Data acquisition, storage, and use Electronic Medical Records Conclusions and discussion Recommended reading Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 2

3 Why take this class This class will NOT teach you to be a programmer teach you to fix broken computers tell you about every important biomedical computing system or application This class WILL introduce you to concepts underlying biomedical informatics encourage you to read additional related material help you connect broad concepts in biomedical informatics to your current and future work The practice of medicine is inexplicably entwined with the management of information (Shortliffe & Cimino, 3 rd ed.) Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 3

4 Motivating example: health records Modern paper based records grew out of the concept of lab notebooks for physicians What are some current challenges? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 4

5 What are all the things that go into a medical record? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 5

6 What are all of the ways in which the medical record is used? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 6

7 Challenges to implementing electronic medical records: Impossible to fully automate record keeping processes Limited standards for clinical terminology, billing and diagnostic codes, and interoperability among systems (both within one medical center and beyond dt to many) Data privacy, confidentiality, and security (importantly three different but related issues) Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 7

8 Some terms medical computer science information science information theory biomedical computing or biocomputation medical informatics bioinformatics biomedical informatics Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 8

9 History of Biomedical Informatics 1890: Hollerith used punch card data processing in the US census; led to epidemiological surveillance via punch cards dannyman: punchcard loom (likely 19 th ctry) Marcin Wichary:1960 s IBM punch card Late 1950s: Started to see applications of digital computers in medicine in engineering gpublications 1960s: Computer Science as a discipline formed; mainframes the norm jovike: 1978 IBM System/370 Model s and 1980s: emergence of the personal computer (PC) or microcomputer Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 9

10 Theterm Informatics 1968: A.I. Mikhailov, along with others coined the term Informatika during thedevelopment ofthefield field ofinformation Science in Russia 1976: Nauchnye Kummunikatsii Informatika Informatics: the scientific c discipline dscp that studies sudes the structure u eand dgeneral e properties of scientific information and the laws of all processes of scientific communication. Late 1960 s: University departments in France, Holland, and Belgium established with the title informatique medicale 1974: Medical Informatics became the term of art at Kings College Hospital in London inform from d informatique, atics from d automatique. Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 10

11 Formal Definitions and Standards Bodies 1985: American Standards for Testing Materials (ASTM, develops voluntary standards) established Subcommittee on Medical Informatics 1986: AAMC defined medical informaticsformallyas formally as a developing body of knowledge and set of techniques concerning the organization and management of information in support of medical research, education andpatientcare care. For the purposes of this course, Biomedical informatics is a scientific field that deals with biomedical information, data, and knowledge their storage, retrieval and optimal use for problem solving and decision making. Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 11

12 Biomedical Informatics Application Domains Biomedical Informatics has major application domains (sub disciplines) including: Bioinformatics directed at the level of molecular and cellular processes Clinical Informatics (a.k.a. a healthcare informatics) directed at the level of individuals (includes medical informatics, nursing informatics, dental, etc.) Public Health informatics directed at populations p and society Social Informatics social impacts of information technology in healthcare field. Imaging informatics directed d at the level lof tissues and organs, e.g., pathology informatics, radiology informatics Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 12

13 How do you think Biomedical Informatics relates to other disciplines? i Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 13

14 Outline Introduction to the class Motivating example: health records Origins ofbmi Relationship of BMI to other disciplines Data acquisition, storage, and use Electronic Medical Mdi lrecords Conclusions and discussion Recommended reading Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 14

15 Medical practice is all about gathering, reviewing and interpreting data Dt Data are central lto all medical care Data are central to the process of decision making What are medical data? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 15

16 An individual medical data point (datum) is a single observation about a patient The patient in question The parameter being observed The value of the parameter in question The time of the observation Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 16

17 Medical data are uncertain. Absence of standard medical vocabularies based on clear definitions makes all medical observations fuzzy. Common findings may mask rare ones. Symptoms and diagnoses can co occur even when not related. Context helps remedy this issue to a degree. Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 17

18 Return to our example: the medical record Legal document Growing tendency to structure data woodenmask: ancestry records from late 1800s benben: modern clinic records storage Often reviewed intensely mandiberg: medical record under review Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 18

19 Who (What) collects medicaldata? data? Physicians Nurses Radiologists Laboratory Office staffs admission personnel Technological devices Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 19

20 Potential Uses for Medical Information Historical Record Communication Diagnosis and Monitoring Legal Records Clinical and/or Epidemiological Research Perhaps custom treatments/personalized medicine Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 20

21 + Flexibility + Relative robustness + Accessibility (paper is everywhere) Pros and Cons of Paper Records - Logistical issues - Unable to share with multiple users - The incomplete of the records + Familiarity - Legibility - Disorganization of the paper records - Redundancy and inefficiency - Influence on Clinical Research - Accessibility (once the record is entered, its hard to access by paper alone) - Illegibility ofproviderhandwriting Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 21

22 Goals of Computerized Records Facilitate patient care by serving as organized external memory for practitioners Enhance communications between providers and specialists Ensure continuity of care during inpatient stays and across outpatient visits Legal and financial i purposes Research support Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 22

23 Pros and Cons of Electronic Records + Accessibility remotely and simultaneously + Legibility + Automatic decision making asking for missing information, alerts, reminders + Enhanced scope (have all inpatient and outpatient data and test results available even if a patient is outside local area) - Initial investment - Continuing costs (training, maintenance of confidentiality, etc.) - Subtle failures (e.g., transcription errors of handwritten notes by data entry person) - Catastrophic failures - Data glut difficulties (physicians often use a great deal of data of low decision value to make small decisions. Capture is difficult and expensive.) Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 23

24 Factors Influencing Benefits of EHR/EMR Use Comprehensiveness of information Duration of use and retention ti of data dt Degree ofstructure ofdata Ubiquity of access Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 24

25 Automated Data Capture Recording data in the moment can take a person out of that moment (e.g., notes in class, records during patient visit) Comprehensive capture of all data is impractical need priorities iti Relying on self report alone can lead to missing information Insufficient detail ( tests were normal ) avoided when test results automatically gathered from original source Chance to track data provenance in detail For more on this issue from a computer science standpoint (rather than BMI), see Truong, K.N. and Hayes, G.R. Ubiquitous Computing for Capture and Access, Foundations and Trends in Human Computer Interaction: (2):2, Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 25

26 But when data cannot be gathered automatically Emphasis on personnel investment needed Avoidance of free text since interpretation by input personnel introduces errors Careful coding emphasis on training Work on areas to increase accuracy of data input (e.g., structured data entry, voice recognition) Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 26

27 Medical care is informational Physician encounters are information rich What are some examples from your experiences? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 27

28 Where did the idea of storing all these data digitally originate? As in other domains, complexity and quantity of information i requires digital i database solutions (to a degree) 1950 s: Split between clinical and research information repositories 1960s: advent of computer based hospital information systems (HIS) 1969: Lawrence Weed introduced problem oriented medical record (POMR) Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 28

29 EMR The source oriented information of a medical chart plus a demand oriented front end. (Stead, 1987) Lindberg ideal EMR concepts: Careful measurements over patient s conditions should be made, recorded and monitored; Lifelong record must be complete and machine readable; Linkages should be included to sources of medical knowledge. Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 29

30 Functional Components of EMR Integrated view of patient data Clinical decision support Clinician order entry Access to knowledge resources Integrated communication and reporting support Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 30

31 What is the difference between an EMR and an EHR? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 31

32 What is so complicated about EHR? Lots of types of data to store Lots of people to make happy Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 32

33 What does the EMR in particular have to do? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 33

34 Desirable Features Modular Open Source (means different things to different people); Patient centric Usable in research context (if the clinical setting using the EMR does research) Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 34

35 Issues, Barriers, Bottlenecks Privacy Interoperability Standards Usability Workflow Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 35

36 One example: Demo from Quest System Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 36

37 Translating Medical Data into Knowledge Data: single, uninterrupted observation point (e.g., one BP reading) Information: elements of data arranged to convey meaning Knowledge: generalized truths formed from analysis of information Discuss: Whatisthe the difference between a database and a knowledge base? Why does it matter? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 37

38 Discussion What do you think is the long term relationship between health workers and computers? For the practitioners in the class, how have things changed for you in your profession over the years? Will clinicians i i be viewed as outmoded dif they do not turn to computational tools for assistance? Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 38

39 Recommended Reading Heath and Luff Documents and professional practice: bad organisational reasons for good medical records Marc Berg The multiple bodies of the medical record Altman Informatics in the care of patients: Ten notable challenges Institute of Medicine Crossing the Quality Chasm: A New Health Systems for the 21 st Century Collen 1995 a history of medical informatics in the United States Weed 1969 Medical Records, Medical Evaluation, and Patient Care: The Problem Oriented Record as a Basic Tool. Chapters 1, 2, and 12 in blue book Baldi/Hayes/Smyth: Introduction to Biomedical Informatics: 39

Medical Informatics An Overview Saudi Board For Community Medicine

Medical Informatics An Overview Saudi Board For Community Medicine Medical Informatics An Overview Saudi Board For Community Medicine Ahmed AlBarrak PhD Medical Informatics Associate Professor of Health Informatics, Family & Community Med, Chairman, Medical Informatics,

More information

What is Medical Informatics? Sanda Harabagiu Human Language Technology Research Institute DEPARTMENT OF Computer Science sanda@hlt.utdallas.

What is Medical Informatics? Sanda Harabagiu Human Language Technology Research Institute DEPARTMENT OF Computer Science sanda@hlt.utdallas. What is Medical Informatics? Sanda Harabagiu Human Language Technology Research Institute DEPARTMENT OF Computer Science sanda@hlt.utdallas.edu Erroneous opinions and misconceptions There is great confusion

More information

Mona Osman MD, MPH, MBA

Mona Osman MD, MPH, MBA Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare

More information

Clinical Decision Support Systems. Dr. Adrian Mondry

Clinical Decision Support Systems. Dr. Adrian Mondry Clinical Decision Support Systems Dr. Adrian Mondry Medical practice is decision making! Types of decisions in medicine: Diagnosis Diagnostic process Management of treatment Resource management in a hospital

More information

Providence- OHSU Informatics Course

Providence- OHSU Informatics Course Providence- OHSU Course Logistics, Detailed Curriculum, Learning Objectives, and Other Information William Hersh, M.D. Department of Medical & Clinical Epidemiology Oregon Health & Science University Course

More information

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

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

More information

HIT Workflow & Redesign Specialist: Curriculum Overview

HIT Workflow & Redesign Specialist: Curriculum Overview HIT Workflow & Redesign Specialist: Curriculum Overview Component - Description Units - Description Appx. Time 1: Introduction to Health Care and Public Health in the U.S. Survey of how healthcare and

More information

Health Information Technology: Introduction to One Key Part - the EHR

Health Information Technology: Introduction to One Key Part - the EHR Health Information Technology: Introduction to One Key Part - the EHR Donald P. Connelly, MD, PhD Director, Health Informatics Division University of Minnesota Medical School February 21, 2006 Minnesota

More information

Biomedical Informatics: Computer Applications in Health Care and Biomedicine

Biomedical Informatics: Computer Applications in Health Care and Biomedicine An Overview of Biomedical Date 1/19/06 Biomedical : Computer Applications in Health Care and Biomedicine Edward H. Shortliffe, MD, PhD Department of Biomedical Columbia University Asian Pacific Association

More information

1a-b. Title: Clinical Decision Support Helps Memorial Healthcare System Achieve 97 Percent Compliance With Pediatric Asthma Core Quality Measures

1a-b. Title: Clinical Decision Support Helps Memorial Healthcare System Achieve 97 Percent Compliance With Pediatric Asthma Core Quality Measures 1a-b. Title: Clinical Decision Support Helps Memorial Healthcare System Achieve 97 Percent Compliance With Pediatric Asthma Core Quality Measures 2. Background Knowledge: Asthma is one of the most prevalent

More information

WHAT IS (AND ISN T) INFORMATICS. Dr. Matthew Barnes, MD

WHAT IS (AND ISN T) INFORMATICS. Dr. Matthew Barnes, MD WHAT IS (AND ISN T) INFORMATICS Dr. Matthew Barnes, MD The 19th century culture was defined by the novel, the 20th century culture was defined by the cinema, and the 21st century culture will be defined

More information

Communicating Critical Test Results Safe Practice Recommendations

Communicating Critical Test Results Safe Practice Recommendations Communicating Critical Test Results Safe Practice Recommendations Massachusetts hospitals are collaborating in a patient safety initiative to improve our ability to provide timely and reliable communication

More information

Patient Management Systems. Terrence Adam, BS Pharm,, MD, PhD Assistant Professor, PCHS University of Minnesota College of Pharmacy

Patient Management Systems. Terrence Adam, BS Pharm,, MD, PhD Assistant Professor, PCHS University of Minnesota College of Pharmacy Patient Management Systems Terrence Adam, BS Pharm,, MD, PhD Assistant Professor, PCHS University of Minnesota College of Pharmacy Background Interests Interest in clinical informatics with training in

More information

Table of Contents. Page 1

Table of Contents. Page 1 Table of Contents Executive Summary... 2 1 CPSA Interests and Roles in ehealth... 4 1.1 CPSA Endorsement of ehealth... 4 1.2 CPSA Vision for ehealth... 5 1.3 Dependencies... 5 2 ehealth Policies and Trends...

More information

Streamline Your Radiology Workflow. With Radiology Information Systems (RIS) and EHR

Streamline Your Radiology Workflow. With Radiology Information Systems (RIS) and EHR Streamline Your Radiology Workflow With Radiology Information Systems (RIS) and EHR 2 Practicing medicine effectively requires transferring large amounts of information quickly, accurately, and securely.

More information

Introduction to Health Insurance

Introduction to Health Insurance Chapter 2 PART 2 of 2 Introduction to Health Insurance Copyright 2013 Delmar, Cengage Learning. ALL RIGHTS RESERVED. 1 Healthcare Documentation Documentation is the systematic, logical, and consistent

More information

Presented to the HISA Board. 23 rd November 2007

Presented to the HISA Board. 23 rd November 2007 What is Health Informatics Presented to the HISA Board Sydney 23 rd November 2007 1 First Survey Results % agree ement 40% 35% 30% 25% 20% 15% 10% 5% 0% What is HI Question Response 1 2 3 4 5 6 7 Agreement

More information

Medical Information Systems

Medical Information Systems Medical Information Systems Introduction The introduction of information systems in hospitals and other medical facilities is not only driven by the wish to improve management of patient-related data for

More information

Bench to Bedside Clinical Decision Support:

Bench to Bedside Clinical Decision Support: Bench to Bedside Clinical Decision Support: The Role of Semantic Web Technologies in Clinical and Translational Medicine Tonya Hongsermeier, MD, MBA Corporate Manager, Clinical Knowledge Management and

More information

MED 2400 MEDICAL INFORMATICS FUNDAMENTALS

MED 2400 MEDICAL INFORMATICS FUNDAMENTALS MED 2400 MEDICAL INFORMATICS FUNDAMENTALS NEW YORK CITY COLLEGE OF TECHNOLOGY The City University Of New York School of Arts and Sciences Biological Sciences Department Course title: Course code: MED 2400

More information

TOWARD A FRAMEWORK FOR DATA QUALITY IN ELECTRONIC HEALTH RECORD

TOWARD A FRAMEWORK FOR DATA QUALITY IN ELECTRONIC HEALTH RECORD TOWARD A FRAMEWORK FOR DATA QUALITY IN ELECTRONIC HEALTH RECORD Omar Almutiry, Gary Wills and Richard Crowder School of Electronics and Computer Science, University of Southampton, Southampton, UK. {osa1a11,gbw,rmc}@ecs.soton.ac.uk

More information

Health Information Technology/Informatics (Policy Number)

Health Information Technology/Informatics (Policy Number) The American Society For Clinical Pathology Policy Statement Health Information Technology/Informatics (Policy Number) Policy Statement: ASCP supports the implementation of standardized health information

More information

IHE, A Taxonomy for Electronic Medical Mdi lrecords

IHE, A Taxonomy for Electronic Medical Mdi lrecords IHE, A Taxonomy for Electronic Medical Mdi lrecords Taxonomy is defined as the science of classification; laws and principles covering the classification of objects. In our application for classifying

More information

Addressing the State of the Electronic Health Record (EHR)

Addressing the State of the Electronic Health Record (EHR) Addressing the State of the Electronic Health Record (EHR) Agenda Definitions Attributes Differences Adoption Model Current State Challenges Implementation considerations What is it? EMR CMR EHR EPR PHR

More information

The NIH Roadmap: Re-Engineering the Clinical Research Enterprise

The NIH Roadmap: Re-Engineering the Clinical Research Enterprise NIH BACKGROUNDER National Institutes of Health The NIH Roadmap: Re-Engineering the Clinical Research Enterprise Clinical research is the linchpin of the nation s biomedical research enterprise. Before

More information

Centricity Electronic Medical Record. Complete information, one location

Centricity Electronic Medical Record. Complete information, one location Centricity Electronic Medical Record Complete information, one location Turn information into insight Imagine being able to raise the bar on patient care safety and quality. And find the information you

More information

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory

More information

THE E-HEALTH JOURNEY. Ministry of Health Jamaica. Optimizing the use of ICT Applications in Health and Patient Care

THE E-HEALTH JOURNEY. Ministry of Health Jamaica. Optimizing the use of ICT Applications in Health and Patient Care THE E-HEALTH JOURNEY Ministry of Health Jamaica Optimizing the use of ICT Applications in Health and Patient Care 8 th Caribbean Conference on Health Financing Initiatives Presenter: Mr. Arnold Cooper

More information

Transforming Healthcare in Emerging Markets with EMR adoption

Transforming Healthcare in Emerging Markets with EMR adoption Transforming Healthcare in Emerging Markets with EMR adoption Author Ann Geo Thekkel User Experience. Accenture, India Ann.geothekkel@accenture.com Abstract Compromising 24 countries, 35 percent of the

More information

InSync: Integrated EMR and Practice Management System

InSync: Integrated EMR and Practice Management System InSync: Integrated EMR and Practice Management System From MD On-Line InSync Version 5.4 End-to-End Medical Office Software Suite It took me a long time to feel comfortable with purchasing an EMR system.

More information

Toward Meaningful Use of HIT

Toward Meaningful Use of HIT Toward Meaningful Use of HIT Fred D Rachman, MD Health and Medicine Policy Research Group HIE Forum March 24, 2010 Why are we talking about technology? To improve the quality of the care we provide and

More information

-Mary White RN, MBA, CPHRM Risk Manager, July 22, 2013

-Mary White RN, MBA, CPHRM Risk Manager, July 22, 2013 Statement on the Importance of Collaboration between Biomedical Engineering and Clinical Staff and the Simulation Laboratory Activities to Patient Safety and Reporting at Brigham & Women's Hospital (BWH)

More information

Standards and Interoperability: The DNA of the EHR

Standards and Interoperability: The DNA of the EHR Standards and Interoperability: The DNA of the EHR Messaging Terminology Information Security Electronic Health Record Task Force Monday, March 6, 2006 Joyce Sensmeier MS, RN, BC, CPHIMS, FHIMSS - Vice

More information

Introduction to Information and Computer Science: Information Systems

Introduction to Information and Computer Science: Information Systems Introduction to Information and Computer Science: Information Systems Lecture 1 Audio Transcript Slide 1 Welcome to Introduction to Information and Computer Science: Information Systems. The component,

More information

HIMSS Electronic Health Record Definitional Model Version 1.0

HIMSS Electronic Health Record Definitional Model Version 1.0 HIMSS Electronic Health Record Definitional Model Version 1.0 Prepared by HIMSS Electronic Health Record Committee Thomas Handler, MD. Research Director, Gartner Rick Holtmeier, President, Berdy Systems

More information

Computer based patient- record systems. Dr. Adrian Mondry

Computer based patient- record systems. Dr. Adrian Mondry Computer based patient- record systems Dr. Adrian Mondry Computer- based patient record systems: a definition A computer based patient record system is a repository of electronically maintained information

More information

IL-HITREC P.O. Box 755 Sycamore, IL 60178 Phone 815-753-1136 Fax 815-753-2460 email info@ilhitrec.org www.ilhitrec.org

IL-HITREC P.O. Box 755 Sycamore, IL 60178 Phone 815-753-1136 Fax 815-753-2460 email info@ilhitrec.org www.ilhitrec.org IL-HITREC P.O. Box 755 Sycamore, IL 60178 Phone 815-753-1136 Fax 815-753-2460 email info@ilhitrec.org www.ilhitrec.org INTRODUCTION BENEFITS CHALLENGES WHY NOW? HOW WE HELP SUMMARY Better patient care

More information

Medical Informatics: An Introduction

Medical Informatics: An Introduction Medical Informatics: An Introduction Michael Hogarth, M.D. Associate Professor Dept. of Pathology and Laboratory Medicine Dept. of Internal Medicine UC Davis School of Medicine http://linneaus.ucdavis.edu

More information

Communication & Care Plan for Breast Cancer Treatment

Communication & Care Plan for Breast Cancer Treatment Communication & Care Plan for Breast Cancer Treatment Creating a Tool for Patient-Centered Care Laura Esserman, MD, MBA Director, UCSF Carol Franc Buck Breast Care Center Director, Cancer Center Clinical

More information

Implementing Electronic Health Records in the Kurdistan Region

Implementing Electronic Health Records in the Kurdistan Region Implementing Electronic Health Records in the Kurdistan Region By: Hiwa Ali Faraj MSC Computer Systems Management E-mail: hiwa@hotmail.co.uk Agenda Objectives & Methodology. The Terminology & Concept.

More information

Centricity Enterprise Provider Tools

Centricity Enterprise Provider Tools GE Healthcare Centricity Enterprise Provider Tools The clinical information system that gives you critical data when and where you need it. As a healthcare provider, your patients rely on you to deliver

More information

Jan Duffy, Research Manager, Health Industry Insights EMEA

Jan Duffy, Research Manager, Health Industry Insights EMEA Healthcare Transformation: The Role of IT Healthcare Transformation: The Role of IT Jan Duffy, Research Manager, Health Industry Insights EMEA Agenda Western Europe: Healthcare IT Investment Western Europe:

More information

The Louisiana Public Health Information Exchange

The Louisiana Public Health Information Exchange The Louisiana Public Health Information Exchange An Overview A collaborative initiative between the Louisiana Office of Public Health, the Louisiana State University Health Care Services Division and the

More information

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals.

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals. s Preparing for Meaningful Use in 2014 MEDITECH (Updated December 2013) Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Professionals. Congratulations to our

More information

Larry Wolf, Kindred Healthcare

Larry Wolf, Kindred Healthcare Larry Wolf, Kindred Healthcare Whether we should consider adopting certification criteria for other health care settings Specify the certification criteria that would be appropriate Experience of CCHIT

More information

Chapter 15 The Electronic Medical Record

Chapter 15 The Electronic Medical Record Chapter 15 The Electronic Medical Record 8 th edition 1 Lesson 15.1 Introduction to the Electronic Medical Record Define, spell, and pronounce the terms listed in the vocabulary. Discuss the presidential

More information

THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION. 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams

THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION. 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams Agenda Overview Impact of HIT on Patient-Centered Care (PCC)

More information

ELECTRONIC MEDICAL AND DENTAL RECORD INTEGRATION OPTIONS

ELECTRONIC MEDICAL AND DENTAL RECORD INTEGRATION OPTIONS ELECTRONIC MEDICAL AND DENTAL RECORD INTEGRATION OPTIONS Presented by: The National Network for Oral Health Access (NNOHA) and the National Association of Community Health Centers (NACHC) June 2012 What

More information

Health Information. Technology and Cancer Information Management. Health Information Technology & Cancer Information Management 363

Health Information. Technology and Cancer Information Management. Health Information Technology & Cancer Information Management 363 Health Information Technology & 363 Health Information Technology and Cancer Information Management Opportunities in the health information field have expanded with changes in health care delivery, utilization

More information

Clinical Health Informatics: An Overview for Nurses Chapter 4

Clinical Health Informatics: An Overview for Nurses Chapter 4 Clinical Health Informatics: An Overview for Nurses Chapter 4 W R I T T E N B Y D O N N A O V E N S, C M A A, C T T, H I T P R O E D I T E D B Y : V A L E R I E F I S H E R, R N, M A H E A L T H W O R

More information

EHR Adoption and Vision for HIM

EHR Adoption and Vision for HIM EHR Adoption and Vision for HIM Christina M. Janus, MBA, RHIA EOHIMA Spring Seminar April 14, 2007 1 Content Covered Key EHR Functions Adoption Model Group Share of Current Technologies & Vision for the

More information

Hospital-Based Provider A provider who furnishes 90% or more of their services in a hospital setting (inpatient, outpatient, or emergency room).

Hospital-Based Provider A provider who furnishes 90% or more of their services in a hospital setting (inpatient, outpatient, or emergency room). Glossary of Terms Adopting, implementing or upgrading (AIU) certified EHR technology The process by which providers have installed and started using certified EHR technology that is capable of meeting

More information

EHR: The Prescription for the Health Records Problem

EHR: The Prescription for the Health Records Problem GBS White Paper EHR: The Prescription for the Health Records Problem The Crisis State For nearly two decades the word crisis has been applied to the state of healthcare in the United States. While the

More information

Darice M. Grzybowski, MA, RHIA, FAHIMA President, H.I.Mentors, LLC

Darice M. Grzybowski, MA, RHIA, FAHIMA President, H.I.Mentors, LLC Darice M. Grzybowski, MA, RHIA, FAHIMA President, H.I.Mentors, LLC Paper and electronic health records (EHR), or a combination of both, provide supporting documentation and records information about a

More information

Healthcare Informatics Research Institute (HIRI) St. Mary s Hospital Center Montreal http://hiriresearch.wordpress.com/ HIRI

Healthcare Informatics Research Institute (HIRI) St. Mary s Hospital Center Montreal http://hiriresearch.wordpress.com/ HIRI Electronic Medical Records for Use in the Family Medicine Teaching Environment the Healthcare Informatics for Research Education and Service (HiRES) project J.B. Hughes, N. Vale, A. Pavilanis, R. Simkus,

More information

The Spectrum of Biomedical Informatics and the UAB Informatics Institute

The Spectrum of Biomedical Informatics and the UAB Informatics Institute The Spectrum of Biomedical Informatics and the UAB Informatics Institute Molecular and Cellular Pathology Seminar September 22, 2015 James J. Cimino, MD Director, Informatics Institute University of Alabama

More information

ELECTRONIC MEDICAL RECORDS (EMR)

ELECTRONIC MEDICAL RECORDS (EMR) ELECTRONIC MEDICAL RECORDS (EMR) SAUDI BOARD FOR COMMUNITY MEDICINE FIRST PART - FIRST SEMESTER (FALL 2010) COURSE SBCM 002: MEDICAL INFORMATICS Osama Alswailem MD MA Medical Record function 1. It s a

More information

Current Status of Electronic Health Record Dissemination in Japan

Current Status of Electronic Health Record Dissemination in Japan Research and Reviews Current Status of Electronic Health Record Dissemination in Japan JMAJ 50(5): 399 404, 2007 Hiroshi TANAKA* 1 Abstract The present paper describes the history and current status of

More information

Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference. A HIMSS Analytics TM White Paper. By Dave Garets and Mike Davis

Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference. A HIMSS Analytics TM White Paper. By Dave Garets and Mike Davis Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference A HIMSS Analytics TM White Paper By Dave Garets and Mike Davis Updated January 26, 2006 HIMSS Analytics, LLC 230 E.

More information

7CHAPTER EXAMINATION/ ASSESSMENT NOTES, GRAPHICS, AND CHARTS

7CHAPTER EXAMINATION/ ASSESSMENT NOTES, GRAPHICS, AND CHARTS 7CHAPTER EXAMINATION/ ASSESSMENT NOTES, GRAPHICS, AND CHARTS Chapter Outline Workflow Standards: Functional and Content Functional Standards Content Standards Documentation Templates and Free-text Narrative

More information

What is Wrong with EMR?

What is Wrong with EMR? What is Wrong with EMR? James J. Cimino, M.D. Associate Professor, Department of Medical Informatics, Columbia University 161 Fort Washington Avenue, New York, New York 10032 USA Phone: (212) 305-8127

More information

Medical Informatics: Why Care? Kevin Chang, MD, MS Scott and White Healthcare 8/13/2013

Medical Informatics: Why Care? Kevin Chang, MD, MS Scott and White Healthcare 8/13/2013 Medical Informatics: Why Care? Kevin Chang, MD, MS Scott and White Healthcare 8/13/2013 About me Education and Training 1998 2004 UMKC School of Medicine, BA Chemistry, MD 2004 2008 UTMB Austin IM Resident

More information

ELECTRONIC MEDICAL AND DENTAL RECORD INTEGRATION OPTIONS

ELECTRONIC MEDICAL AND DENTAL RECORD INTEGRATION OPTIONS ELECTRONIC MEDICAL AND DENTAL RECORD INTEGRATION OPTIONS Presented by: Shane C. Hickey, MBA, MS Director, Information Technology Assistance National Association of Community Health Centers 7/25/2012 Who

More information

Electronic Health Records

Electronic Health Records What Do Electronic Health Records Mean for Our Practice? What Are Electronic Health Records? Electronic Health Records (EHRs) are computer systems that health & medical practices (including mental health

More information

Course Descriptions for HIT Programs

Course Descriptions for HIT Programs University of Alaska Fairbanks CS F462 Intrusion Detection Systems (online) Offered Fall Even numbered Years Course Descriptions for HIT Programs Focus on IDS theory and practice and its importance; the

More information

Delivering Accelerated Results

Delivering Accelerated Results Delivering Accelerated Results Presents An Integrated Radiology Information System OVERVIEW E*HealthLine s Radiology Information System is a comprehensive HealthCare Information Management System that

More information

Microsoft Amalga Hospital Information System (HIS)

Microsoft Amalga Hospital Information System (HIS) m Microsoft Amalga Hospital Information System (HIS) > Manage all hospital functions with one integrated solution PG 0 Our Vision: To improve health around the world For more than a decade, Microsoft has

More information

Biomedical Imaging and the Evolution of Medical Informatics. Foreword Submitted to Special Issue of. Computerized Medical Imaging and Graphics

Biomedical Imaging and the Evolution of Medical Informatics. Foreword Submitted to Special Issue of. Computerized Medical Imaging and Graphics Biomedical Imaging and the Evolution of Medical Informatics Foreword Submitted to Special Issue of Computerized Medical Imaging and Graphics on Medical Image Databases Smadar Shiffman, M.S. and Edward

More information

Electronic Health Records

Electronic Health Records What Do Electronic Health Records Mean for Our Practice? What are Electronic Health Records? Electronic Health Records (EHRs) are computer systems that medical practices use instead of paper charts. All

More information

TRANSFoRm: Vision of a learning healthcare system

TRANSFoRm: Vision of a learning healthcare system TRANSFoRm: Vision of a learning healthcare system Vasa Curcin, Imperial College London Theo Arvanitis, University of Birmingham Derek Corrigan, Royal College of Surgeons Ireland TRANSFoRm is partially

More information

Meaningful Use. Medicare and Medicaid EHR Incentive Programs

Meaningful Use. Medicare and Medicaid EHR Incentive Programs Meaningful Use Medicare and Medicaid Table of Contents What is Meaningful Use?... 1 Table 1: Patient Benefits... 2 What is an EP?... 4 How are Registration and Attestation Being Handled?... 5 What are

More information

Version: January 2008 ASTM E-31: EHR and Informatics Standards Education For Health Professional Disciplines. Background

Version: January 2008 ASTM E-31: EHR and Informatics Standards Education For Health Professional Disciplines. Background Version: January 2008 ASTM E-31: EHR and Informatics Standards Education For Health Professional Disciplines Background Work on standards for the EHR in the context of all such standards for the Health

More information

The Human Experiment- Electronic Medical/Health Records

The Human Experiment- Electronic Medical/Health Records The Human Experiment- Electronic Medical/Health Records Patient safety is one of the primary stated intentions behind the push for computerized medical records. To the extent illegible handwriting leads

More information

HL7 and Meaningful Use

HL7 and Meaningful Use HL7 and Meaningful Use Grant M. Wood HL7 Ambassador HIMSS14 2012 Health Level Seven International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International.

More information

HIM 111 Introduction to Health Information Management HIM 135 Medical Terminology

HIM 111 Introduction to Health Information Management HIM 135 Medical Terminology HIM 111 Introduction to Health Information Management 1. Demonstrate comprehension of the difference between data and information; data sources (primary and secondary), and the structure and use of health

More information

Workflow Redesign for EHRs. College of St. Scholastica

Workflow Redesign for EHRs. College of St. Scholastica Workflow Redesign for EHRs Phil Deering Regional Coordinator REACH Pam Oachs, MA, RHIA Assistant Professor College of St. Scholastica 1 Objectives Learn the value of understanding current clinical workflows

More information

Adoption and Meaningful Use of EHR Technology in a Hospital

Adoption and Meaningful Use of EHR Technology in a Hospital Monday, March, 00 :5 :5 pm Adoption and Meaningful Use of EHR Technology in a Hospital Sanjay Shah, MBA, CMPE, FHIMSS President, HCIT+ (Former) VP & CIO, Cabell Huntington Hospital Anthony Adkins, RN Director

More information

medexter clinical decision support

medexter clinical decision support medexter Arden Syntax training course Klaus-Peter Adlassnig and Karsten Fehre Medexter Healthcare Borschkegasse 7/5 A-1090 Vienna www.medexter.com Arden Syntax training course, Vienna, 17 June 2015 Computers

More information

Canada Health Infoway

Canada Health Infoway Canada Health Infoway EHR s in the Canadian Context June 7, 2005 Mike Sheridan, COO Canada Health Infoway Healthcare Renewal In Canada National Healthcare Priorities A 10-year Plan to Strengthen Healthcare

More information

Health Information Technology Courses

Health Information Technology Courses Health Information Technology Courses Course ID Course Title Credits HIT-100 Introduction to Healthcare 3 HIT-110 Medical Terminology I 3 HIT-120 Medical Terminology II 3 HIT-130 Medical Transcription/Editing

More information

Alberta Electronic Health Record Regulation Section 5 Framework September 2011 Version 1.1

Alberta Electronic Health Record Regulation Section 5 Framework September 2011 Version 1.1 Alberta Electronic Health Record Regulation Section 5 Framework September 2011 Version 1.1 Acknowledgements The College of Physicians & Surgeons of Alberta thanks the following stakeholders for their valuable

More information

Create a safer, more efficient patient journey.

Create a safer, more efficient patient journey. Miya Patient Flow Create a safer, more efficient patient journey. What is Miya Patient Flow? Miya Patient Flow is an e-health guidance system that optimises the patient journey for your patients by integrating

More information

EMR Adoption Model. Handbook

EMR Adoption Model. Handbook EMR Adoption Model Handbook Version 3.0 Morgan Price, James Lai, Tyrone Austen, and Jes Bassi Feb. 17, 2011 Overview Physicians across the country and even the world are migrating from entirely paper-based

More information

Effectively Managing EHR Projects: Guidelines for Successful Implementation

Effectively Managing EHR Projects: Guidelines for Successful Implementation Phoenix Health Systems Effectively Managing EHR Projects: Guidelines for Successful Implementation Introduction Effectively managing any EHR (Electronic Health Record) implementation can be challenging.

More information

The Six A s. for Population Health Management. Suzanne Cogan, VP North American Sales, Orion Health

The Six A s. for Population Health Management. Suzanne Cogan, VP North American Sales, Orion Health The Six A s for Population Health Management Suzanne Cogan, VP North American Sales, Summary Healthcare organisations globally are investing significant resources in re-architecting their care delivery

More information

Improving EHR Functionality

Improving EHR Functionality Date: Thursday, July 18, 2013; 1 pm Improving EHR Functionality Location: National Institute of Standards and Technology (NIST) Bldg. 101, Lecture Room B, Gaithersburg, MD Speaker: James Cimino, MD, Chief,

More information

DRAFT. Medical School Health IT Curriculum Topics. Matthew Swedlund, John Beasley, Erkin Otles, Eneida Mendonca

DRAFT. Medical School Health IT Curriculum Topics. Matthew Swedlund, John Beasley, Erkin Otles, Eneida Mendonca Medical School Health IT Curriculum Topics DRAFT Matthew Swedlund, John Beasley, Erkin Otles, Eneida Mendonca PC3. Use information technology to optimize patient care. 1. Attributes relating to appropriate

More information

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 $19.2B $17.2B Provider Incentives $2B HIT (HHS/ONC) Medicare & Medicaid Incentives

More information

Healthcare is a $1.7 trillion dollar industry, which is: highly fragmented, labor intensive, expensive, highly competitive Healthcare Industry has undergone rapid growth and regulation, which has generated

More information

ARRA, HITECH, and Informatics in Public Health

ARRA, HITECH, and Informatics in Public Health ARRA, HITECH, and Informatics in Public Health William Hersh, MD Professor and Chair Department of Medical Informatics & Clinical Epidemiology Oregon Health & Science University Portland, OR, USA Email:

More information

For ONC S&I DS4P. Dennis Giokas Chief Technology Officer Canada Health Infoway Inc. January 25, 2012

For ONC S&I DS4P. Dennis Giokas Chief Technology Officer Canada Health Infoway Inc. January 25, 2012 For ONC S&I DS4P Dennis Giokas Chief Technology Officer Canada Health Infoway Inc. January 25, 2012 1 Outline EHR Business Architecture EHR Solution Blueprint EHR Privacy and Security Summary & Conclusion

More information

Journal of Business & Economics Research July 2008 Volume 6, Number 7

Journal of Business & Economics Research July 2008 Volume 6, Number 7 Accounting And Economic Implications Of Healthcare Information Technology Paul J. Carruth, Southeastern Louisiana University Ann K. Carruth, Southeastern Louisiana University ABSTRACT There is a growing

More information

Marriott Wardman Park Hotel, Washington, D.C. 20008. Tuesday, April 28, 2009

Marriott Wardman Park Hotel, Washington, D.C. 20008. Tuesday, April 28, 2009 The National Committee on Vital and Heath Statistics (NCVHS) Executive Subcommittee special hearing on meaningful use as proposed in the American Reinvestment and Recovery Act 2009 Panel 2: Meaningful

More information

Better patient care and better practice management

Better patient care and better practice management www.hitecla.org INTRODUCTION BENEFITS CHALLENGES WHY NOW? INCENTIVES FOR PROVIDERS HOW WE HELP SUMMARY Better patient care and better practice management Using Electronic Health Records in a meaningful

More information

PREREQUISITES. Graduate level standing. COURSE DESCRIPTION

PREREQUISITES. Graduate level standing. COURSE DESCRIPTION PREREQUISITES Graduate level standing. COURSE DESCRIPTION BMI 510/610 Introduction to Biomedical & Health Informatics William Hersh, M.D., Course Director 3 credit hours Fall Quarter, 2015 Last updated:

More information

A VOICE MEDIATED SYSTEM FOR STRUCTURED ENTRY OF MEDICAL DATA

A VOICE MEDIATED SYSTEM FOR STRUCTURED ENTRY OF MEDICAL DATA A VOICE MEDIATED SYSTEM FOR STRUCTURED ENTRY OF MEDICAL DATA IST-2001-38143 ATVN-EU-GP Conference Applications Relating to Health 1-3 December 2005, Pułtusk near Warsaw, Poland 1 AGENDA AND TIME SCHEDULE

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

Electronic Medical Record

Electronic Medical Record Altru Health System Electronic Medical Record Mark Waind, Jeff Shallman From material contributed by Marv Meier Alex Todorovic Countdown to the All-Electronic Medical Record 2 0 0 8 1 Interaction Layers

More information

Contents QUALIFICATIONS PACK - OCCUPATIONAL STANDARDS FOR ALLIED HEALTHCARE

Contents QUALIFICATIONS PACK - OCCUPATIONAL STANDARDS FOR ALLIED HEALTHCARE h QUALIFICATIONS PACK - OCCUPATIONAL STANDARDS FOR ALLIED HEALTHCARE Contents 1. Introduction and Contacts.....P.1 2. Qualifications Pack....P.2 3. Glossary of Key Terms.....P.4 OS describe what individuals

More information