Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer
|
|
|
- Claude Jacobs
- 10 years ago
- Views:
Transcription
1 Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer CAMBIO HEALTHCARE SYSTEMS
2 Patient CAMBIO HEALTHCARE SYSTEMS
3 Core Assumptions The complexity of modern medicine exceeds the inherent limitations of the unaided human mind. ~ David M. Eddy, MD, Ph.D.... man is not perfectible. There are limits to man s capabilities as an information processor that assure the occurrence of random errors in his activities. ~ Clement J. McDonald, MD CAMBIO HEALTHCARE SYSTEMS
4 Change of clinical practices Clinical outcomes Awareness of new knowledge Evidence-based clinical guidelines Takes 17 years in average CAMBIO HEALTHCARE SYSTEMS
5 Product solution Studies for monitoring Knowledge Manager Apps for interventions Open standards & Light-weight technologies Closed loop system for improvement CAMBIO HEALTHCARE SYSTEMS 27/05/
6 General requirements of GDL Formal language to express clinical logic Machine readable format, standards-based Agnostic to natural languages Add/update translations without invalidating logic Agnostic to reference terminologies Easy to change term bindings EHR model independent Reuse of common EHR models both for input and output Rules for single decision making But ready to be combined for more complex decision making Coherent and reusable For improved reusability and maintainability Rapid development / release cycles Independent of main EHR product Cambio Healthcare Systems AB
7 openehr Archetype??? => GDL SNOMED CT, ICD10, ATC, A L Rector PD Johnson S Tu C Wroe and J Rogers (2001) Interface of inference models with concept and medical record models. in S Quaglini, P Barahona and S Andreassen (eds) Proc Artificial Intelligence in Medicine Europe (AIME-2001 ) Springer: Cambio Healthcare Systems AB
8 Guideline Definition Language (GDL) A minimum language to glue together archetypes, terminologies and rules Three Pillars Bindings between archetype elements and variables in the rules Rule expressions easily converted to industry rule engine languages Bindings between local concepts used in the rules and concepts from reference terminologies Cambio Healthcare Systems AB
9 GDL Design Released through openehr Cambio Healthcare Systems AB
10 Updated GDL Design Specifications Cambio Healthcare Systems AB
11 Open Source GDL Ref Impl & Editor CAMBIO HEALTHCARE SYSTEMS 27/05/
12 Cambio CDS Knowledge Manager A repository of standard-based, fully structured clinical models for advanced clinical applications. CAMBIO HEALTHCARE SYSTEMS 14/10/
13 Cambio CDS Dashboard An overview of healthcare data and clinical performance in terms of treatment adherences to practice guidelines, quality indicators and healthcare outcome measurements. CAMBIO HEALTHCARE SYSTEMS 14/10/
14 Stroke Prevention in Atrial Fibrillation Atrial fibrillation (AF), most common arrhythmia in the heart. 10% prevalence in elderly population. Untreated AF has 4.5% chance of stroke yearly, and causes more severe and subtle strokes. Known treatment reduces strokes chance by 70% National treatment compliance is about 42% in 2013 study Increase from 42% to 75% will prevent about 3000 strokes yearly About 150 preventable stroke in Region Östergötland yearly CAMBIO HEALTHCARE SYSTEMS 27/05/
15 Knowledge of Stroke Prevention in AF ESC Guidelines on the Management of Atrial Fibrillation, European Heart Journal (2010) 31, focused update of the ESC Guidelines for the Management of atrial fibrillation, European Heart Journal (2012) 33, CAMBIO HEALTHCARE SYSTEMS
16 CAMBIO HEALTHCARE SYSTEMS
17 CAMBIO HEALTHCARE SYSTEMS 19/05/
18 About 24 million SEK saving for 10% compliance improvement in Östergötland (half million population) yearly okeriskvardering.pdf CAMBIO HEALTHCARE SYSTEMS 27/05/
19 Summary CDS product is independent of COSMIC Completely separated from the COSMIC Roadmap Open & flexible platform Based on standards, light-weight technologies Agnostic to natural languages and clinical areas Based on sharable CDS logic and modules Semantic EHR standards are prerequisites Necessary to share foundational models (archetypes) Sharing across countries and organizations a possibility CAMBIO HEALTHCARE SYSTEMS 27/05/
Clinical Decision Support Strategies
Clinical Decision Support Strategies CIMI Meeting, Amsterdam Rong Chen MD PhD, CMIO [email protected] CAMBIO HEALTHCARE SYSTEMS 1/11/2014 WWW.CAMBIO.SE 1 Objectives The common goal of improving healthcare
EHR Data Reuse through openehr Archetypes
EHR Data Reuse through openehr Archetypes Rong Chen MD, PhD Chief Medical Informatics Officer 2012.09.19-1- 2012-10-02 Agenda Background introduction (3 min) Experience of extracting EHR data from regional
Author: Una Ismaili Main supervisor: MD, PhD, Rong Chen, Department of LIME, Karolinska and
Master's Programme in Health Informatics Spring Semester 2014 Degree thesis, 30 Credits Evaluation of feasibility of openehr and Guideline Definition Language for automatic data transfer between electronic
Archetype-Based Knowledge Management for Semantic Interoperability of Electronic Health Records
Medical Informatics in a United and Healthy Europe K.-P. Adlassnig et al. (Eds.) IOS Press, 2009 2009 European Federation for Medical Informatics. All rights reserved. doi:10.3233/978-1-60750-044-5-1007
Integration Information Model
Release 1.0.1 The openehr Reference Model a. Ocean Informatics Editors: T Beale a Revision: 0.6 Pages: 15 Date of issue: 22 Jul 2006 Keywords: EHR, reference model, integration, EN13606, openehr EHR Extract
Clinical Research from EHR data
Clinical Research from EHR data Gunnar O Klein professor in Health Informatics at NSEP Norwegian Centre for EHR Research Workshop at HelseIT in Trondheim 2012-09-19 1 Purpose of the workshop Together with
Re: Comments on 2015 Interoperability Standards Advisory Best Available Standards and Implementation Specifications
April 29, 2015 Karen DeSalvo, MD, MPH, MSc National Coordinator Office of National Coordinator for Health IT Department of Health and Human Services 200 Independence Ave, SW Washington, DC 20201 Re: Comments
Clinical Decision Support Consortium Knowledge Management Overview
Clinical Decision Support Consortium Knowledge Management Overview Overview of key steps in creating, maintaining and publishing CDS content The Clinical Decision Support (CDS) Consortium (CDSC) Knowledge
EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec
EuroRec - EHTEL Conference, Vienna, October 2007 EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec Dr Dipak Kalra Centre for Health Informatics and Multiprofessional
Introduction to openehr Archetypes & Templates. Dr Ian McNicoll Dr Heather Leslie
Introduction to openehr Archetypes & Templates Dr Ian McNicoll Dr Heather Leslie Traditional Application Development Clinical Knowledge Data Model Ocean Informatics 2010 Tradi&onal Informa&on model 2 level
Population Health Management Systems
Population Health Management Systems What are they and how can they help public health? August 18, 1:00 p.m. 2:30 p.m. EDT Presented by the Public Health Informatics Working Group Webinar sponsored by
Clinical Knowledge Manager. Product Description 2012 MAKING HEALTH COMPUTE
Clinical Knowledge Manager Product Description 2012 MAKING HEALTH COMPUTE Cofounder and major sponsor Member and official submitter for HL7/OMG HSSP RLUS, EIS 'openehr' is a registered trademark of the
Electronic Health Records: An introduction to openehr and archetypes
Electronic Health Records: An introduction to openehr and archetypes Dr. Sebastian Garde CCR Workshop Munich 29 th April 2008 Expectations Timely information and reports for ALL professions with a minimum
What s next for openehr. Sam Heard Thomas Beale
What s next for openehr Sam Heard Thomas Beale Current situation (2010-) General industry movement toward SOA, growing use of terminology SOA: IHE Information / messages HL7 v3 failed, org in fresh look
A Service Oriented Approach for Guidelines-based Clinical Decision Support using BPMN
e-health For Continuity of Care C. Lovis et al. (Eds.) 2014 European Federation for Medical Informatics and IOS Press. This article is published online with Open Access by IOS Press and distributed under
Il lavoro di armonizzazione. e HL7
Il lavoro di armonizzazione tra CEN 13606, openehr e HL7 Dr Dipak Kalra Centre for Health Informatics and Multiprofessional Education (CHIME) University College London [email protected] Drivers for
The Healthcare Services Platform Consortium
The Healthcare Services Platform Consortium 1 FEBRUARY 24, 2015 STANLEY M. HUFF, MD CHIEF MEDICAL INFORMATICS OFFICER INTERMOUNTAIN HEALTHCARE HSPC Mission Statement 2 Improve health by creating a vibrant,
A Repository of Semantic Open EHR Archetypes
International Journal of Artificial Intelligence and Interactive Multimedia, Vol. 3, Nº 2. A Repository of Semantic Open EHR Archetypes Fernando Sánchez, Samuel Benavides, Fernando Moreno, Guillermo Garzón,
EHR Standards Landscape
EHR Standards Landscape Dr Dipak Kalra Centre for Health Informatics and Multiprofessional Education (CHIME) University College London [email protected] A trans-national ehealth Infostructure Wellness
DIPS Arena New Archetype-based EHR. Sigurd From, DIPS ASA
DIPS Arena New Archetype-based EHR Sigurd From, DIPS ASA The largest EHR vendor in Norway Product areas Clinical Process Support - EHR Administative Process Support Medical Services & Integration Main
High Integrity Systems in Health Environment. Mark Nicholson
High Integrity Systems in Health Environment Mark Nicholson Introduction National Patient Safety Agency (NPSA - 2003) has described patient safety as process by which an organisation makes patient care
What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK
What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK Outline of Presentation Assertions What are we trying to do in the English NHS IT programme?
Improving EHR Semantic Interoperability Future Vision and Challenges
Improving EHR Semantic Interoperability Future Vision and Challenges Catalina MARTÍNEZ-COSTA a,1 Dipak KALRA b, Stefan SCHULZ a a IMI,Medical University of Graz, Austria b CHIME, University College London,
Using Health Information Technology to Improve Quality of Care: Clinical Decision Support
Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities
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
Implementing reusable software components for SNOMED CT diagram and expression concept representations
1028 e-health For Continuity of Care C. Lovis et al. (Eds.) 2014 European Federation for Medical Informatics and IOS Press. This article is published online with Open Access by IOS Press and distributed
Problem-Centered Care Delivery
HOW INTERFACE TERMINOLOGY MAKES STANDARDIZED HEALTH INFORMATION POSSIBLE Terminologies ensure that the languages of medicine can be understood by both humans and machines. by June Bronnert, RHIA, CCS,
Theodoros. N. Arvanitis, RT, DPhil, CEng, MIET, MIEEE, AMIA, FRSM
TRANSFoRm Theodoros. N. Arvanitis, RT, DPhil, CEng, MIET, MIEEE, AMIA, FRSM Biomedical Informatics, Signals & Systems Research Laboratory School of Electronic, Electrical & Computer Engineering College
DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM
DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM Brian E. Dixon, MPA, PhD, FHIMSS Marilyn D. Paterno, MBI Outline Part 1 Introductions Overview of
Helping Members & Prospective Members Build the Business Case for SNOMED CT. Project Report
Helping Members & Prospective Members Build the Business Case for SNOMED CT Project Report Overview Project Genesis Project Approach Delivered Result Members and prospective members are seeking materials
Design and development of a decision support system for screening of Lynch syndrome using openehr
Master's Programme in Health Informatics Spring Semester 2015 Degree thesis, 30 Credits Design and development of a decision support system for screening of Lynch syndrome using openehr Author: Blanca
A Hybrid Artificial Intelligence System for Assistance in Remote Monitoring of Heart Patients
A Hybrid Artificial Intelligence System for Assistance in Remote Monitoring of Heart Patients Theodor Heinze, Robert Wierschke, Alexander Schacht and Martin v. Löwis Hasso-Plattner-Institut, Prof.-Dr.-Helmert-Str.
IHE Australia Workshops July 2011. Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education
IHE Australia Workshops July 2011 Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education Standards are key to healthcare at all levels service, fiscal, administrative
Patient Safety: Achieving A New Standard for Care. Institute of Medicine Committee on Data Standards for Patient Safety November, 2003
Patient Safety: Achieving A New Standard for Care Institute of Medicine Committee on Data Standards for Patient Safety November, 2003 Outline Committee charge and definitions System support of patient
Clinical Decision Support: Core Capability of Evolving CPR
Tutorials, B. Hieb, M.D. Research Note 6 November 2003 Clinical Decision Support: Core Capability of Evolving CPR More-sophisticated computer-based patient record systems can offer increasing value to
The Healthcare Services Platform Consortium
The Healthcare Services Platform Consortium JULY 31, 2014 STANLEY M. HUFF, MD CHIEF MEDICAL INFORMATICS OFFICER INTERMOUNTAIN HEALTHCARE Suggested National Strategy Develop truly interoperable data services
A Virtual Medical Record for Guideline-Based Decision Support
A Virtual Medical Record for Guideline-Based Decision Support Peter D. Johnson MB BS a, Samson W. Tu MS b, Mark A. Musen MD PhD b, Ian Purves MB BS MRCGP MD a a Sowerby Centre for Health Informatics at
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
OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS
OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS SOA in Healthcare 2011 Conference July 13, 2011 Kensaku Kawamoto, MD, PhD Founder, OpenCDS (www.opencds.org) Co-Chair,
Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use
Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use Executive summary By using standard terminologies to report on core
Health Informatics Service Architecture - The intended role of the EN ISO 12967 standard An informal guide
Health Informatics Service Architecture - The intended role of the EN ISO 12967 standard An informal guide Gunnar O Klein Version 1.2 2009-09-18 This document and more information on the HISA standard
SNOMED CT in the EHR Present and Future. with the patient at the heart
SNOMED CT in the EHR Present and Future ` SNOMED CT in the EHR Present and Future Christopher Alban, MD Epic Systems Corporation Objectives Describe the use of SNOMED CT to enable decision support, analytics,
From Lawrence Weed to Apex and ICD-10. Paul Brakeman MD PhD Physician Lead for Provider Practice Change and Education
From Lawrence Weed to Apex and ICD-10 Paul Brakeman MD PhD Physician Lead for Provider Practice Change and Education The Question: Why is optimizing Problem List use important for patient care and the
VistA Evolution Presentation to World Vista
VistA Evolution Presentation to World Vista Theresa A. Cullen, MD, MS Chief Medical Information Officer Director, Health Informatics Office of Informatics and Analytics Veterans Health Administration Department
Clinical Decision Support Systems An Open Source Perspective
Decision Support Systems An Open Source Perspective John McKim CTO, Knowledge Analytics Incorporated [email protected] http://www.knowledgeanaytics.com OSEHRA Open Source Summit 2014 Agenda CDS
Translation Protégé Knowledge for Executing Clinical Guidelines. Jeong Ah Kim, BinGu Shim, SunTae Kim, JaeHoon Lee, InSook Cho, Yoon Kim
Translation Protégé Knowledge for Executing Clinical Guidelines Jeong Ah Kim, BinGu Shim, SunTae Kim, JaeHoon Lee, InSook Cho, Yoon Kim Agenda 1. 1. Motivation 2. 2. How to to translate 3. 3. Implementation
IMPACT Act: Connecting Post-Acute Care Across the Care Continuum
IMPACT Act: Connecting Post-Acute Care Across the Care Continuum Jennie Harvell, M.Ed, Senior Technical Adviser, Centers for Medicare & Medicaid Services Terrence A. O Malley, MD, Physician, Massachusetts
Meaningful Use: DEMO of a Practice. Michael J. Mirro, MD, FACC Medical Director : Parkview Research Center Electrophysiologist : PPG-Cardiology
Meaningful Use: DEMO of a Practice Michael J. Mirro, MD, FACC Medical Director : Parkview Research Center Electrophysiologist : PPG-Cardiology Michael Mirro MD : Disclosures Past-Chair : ACC Informatics
A Metabolic Syndrome Health Check EHR based on openehr
Seagaia Meeting 2009, Okinawa A Metabolic Syndrome Health Check EHR based on openehr 2009/05/15 早 稲 田 大 学 国 際 情 報 通 信 研 究 科 Waseda University, GITS Kano Lab Hsu WanYen (Nora) 徐 婉 晏 1 Research Background
Going With The (Knowledge) Flow: The Future Of Decision Making In Improving Outcomes
Going With The (Knowledge) Flow: The Future Of Decision Making In Improving Outcomes Ian Z. Chuang, MD, MS, CCFP SVP, Healthcare Informatics and Chief Medical Officer Dennis Morrison, PhD Chief Clinical
Medication Therapy Management Services Clinical Documentation: Using a Structured Coding System SNOMED CT
Medication Therapy Management Services Clinical Documentation: Using a Structured Coding System SNOMED CT Medication Therapy Management Services Clinical Documentation: Using a Structured Coding System
The next generation EHR
The next generation EHR European EHR standard OpenEHR Ocean Informatics Gerard Freriks v1 7-11-2007 Electronic Patient Record What do we expect? We need and expect EHR-systems that: 2 Electronic Patient
EuroRec (http://www.eurorec.org )
EuroRec (http://www.eurorec.org ) The «European Institute for Health Records» A not-for-profit organisation, established April 16, 2003 Mission: the promotion of high quality Electronic Health Record systems
Archetypes and ontologies to facilitate the breast cancer identification and treatment process
Archetypes and ontologies to facilitate the breast cancer identification and treatment process Ainhoa Serna 1, Jon Kepa Gerrikagoitia 1, Iker Huerga, Jose Antonio Zumalakarregi 2 and Jose Ignacio Pijoan
A Semantic Foundation for Achieving HIE Interoperability
A Semantic Foundation for Achieving HIE Interoperability Introduction Interoperability of health IT systems within and across organizational boundaries has long been the holy grail of healthcare technologists.
OpenCDS: Overview, Demonstration, and Potential Implications for HeD Use Case 2
OpenCDS: Overview, Demonstration, and Potential Implications for HeD Use Case 2 January 10, 2012 Health edecisions All-Hands Call Kensaku Kawamoto, MD, PhD Director, Knowledge Management and Mobilization,
Open Source Modular Units for Electronic Patient Records. Hari Kusnanto Faculty of Medicine, Gadjah Mada University
Open Source Modular Units for Electronic Patient Records Hari Kusnanto Faculty of Medicine, Gadjah Mada University Open Source Initiatives in Patient Information System electronic health records, scheduling
An integrated. EHR system
An integrated t Expression Repository EHR system Daniel Karlsson, Mikael Nyström, Bengt Kron Project goals Develop and test a system for storing and querying pre- and post-coordinated SNOMED CT expressions
Division for Heart Disease and Stroke Prevention. Division Budget and Program Briefing for the Institute of Medicine April 9, 2009
Division for Heart Disease and Stroke Prevention Division Budget and Program Briefing for the Institute of Medicine April 9, 2009 1 Human and Fiscal Resource History Fiscal Year Budget FTEs 2003 $55 million
Briefing on ehr Content Hong Kong Clinical Terminology Table (HKCTT) By Maggie LAU Health Informatician, ehriso
Briefing on ehr Content Hong Kong Clinical Terminology Table (HKCTT) By Maggie LAU Health Informatician, ehriso Agenda Background Application Adoption Management RecognisedTerminologies in ehr Registered
HL7 CDA, Clinical Modelling and openehr
HL7 CDA, Clinical Modelling and openehr Thomas Beale NHS Scotland, February 2007 Thomas Beale Introductions Chief Technology Officer Ocean Informatics Senior Researcher, Centre for Health Informatics,
Building the National EHR Strategy
Building the National EHR Strategy SUS: Brazilian Unified Health System Prof. Ricardo Staciarini Puttini, PhD University of Brasilia/Ministry of Health BRAZIL Aug-2015, HIC 2015, Brisbane Inspired after
Fuld Skolerapport for Søhusskolen, i Odense kommune, for skoleår 2013/2014 for klassetrin(ene) 9. med reference Tilsvarende klassetrin i kommunen
Side 1 af 41 Side 2 af 41 Side 3 af 41 Side 4 af 41 Side 5 af 41 Side 6 af 41 Side 7 af 41 Side 8 af 41 Side 9 af 41 Side 10 af 41 Side 11 af 41 Side 12 af 41 Side 13 af 41 Side 14 af 41 Side 15 af 41
Fuld Skolerapport for Hunderupskolen, i Odense kommune, for skoleår 2013/2014 for klassetrin(ene) 7. med reference Tilsvarende klassetrin i kommunen
Side 1 af 43 Side 2 af 43 Side 3 af 43 Side 4 af 43 Side 5 af 43 Side 6 af 43 Side 7 af 43 Side 8 af 43 Side 9 af 43 Side 10 af 43 Side 11 af 43 Side 12 af 43 Side 13 af 43 Side 14 af 43 Side 15 af 43
European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1
European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1 EuroRec: current standing on EHR certification in Europe AGENDA 1. The EuroRec Institute 2. EHR-systems Certification:
Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex)
Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex) Anton Brass 1, David Moner 2, Claudia Hildebrand 1, Montserrat Robles 2 1 Helmholtz Zentrum München, Germany
Asian Data Resources. October 24, 2014 8:30-12:30 Using pharmacoepidemiology database resources to address drug safety research
Draft Asian Data Resources October 24, 2014 8:30-12:30 Using pharmacoepidemiology database resources to address drug safety research Kiyoshi Kubota MD PhD FISPE NPO Drug Safety Research Unit Japan Multiple
KP Deployment of SNOMED-CT as the Foundation for Enterprise Wide Clinical Data
KP Deployment of SNOMED-CT as the Foundation for Enterprise Wide Clinical Data Today s Topics Introduction to Kaiser Permanente Introduction to the Convergent Medical Terminology (CMT) Project Architecture
An Introduction to Health Informatics for a Global Information Based Society
An Introduction to Health Informatics for a Global Information Based Society A Course proposal for 2010 Healthcare Industry Skills Innovation Award Sponsored by the IBM Academic Initiative submitted by
Clinical Quality Improvement
Clinical Quality Improvement Current and Future Developments Connecting Michigan for Health 2014 Kanwarpreet (KP) Sethi Senior Software Architect 1 Objectives Review the current state of Clinical Quality