Bridging ehealth / Telemedicine and Medical (Health) Informatics

Bridging ehealth / Telemedicine and Medical (Health) Informatics Faisal Karim Shaikh faisal.shaikh@faculty.muet.edu.pk DEWSNet Group Dependable Embedded Wired/Wireless Networks www.fkshaikh.com/dewsnet Slides taken from Prof. Dr. Khalil Khoumbati DEWSNet Neeraj Suri Dependable Embedded Wired/Wireless Networks EU-NSF ICT March 2006 MUET Jamshoro

ehealth Is becoming 3rd industrial pillar of the health sector ( 11 bn in 2004, 50 bn in 2010 in EU) Develops around 3 key objectives: Global ehealth area Free patient mobility Empowerment of citizens Establish a payment system for ehealth performances (consultations, diagnosis, second opinion ) Create an adequate ehealth nomenclature Develop international coordination of Public and Private Insurance Systems Bridging ehealth / Telemedicine and Medical (Health) Informatics 2

Medical Informatics "Medical Informatics is "the science underlying the acquisition, maintenance, retrieval, and application of biomedical knowledge and information to improve patient care, medical education, and health sciences research. (Charles P. Friedman, PhD 1998) From a computer science point of view, the question is: How can systems within the area of MI&T be constructed to meet the requirements of all stakeholders? Bridging ehealth / Telemedicine and Medical (Health) Informatics 3

What is Health Informatics Bioinformatics Clinical Informatics Education and Training Human Information Processing & Organizational Behavior Imaging and Signal Analysis Innovative Technologies in Health Care Nursing Informatics Organizational Issues Patient Record Public Health Informatics Source: Elmer V. Bernstam, MD, MSE, MS, Assistant Professor, School of Health Information Sciences and Internal Medicine UT Houston Health Informatics Bridging ehealth / Telemedicine and Medical (Health) Informatics 4

Close Relations The links are everywhere: In definitions In discussions and publications In the R&D development 60 50 40 30 20 10 0 53,5 19,9 0,8 1,8 1 15,8 7,2 % Information tech. in medicine Clinical Education Finance Legal Service related Other ehealth is an emerging field in the intersection of medical informatics, public health and business, referring to health services and information delivered or enhanced through the Internet and related technologies. G Eysenbach, Journal of Medical Internet Research 2001;3(2):e20 Bridging ehealth / Telemedicine and Medical (Health) Informatics 5

Dual Relationship Interaction Interdependence Resulting in: New tasks, New problems, New solutions, New perspectives New points of view ehealth Informatics Bridging ehealth / Telemedicine and Medical (Health) Informatics 6

Need for an Effective Fit ICT Clinical Treatment Healthcare Prevention & Wellbeing Bridging ehealth / Telemedicine and Medical (Health) Informatics 7

Practically speaking, the mission of medical informatics and ehealth (Telemedicine) is one and the same - to "help people use information to improve health. William W. Stead 1999 Bridging ehealth / Telemedicine and Medical (Health) Informatics 8

Bridging ehealth / Telemedicine and Medical (Health) Informatics 9 International Organizations

International Organizations & Institutions WHO The recipiendary Major coordination role World wide (193 member states) ehealth Unit ehealth resolution Global ehealth Observatory ITU Telecommunication issues Standardization role Cooperation with WHO EU European Commission Information Society and Media Directorate General Unit H-1 IST for Health European Commission Directorate General Health and Consumer Protection Unit C2 Health Information - D.G. SANCO Major impact through its Framework Programs Bridging ehealth / Telemedicine and Medical (Health) Informatics 10

International Organizations & Institutions UNOOSA Space issues Peaceful applications of Outer Space Action Team 6 Telehealth Organization of workshops in all continents WABT/UNESCO Educational, Scientific, Cultural and Communication issues NEPAD New Economic Partnership for African Development Important driving force for ehealth implementation on the African continent NATO Committee of Chiefs of Military Medical Services Telemedicine Panel Involved in advanced telemedicine technology research Etc. Bridging ehealth / Telemedicine and Medical (Health) Informatics 11

But Only WHO is fully dedicated to health issues Other organizations deal with health issues amongst several other activities Therefore WHO has the ultimate coordinating responsibility Bridging ehealth / Telemedicine and Medical (Health) Informatics 12

International Societies & Associations Telemedicine - Around Healthcare Professionals Informatics - Around IT Professionals Telecom - Around Telecommunication Professionals Management - Around Management Professionals Patients More cooperation and coordination is vital! Bridging ehealth / Telemedicine and Medical (Health) Informatics 13

International Societies & Associations AMIA - American Medical Informatics Association APAMI - Asia Pacific Association for Medical Informatics CPME - Standing Committee of European Doctors EAHITM - European Association of Healthcare IT Managers EAHM - European Association of Hospital Managers EEHF - European ehealth Forum EFMI - European Federation for Medical Informatics EHMA - European Health Management Association EHTEL - European Health Telematics Association EHTO - European Health Telematics Observatory EuroPACS - European Society for the Promotion of Picture Archiving andcommunication Systems in Medicine HELINA - Health Informatics in Africa HIMMS - Healthcare Information & Management Systems Society HINE - Health Information Network Europe HOPE - European Hospital and Healthcare Federation IAHSA - International Association of Homes and Services for the Ageing ICMCC - International Council on Medical & Care Compunetics ICN - International Council of Nurses ICSU - International Council for Science IEEE - Institute of Electrical and Electronics Engineers IFMBE - International Federation for Medical and Biological Engineering IHE-Europe - Integrating the Healthcare Entreprises IHF - International Hospital Federation IMIA - International Medical Informatics Association ISfTeH - International Society for Telemedicine & ehealth ITS - International Telecommunications Society IUPESM - International Union for Physical and Engineering Sciences in Medicine NTA - Nordic Telemedicine Association uhealth - International Initiative for Ubiquitous Healthcare (u-health) Bridging ehealth / Telemedicine and Medical (Health) Informatics 14

ehealth as Common Good Networking is crucial for every step of ehealth implementation The motto is Working together! Two major international forums help bringing experts and business as well as citizens together Bridging ehealth / Telemedicine and Medical (Health) Informatics 15

ISfTeH The International Society for Telemedicine & ehealth http://www.isft.net Bridging ehealth / Telemedicine and Medical (Health) Informatics 16

ISfTeH Mission Statement The ISfTeH exists to facilitate the International dissemination of knowledge and experience in Telemedicine and ehealth and to provide access to recognized experts in the field worldwide! Acting as Moderator in all aspects of healthcare Feeder for information and projects Coordinator between science, education and implementation Activator of networking and development ISfTeH is the International representative body of National and other Associations, Institutions, Corporations, Individuals In Partnership with WHO, ITU, UNOOSA, WABT/UNESCO Liaising with other International Associations Bridging ehealth / Telemedicine and Medical (Health) Informatics 17

ISfTeH and Education A Working Committee Education is now functioning under the umbrella of ISfTeH (chaired by Prof. M. Mars, South Africa) The mission is: Listing already existing programs on Telemedicine /ehealth Establishing basic ehealth / Telemedicine templates for fundamental training programs Coordinating ehealth / Telemedicine educational efforts around the Globe Assisting the set up of new courses in ehealth --- Defining the needs of universities and specialists for basic and continuous education Bridging ehealth / Telemedicine and Medical (Health) Informatics 18

Education Plays a crucial role but is underestimated Still needs to be developed much more Multidisciplinary New professional qualification: ehealth specialist Dispensing: Via Medical schools Via Technical and IT schools Via Management schools Via Multi-disciplinary courses Via Workshops and Seminars Already several master and post-graduate degrees available Bridging ehealth / Telemedicine and Medical (Health) Informatics 19

Med-e-Tel: 5 Years of Success The highly specialized international educational and networking forum for ehealth, telemedicine and health ICT It brings manufacturers and suppliers of specific equipments as well as service providers together with buyers, healthcare professionals, international organizations and association executives, institutional decision makers and policy makers from all over the world It provides them with hands-on experience and knowledge about currently available products, technologies and applications It is the forum where state-of-the-art products, services, ideas, projects, etc are presented and discussed Bridging ehealth / Telemedicine and Medical (Health) Informatics 20

Accreditation Med-e-Tel provides many educational opportunities through its extensive program of presentations, panel discussions, workshops and satellite symposia Med-e-Tel 2007 was accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide maximum of 18 hours of European external CME credits for medical specialists EACCME credits are also recognized by the American Medical Association towards the Physician's Recognition Award (PRA) Bridging ehealth / Telemedicine and Medical (Health) Informatics 21