Introduction to Ehealth and Informatics
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Health Informatics Principles
Health Informatics Principles Foundational Curriculum: Cluster 4: Informatics Module 7: The Informatics Process and Principles of Health Informatics Unit 2: Health Informatics Principles FC-C4M7U2 Curriculum Developers: Angelique Blake, Rachelle Blake, Pauliina Hulkkonen, Sonja Huotari, Milla Jauhiainen, Johanna Tolonen, and Alpo Vӓrri This work is produced by the EU*US eHealth Work Project. This project has received funding from the European Union’s Horizon 2020 research and 21/60 innovation programme under Grant Agreement No. 727552 1 EUUSEHEALTHWORK Unit Objectives • Describe the evolution of informatics • Explain the benefits and challenges of informatics • Differentiate between information technology and informatics • Identify the three dimensions of health informatics • State the main principles of health informatics in each dimension This work is produced by the EU*US eHealth Work Project. This project has received funding from the European Union’s Horizon 2020 research and FC-C4M7U2 innovation programme under Grant Agreement No. 727552 2 EUUSEHEALTHWORK The Evolution of Health Informatics (1940s-1950s) • In 1940, the first modern computer was built called the ENIAC. It was 24.5 metric tonnes (27 tons) in volume and took up 63 m2 (680 sq. ft.) of space • In 1950 health informatics began to take off with the rise of computers and microchips. The earliest use was in dental projects during late 50s in the US. • Worldwide use of computer technology in healthcare began in the early 1950s with the rise of mainframe computers This work is produced by the EU*US eHealth Work Project. This project has received funding from the European Union’s Horizon 2020 research and FC-C4M7U2 innovation programme under Grant Agreement No. -
Rapid Review Mental Health Interventions 1 Rapid
Rapid review mental health interventions 1 Rapid review and meta-meta-analysis of self-guided interventions to address anxiety, depression and stress during COVID-19 social distancing Ronald Fischer ¹ ² Tiago Bortolini ² Johannes Alfons Karl ¹ Marcelo Zilberberg 3 Kealagh Robinson ¹ André Rabelo 4 Lucas Gemal ² Daniel Wegerhoff ¹ Nguyễn Thị Bảo Trâm ¹ Briar Irving ¹ Megan Chrystal 1 Paulo Mattos ² ⁵ Affiliations 1 Victoria University of Wellington, Wellington, New Zealand 2 Instituto D’Or de Pesquisa & Ensino, Rio de Janeiro, Brazil 3 TAL Education Group, Beijing, China 4 Universidade de Brasília, Brasília, Brazil 5 Institute of Psychiatry, Federal University of Rio de Janeiro Author contributions RF conceptualized the study; RF, TB, JK, MZ, KR, AR, LG conducted the literature search & data extraction, RF, JK, TB conducted the analyses & created the visualizations, DW coordinated the activity material collation, DW, TN, BI, MC collated & summarized the activity material; PM provided feedback & advice; RF wrote the first draft; all authors approved the final version. Abstract We conducted a rapid review and quantitative summary of meta-analyses that have examined interventions which can be used by individuals during quarantine and social distancing to manage anxiety, depression, stress and subjective well-being. A literature search yielded 34 meta-analyses (total number of studies k = Rapid review mental health interventions 2 1,390, n = 145,744) that were summarized. Overall, self-guided interventions showed small to medium effects in comparison to control groups. In particular, self-guided therapeutic approaches (including cognitive-behavioral, mindfulness, and acceptance-based interventions), selected positive psychology interventions, and multi-component and activity-based interventions (music, physical exercise) showed promising evidence for effectiveness. -
Insights from Patient Care Utilization in Colorado SEPTEMBER 2020
THE VALUE OF TELEMEDICINE DURING THE COVID-19 PANDEMIC RESPONSE Insights From Patient Care Utilization in Colorado SEPTEMBER 2020 Informing Policy. Advancing Health. The Value of Telemedicine During the COVID-19 Pandemic Response Insights From Patient Care Utilization in Colorado 3 Introduction CHI Staffers 4 The Value of Telemedicine During the COVID-19 Pandemic Response Contributing to This Report 5 Telemedicine Adoption and Use in Colorado 6 Methods: What You Need to Know • Kristi Arellano 7 Which Coloradans Are Using Telemedicine? • Jasmine Bains 7 Demographics: Telemedicine Adoption by Age • Nina Bastian 10 Demographics: Telemedicine Adoption by Race, Ethnicity, • Jeff Bontrager and Gender • Ashlie Brown 11 How Has Telemedicine Affected the Volume of Care Delivered • Spencer Budd by Different Providers During the Pandemic? • Brian Clark 12 Federally Qualified Health Centers • Joe Hanel 13 Community Mental Health Centers • Paul Presken 14 Other Provider Types • Sara Schmitt 14 Telemedicine Care Delivery by Health Condition and Procedure • Lindsey Whittington 17 Telemedicine Adoption by Insurance Type • Jackie Zubrzycki 18 Telemedicine Adoption by Modality (Telephone and Video) 21 Opportunities to Increase the Value of Telemedicine 22 What We Don’t Know Yet: Next Steps for Research 22 Conclusion 23 Methods Appendix 23 The Colorado Health Observation Regional Data Service (CHORDS) 23 Analysis Details 24 Baseline and Analysis Periods 25 Endnotes This research was conducted in collaboration with the Colorado Office of eHealth Innovation (OeHI) and the Colorado eHealth Commission, in support of the Colorado Health Information Technology (IT) Roadmap. OeHI is responsible for defining, maintaining, and evolving Colorado’s Health IT strategy concerning care coordination, data access, health care integration, payment reform, and care delivery. -
Identifying Health Consumers' Ehealth Literacy to Decrease Disparities In
CONTINUING EDUCATION ANCC 2.0 CONTACT HOURS Identifying Health Consumers’ eHealth Literacy to Decrease Disparities in Accessing eHealth Information Hyejin Park, PhD, RN, Eileen Cormier, PhD, RN, Glenna Gordon, Jung Hoon Baeg, MS resources. Consumer engagement in health-related decision The increasing amount of health information available on making has also increased in health service delivery.4 Be- the Internet highlights the importance of eHealth literacy ’ skills for health consumers. Low eHealth literacy results in cause online health information can affect health consumers disparities in health consumers’ ability to access and use health decisions and health outcomes, it is important for “ eHealth information. The purpose of this study was to as- them to possess eHealth literacy, defined as the ability to sess the perceived eHealth literacy of a general health con- seek, find, understand, appraise online health information, 5 sumer population so that healthcare professionals can and apply the knowledge to make a health decision.” effectively address skills gaps in health consumers’ ability The Internet provides a portal for everyone to access to access and use high-quality online health informa- available health knowledge, but disparities exist in con- tion. Participants were recruited from three public library sumers’ ability to parse the health information they read. branches in a Northeast Florida community. The eHealth Lit- The low level of eHealth literacy of some consumers makes eracy Scale was used. The majority of participants -
Ontario's Electronic Health Record (EHR
Ontario’s Electronic Health Record (EHR) Conceptual Information Model (CIM) Digital Health Enabled VERSION 2.0 Version History Version Number Date Summary of Change Changed By 1.0 November 2014 Initial version part of Ontario’s Ehealth Blueprint eHealth Ontario, Architecture & Standards Division 2.0 June 26, 2019 Updated to align with HL7 Electronic Health Record eHealth Ontario, Architecture & System Functional Model (EHR-S FM) [Draft Standards Division Release 2.1] CIM 2.0 Page 1 Table of Contents Introduction ...................................................................................................................................................................... 3 Overview ............................................................................................................................................................................ 4 Information Architecture .................................................................................................................................................................................................... 6 EHR Information Principles ............................................................................................................................................................................................... 6 Modelling References .......................................................................................................................................................................................................... 7 Conceptual Information -
Electronic Health Records in India
CSD Working Paper Series: Towards a New Indian Model of Information and Communications Technology-Led Growth and Development Electronic Health Records in India ICT India Working Paper #25 Manisha Wadhwa March 2020 CSD Working Paper Series: Towards a New Indian Model of Information and Communications Technology-Led Growth and Development Table of Contents Abbreviations ................................................................................................................................................ 4 Abstract ......................................................................................................................................................... 5 Introduction .................................................................................................................................................. 6 Benefits of EHR ............................................................................................................................................. 8 Initiatives by the Government of India ......................................................................................................... 8 EHR Standards ........................................................................................................................................... 8 Goals of EHR Standards ......................................................................................................................... 9 Need for EHR Standards ....................................................................................................................... -
Telepharmacy: the Pharmacy of the 21St Century
SMGr up Telepharmacy: The Pharmacy of the 21st Century Marlise Araújo dos Santos1,4*, Patrícia Bellicanta Lazzarotto1,4, Helena Willhelm de Oliveira2,4, Júlio César M de Lima3,4 and Thais Russomano4 1 2 Joan Vernikos Aerospace Pharmacy Laboratory, Brazil 3 eHealth Laboratory, Brazil 4 Aerospace Engineering Lab, Brazil *CorrespondingMicroG- PUCRS, Brazil author: Marlise Araújo dos Santos, Joan Vernikos Aerospace Pharmacy Laboratory, MicroG- PUCRS, Brazil, Tel: +55 51 998287743 and +55 51 33536369; Email:Published [email protected] Date: June 27, 2017 ABSTRACT Telehealth is a new area of health assistance, research, and education, in which information and telecommunication technologies (ICT) are used to give support services to communities where there is a lack of healthcare or access to particular specialties of medical assistance. One area of activity of telehealth is telepharmacy, which makes pharmaceutical assistance possible to remote and disadvantaged areas.This Chapter presents the establishment of the The Brazilian Telepharmacy experience is highlighted, which includes the laws and regulations first telepharmacy services in U.S. hospitals, its spread to local pharmacies and other countries. involving the rational use of medication and medicinal plants, and how the Brazilian Health Policy to medical doctors and dentists, nutritionists, pharmacists and physiotherapists can prescribe and System promotes and motivates this area. According to Brazilian laws, for example, in addition medicinal plants and phytotherapies to their patients. This Chapter also discusses the eHealth Telemedicine | www.smgebooks.com 1 Copyright dos Santos MA.This book chapter is open access distributed under the Creative Commons Attribution 4.0 International License, which allows users to download, copy and build upon published articles even for com- mercial purposes, as long as the author and publisher are properly credited. -
Ehealth Interventions to Support Caregivers of People with Dementia May Be Proven Effective, but Are They Implementation-Ready? ⁎ Hannah L
Internet Interventions xxx (xxxx) xxxx Contents lists available at ScienceDirect Internet Interventions journal homepage: www.elsevier.com/locate/invent eHealth interventions to support caregivers of people with dementia may be proven effective, but are they implementation-ready? ⁎ Hannah L. Christiea, , Jennifer L. Martinb, Jade Connorc, Huibert J. Tanged, Frans R.J. Verheya, Marjolein E. de Vugta, Martin Orrelle a Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, the Netherlands b NIHR MindTech MedTech Co-operative, The Institute of Mental Health, Nottingham University Innovation Park, Nottingham, United Kingdom c Department of International Health, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, the Netherlands d Department of Family Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, the Netherlands e Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom ARTICLE INFO ABSTRACT Keywords: Objectives: A variety of health services delivered via the Internet, or “eHealth interventions,” to support care- Dementia givers of people with dementia have shown evidence of effectiveness, but only a small number are put into Caregiver practice. This study aimed to investigate whether, how and why their implementation took place. Internet Methods: This qualitative study followed up on the 12 publications included in Boots et al.'s (2014) widely cited eHealth systematic review on eHealth interventions for informal caregivers of people with dementia, in order to explore Implementation further implementation into practice. Publicly available online information, implementation readiness (ImpRess checklist scores), and survey responses were assessed. Findings: Two interventions were freely available online, two were available in a trial context, and one was exclusively available to clinical staff previously involved in the research project. -
HCI and Mhealth Wearable Tech: a Multidisciplinary Research Challenge
CHI 2020 Case Study CHI 2020, April 25–30, 2020, Honolulu, HI, USA HCI and mHealth Wearable Tech: A Multidisciplinary Research Challenge Abstract Lucretia Williams Amir Rahmani This paper explores the challenges of HCI work within University of California, Irvine University of California, Irvine multidisciplinary research projects across health Department of informatics School of Nursing sciences, social sciences, and engineering, through Irvine, CA, USA Irvine, CA, USA discussion of a specific case study research project [email protected] [email protected] focused on supporting under-resourced pregnant women. Capturing the perspectives of community- Gillian R. Hayes Nikil Dutt based health care workers (N=14) using wearable University of California, Irvine University of California, Irvine technology for servicing pregnant women provided Department of Informatics Department of Computer insight into considerations for technology for this Irvine, CA, USA Science specific population. Methods of inquiry included design [email protected] Irvine, CA, USA and development of a prototype wearable and mobile [email protected] system as well as self-report via a survey detailing their Yuqing Guo experience with the system and how it can possibly University of California, Irvine benefit their duties of monitoring their pregnant School of Nursing patients. The process outcomes of this work, however, Irvine, CA, USA provide broader insight into the challenges of [email protected] conducting this kind of interdisciplinary work that remain despite decades of effort and financial investment to support interdisciplinary research, particularly in health informatics and interactive Permission to make digital or hard copies of part or all of this work for technologies for health. -
Ehealth and Mhealth Robert John Moss,1 András Süle,2 Stephanie Kohl3
Eur J Hosp Pharm: first published as 10.1136/ejhpharm-2018-001819 on 21 December 2018. Downloaded from EAHP position paper eHealth and mHealth Robert John Moss,1 András Süle,2 Stephanie Kohl3 1 Scheldezoom Pharmacy, ’s ABSTRACT ► Ensuring barcoding of medicines to the single Gravenpolder, The Netherlands Both electronic health (eHealth) and mobile health units in primary packages to enable more wide- 2Department of Pharmacy, Péterfy Hospital - National (mHealth) are becoming prominent components of spread take-up of bedside scanning in European Institute of Traumatology, healthcare. In order for healthcare electronic services hospitals, thus improving patient safety. Budapest, Hungary to be safe and effective and add genuine value to the ► Appropriate regulatory oversight mechanisms 3 Policy and Advocacy, system, the European Association of Hospital Pharmacists for mHealth applications to ensure that they European Association of (EAHP) believes that these should be developed in close have a positive impact and adequately protect Hospital Pharmacists, Brussels, Belgium collaboration with healthcare professionals including patient data. hospital pharmacists, and patients. Consequently, ► Provision of appropriate eHealth/mHealth Correspondence to the EAHP calls in its position paper upon national training opportunities to healthcare profes- Stephanie Kohl, Policy governments and health systems across Europe to sionals and promotion of digital health literacy. and Advocacy, European work towards (1) systematic and European Union-wide ► Involvement of hospital pharmacists in the Association of Hospital achievement of electronic prescribing, administration and design, specification of parameters and evalua- Pharmacists, Brussels, 1200, Belgium; Stephanie. Kohl@ use of electronic medical records; (2) ensuring barcoding tion of ICT within the medicines processes. eahp. -
Mhealth Basics: Introduction to Mobile Technology for Health Elearning
mHealth Basics: Introduction to Mobile Technology for Health eLearning Course Participant Study Group Preliminary Report January 12 – February 4, 2015 http://www.globalhealthlearning.org/community/89786 Background To enhance learners’ understanding of the main concepts in the mHealth Basics: Introduction to Mobile Technology for Health course and develop the basic skills needed to plan and implement digital health programs in the field, the K4Health Project facilitated an online, time-bound, cohort-based learning event in which learners were able to receive virtual technical assistance from digital health subject matter experts as well as learn from each other by discussing questions, challenges, and successes in working in the digital health field. The purpose of this study group was: • to help explore and think critically about course concepts as they move through the course material • to provide a virtual space for learners to connect with each other and with mHealth implementers from around the world • to elicit and share relevant, practical programmatic experiences related to mHealth The formal study group ran from January 12 – February 4, 2015. Prior to each day’s discussion, the study group facilitators, Trinity Zan of FHI 360 and Nandini Jayarajan of Johns Hopkins Center for Communication Programs (CCP), asked participants to read a session or sessions of the course, then respond to discussion questions posted to the online forum. Participants were encouraged to visit the online learning space to reflect on the discussion questions, ask questions, and share experiences related to their professional work, as well as how they have and/or plan to apply what they have learned from the course into their jobs. -
Mobile Technology-Based Services for Global Health and Wellness: Opportunities and Challenges”
“MOBILE TECHNOLOGY-BASED SERVICES FOR GLOBAL HEALTH AND WELLNESS: OPPORTUNITIES AND CHALLENGES” Summary of Main points from the OECD-HARVARD Global Health Institute Expert Consultation of 5-6 October 2016. This document reports on key issues emerging from the OECD Expert Consultation: “Mobile Technologies Based Services for Global Health and Wellness: Opportunities and Challenges (http://www.oecd.org/sti/ieconomy/mobile- technology-based-services-for-global-health.htm)”. The Consultation’s objectives were to further international dialogue on issues critical for the successful adoption of mobile-technology-based services for health and wellness with a special focus on privacy, security, quality assurance challenges and measurement needs for evidence-based policy-making. The Expert Consultation was held on 5-6 October, 2016 in Boston (US) at The Harvard Global Health Institute, in collaboration with Swedish Vinnova, Canada Health Infoway and the Global Coalition on Aging. Their financial support and that of participating member countries is gratefully acknowledged. This report was drafted by Elettra Ronchi (Senior Policy Analyst , Digital Economy and Policy Division, OECD), Liana Rosenkrantz Woskie (Assistant Director Harvard Global Health Institute Strategic Initiative on Quality, US ; London School of Informatics, UK) and Julia Adler Milstein (Associate Professor, University of California, San Francisco, US) based on inputs from workshop experts, the OECD Health Committee and the OECD Working Party on Security and Privacy in the Digital