Health Informatics: a Telehealth User- Friendly Design Monitoring Approach 1
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Computing the Future
STA2015 1/8/2015 Computing the Future The Evolving Roles of Informatics and Information Technology in Health Care Edward H. Shortliffe, MD, PhD Professor of Biomedical Informatics and Senior Advisor to the Executive Vice Provost College of Health Solutions, Arizona State University Adjunct Faculties, Columbia University and Weill Cornell Medical College Annual Meeting Society for Technology in Anesthesia Royal Palms Resort & Spa Phoenix, AZ January 8, 2014 ©EHShortliffe 2015 1 STA2015 1/8/2015 ©EHShortliffe 2015 2 STA2015 1/8/2015 What I Would Like to Discuss . •Reflections on the evolution of technologies in our society, to provide context for considering health information technology (HIT) and its future •Discussion of the evolution of informatics as a discipline •Some words about nomenclature •Relationship of informatics to HIT • Assessment of our current state •Some examples from anesthesiology •Anticipating future directions ©EHShortliffe 2015 3 STA2015 1/8/2015 Analogy: Commercial Aviation Roughly where we are today in the evolution of health information technology relative to what we envision Analogy: Evolution of Personal Computing Devices ©EHShortliffe 2015 4 STA2015 1/8/2015 1980s Subsequently .. •Network connectivity (Internet and wireless) •Modern PCs, Macs, netbooks, etc. •Smartphones •Tablet computing •Smart devices •Personal devices •And more to come . ©EHShortliffe 2015 5 STA2015 1/8/2015 The Evolving Paradigm White House at night President Bush calls for universal implementation of electronic health records within 10 years -
Medical Decision Support Systems in Africa
47 © 2010 IMIA and Schattauer GmbH Medical Decision Support Systems in Africa G. Bediang, C. O. Bagayoko, A. Geissbuhler Department of Radiology and Medical Informatics, Geneva University, Switzerland cision support in health as «an inter- Summary Introduction active, user-controlled system (usually Objective: To present an overview of the current state of computer- The scope of medical decision support computer-based software) that are based medical decision support systems in Africa in the areas of systems has evolved over time. Initially designed specifically to facilitate the public health, patient care, and consumer support. based on models of deductive logic decision maker (health administrators Methods: Scientific and gray literature reviews complemented by ex- (clinical algorithm), Bayesian prob- or clinician) in using data, models, and pert interviews. abilistic, heuristic, analytical models knowledge elements to solve semi- Results: Various domains of decision support are developed and and expert systems - the “Greek Ora- structured and complex decision ». deployed in Sub-Saharan Africa: public health information systems, cle” [1, 2] model, the first systems of This definition, therefore, includes clinical decision-support systems, and patient-centred decision- decision support were mainly focused the efficiency of decision making (di- support systems. on computer-aided diagnosis in medi- agnosis, treatment) in the clinical en- Conclusions: Until recently, most of these systems have been de- cine. These systems were based prima- vironment but also in the broader ployed by international organizations without a real ownership rily on theories of clinical reasoning. field of healthcare and health. It ar- policy entrusted to the African stakeholders. Many of these endeav- The practitioner would enter the data gues that all stakeholders in the health ours have remained or ceased at the experimentation stage. -
A Career in Health Care Informatics: the Outlook and Options Table of Contents a Career in Health Care Informatics: the Outlook and Options
A Career in Health Care Informatics: The Outlook and Options Table of Contents A Career in Health Care Informatics: The Outlook and Options Introduction 3 Health Care Informatics vs. Nursing Informatics 5 Job Growth and Outlook 6 Careers in Health Care Informatics 12 Chief Medical Information Officer (CMIO) 14 Director of Clinical Information Systems 16 Data Scientist 18 Health Informatics Consultant 19 Professor of Health Informatics 21 Researcher 22 Breaking into the Field 24 INTRODUCTION Health Care Informatics Vs. Nursing Informatics Health care informatics has been a distinct discipline for several decades now. But it has moved to the forefront over the last five years with health care organizations making the transition to electronic health records (EHRs). Today, the health care informatics industry is exploding and the Bureau of Labor Statistics predicts that jobs in the field will “grow much faster than the average for all occupations.” Defined by the U.S. National Library of Medicine as the “interdisciplinary study of the design, development, adoption and application of IT-based innovations in health care services delivery, management and planning,” health care informatics was propelled to popularity with the passage of the Health Information Technology for Economic and Clinical Health Act. Under this law, health centers, including hospitals, clinics and private physician offices, were required to create and maintain electronic medical records for every patient by the year 2015. 3 INTRODUCTION Health Care Informatics Vs. Nursing Informatics By now, the majority of health centers have moved to electronic patient records, which has created enormous possibilities in the field of health informatics. -
FCC Approves Eighth Set of COVID-19 Telehealth Program
-- Media Contact: Katie Gorscak, (202) 418-2156 [email protected] For Immediate Release FCC APPROVES EIGHTH SET OF COVID-19 TELEHEALTH PROGRAM APPLICATIONS Commission Continues Approving Telehealth Funding During Coronavirus Pandemic -- WASHINGTON, May 28, 2020—The Federal Communications Commission’s Wireline Competition Bureau today approved an additional 53 funding applications for the COVID-19 Telehealth Program. Health care providers in both urban and rural areas of the country will use this $18.22 million in funding to provide telehealth services during the coronavirus pandemic. To date, the FCC’s COVID-19 Telehealth Program, which was authorized by the CARES Act, has approved funding for 185 health care providers in 38 states plus Washington, DC for a total of $68.22 million in funding. Below is a list of health care providers that were approved for funding: AccessHealth, in Richmond, Texas, was awarded $439,286 for telehealth carts and network upgrades to increase clinical capacity and prevent further community spread of COVID-19 by treating primary care patients remotely for COVID-19, diabetes, hypertension, asthma, and other diseases and illnesses. The Arc Madison Cortland, in Oneida, New York, was awarded $49,455 for laptop computers and headsets to provide remote consultations and treatment during the COVID-19 pandemic for psychological services, counseling, and occupational and physical therapy for people with developmental and other disabilities. Bridge Counseling Associates, in Las Vegas, Nevada, was awarded $91,460 for laptops, cameras, telehealth equipment, internet service, and software licenses to significantly expand telehealth capabilities during the COVID-19 emergency and continue to provide mental health and substance abuse treatment, psychiatric care, and medical wellness services, including for persons who currently have, or are recovering from, COVID-19. -
Health Information Technology
Published for 2020-21 school year. Health Information Technology Primary Career Cluster: Business Management and Technology Course Contact: [email protected] Course Code: C12H34 Introduction to Business & Marketing (C12H26) or Health Science Prerequisite(s): Education (C14H14) Credit: 1 Grade Level: 11-12 Focused Elective This course satisfies one of three credits required for an elective Graduation Requirements: focus when taken in conjunction with other Health Science courses. This course satisfies one out of two required courses to meet the POS Concentrator: Perkins V concentrator definition, when taken in sequence in an approved program of study. Programs of Study and This is the second course in the Health Sciences Administration Sequence: program of study. Aligned Student HOSA: http://www.tennesseehosa.org Organization(s): Teachers are encouraged to use embedded WBL activities such as informational interviewing, job shadowing, and career mentoring. Coordinating Work-Based For information, visit Learning: https://www.tn.gov/content/tn/education/career-and-technical- education/work-based-learning.html Available Student Industry None Certifications: 030, 031, 032, 034, 037, 039, 041, 052, 054, 055, 056, 057, 152, 153, Teacher Endorsement(s): 158, 201, 202, 203, 204, 311, 430, 432, 433, 434, 435, 436, 471, 472, 474, 475, 476, 577, 720, 721, 722, 952, 953, 958 Required Teacher None Certifications/Training: https://www.tn.gov/content/dam/tn/education/ccte/cte/cte_resource Teacher Resources: _health_science.pdf Course Description Health Information Technology is a third-level applied course in the Health Informatics program of study intended to prepare students with an understanding of the changing world of health care information. -
Health Care Informatics Keng Siau
IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE, VOL. 7, NO. 1, MARCH 2003 1 Health Care Informatics Keng Siau Abstract—The health care industry is currently experiencing a fundamental change. Health care organizations are reorganizing their processes to reduce costs, be more competitive, and provide better and more personalized customer care. This new business strategy requires health care organizations to implement new tech- nologies, such as Internet applications, enterprise systems, and mo- bile technologies in order to achieve their desired business changes. This article offers a conceptual model for implementing new in- formation systems, integrating internal data, and linking suppliers and patients. Index Terms—Bioinformatics, data mining, enterprise systems, health informatics, information warehouse, internet, mobile tech- nology, patient relationship management, telemedicine. I. INTRODUCTION Fig. 1. Health care supply chain. NFORMATION technology has expanded to encompass I nearly every industry in the world from finance and banking to universities and nonprofit organizations. The health placement for the physician–patient relationship; instead it is care industry, which is composed of hospitals, individual meant to enhance this relationship, by making both physicians physician practices, specialty practices, as well as managed and patients better informed. care providers, pharmaceutical companies, and insurance companies, is no exception. The industry’s expanded interest II. CURRENT USE OF IT IN HEALTHCARE in information systems implementation has primarily been Current literature on the deployment of information systems fueled by needs for cost efficiency, increased competition, as in the health care sector shows that most organizations are al- well as a fundamental change in the health care industry, in locating a relatively small amount of resources toward informa- which providers have changed their focus from reactive care tion systems. -
Get the Facts About Telehealth
Get the Facts About Telehealth The COVID-19 pandemic has demonstrated that telehealth is a viable option for providing convenient, accessible and seamless care for patients. Myth #1: FACT: Data shows older patients are very comfortable with telehealth. Telehealth is In a survey conducted by Sutter Health, disease. More than 20% of Tera patients less feasible 52% of people aged 65 and older are aged 65 and above, allowing us reported having used telehealth during to quickly learn that telemedicine is for senior the pandemic and 93% of these patients welcome across any age range, disease citizens. reported having a positive experience. state and socioeconomic group. The key In addition, Sutter’s Tera Practice, factor for acceptance came down to a virtual-first medical practice that individuals experiencing firsthand Tera’s offers a whole ecosystem of healthcare convenience and responsiveness, and the support, has purposefully enrolled rapport they were able to build with their seniors who have at least one chronic personal care team virtually. OF SENIORS WHO USED TELEHEALTH 93% REPORTED A POSITIVE EXPERIENCE FACT: While more work needs to be done, Myth #2: telehealth is already improving critical access to care in rural and underserved communities. Telehealth Additional investments in technology, broadband and access are will amplify necessary to prevent the deepening of inequities and ensuring health widespread availability. Providers and policymakers must continue to work together to ensure the benefits of virtual care extend to our inequities. most vulnerable patients and that no community is left behind. Sutter serves millions of Medi-Cal patients in Northern California so this is a priority for our system. -
Telehealth Transformation: COVID-19 and the Rise of Virtual Care
Journal of the American Medical Informatics Association, 0(0), 2020, 1–6 doi: 10.1093/jamia/ocaa067 Perspective Perspective Downloaded from https://academic.oup.com/jamia/advance-article-abstract/doi/10.1093/jamia/ocaa067/5822868 by guest on 01 June 2020 Telehealth transformation: COVID-19 and the rise of virtual care Jedrek Wosik,1 Marat Fudim,1 Blake Cameron,2 Ziad F. Gellad,3,4 Alex Cho,5 Donna Phinney,6 Simon Curtis,7 Matthew Roman,6,8 Eric G. Poon ,5,6 Jeffrey Ferranti,6,8,9 Jason N. Katz,1 and James Tcheng1 1Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA, 2Division of Nephrology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA, 3Division of Gastroen- terology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA, 4Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina, USA, 5Division of General Internal Medicine, De- partment of Medicine, Duke University School of Medicine, Durham, North Carolina, USA, 6Duke Network Services, Duke Univer- sity Health System, Durham, North Carolina, USA, 7Private Diagnostic Clinic, Duke Health Access Center, Durham, North Carolina, USA, 8Duke Health Technology Solutions, Durham, North Carolina, USA and 9Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA Corresponding Author: Jedrek Wosik, MD, Division of Cardiology, Department of Medicine and Division of Cardiology, Duke University School of Medicine, 2301 Erwin Road, Durham, NC, USA; [email protected] Received 14 April 2020; Editorial Decision 15 April 2020; Accepted 17 April 2020 ABSTRACT The novel coronavirus disease-19 (COVID-19) pandemic has altered our economy, society, and healthcare system. -
6 Things to Know About Telehealth
Technology Decision Support COVID-19 Operations Recovery Resource July 20, 2020 6 Things to Know about Telehealth COVID-19 has resulted in a surge of interest in telehealth. Healthcare organizations are ECRI offers a wealth of resources actively exploring how telehealth can be leveraged to expand the availability of care and to help member healthcare services while keeping patients and clinicians away from unnecessary COVID-19 exposure. facilities transition from the crisis practices instituted during As facilities are preparing for a surge of COVID-19 patients or plan recovery, building COVID-19 surges, to more routine telehealth programs can aid organizations to manage their patient population. A number patient care practices that reflect of different telehealth technologies exist that can support a range of applications such as the “new normal” of maintaining primary care, specialist consultations, procedure collaboration, tele-ICU, tele-stroke, tele- operations in the presence of the psychiatry, and remote patient monitoring. SARS-CoV-2 virus. Each article in our COVID-19 Operations Recovery Added flexibility from federal agencies is also making it easier to adopt telehealth in Series highlights an area of concern, response to COVID-19. Reviewing the six key points outlined below can help you identify outlines some of the key challenges, the best use cases and the technology to fit your organizations needs. and offers tips, recommendations, and resources to help you face those 1. Consider monitoring low acuity COVID-19 patients at home challenges in an effective and cost- effective manner. ─ All patients with COVID-19 do not require hospitalization,; however, follow-up monitoring of the patient’s condition may still be required. -
How to Choose Telehealth Technologies
HOW TO CHOOSE TELEHEALTH TECHNOLOGIES WHEN CHOOSING TELEHEALTH TECHNOLOGIES FOR YOUR PUBLIC HEALTH PROGRAM, FIRST CONSIDER: Note what capabilities your facilities and participants have before determining which telehealth technologies to purchase. What are you hoping to achieve with this program? Are you trying to scale up or maintain an existing program? Include specifics such as whether the What needs will the device(s) have to meet? facility has wired or wireless connection. Telehealth technologies can transmit data Where will the telehealth technology be located and who will in various ways: it connect to? • Encrypted internet connections • Major broadband networks What patient population are you planning to serve and what technology will work best for them? • High-speed telecommunications lines • Private point-to-point broadband What information is required for healthcare providers to meet connections the targeted needs of patients and in what time frame? • Patient monitoring centers • Single-line telephone and video lines RESEARCH: EFFICIENT APPROACHES Research and compare features of devices and become familiar with their functionality. Reach out to your colleagues and/or your regional telehealth resource center (TRC). Expensive does not always mean better! Some issues can be addressed with a laptop and a consumer-grade webcam. Test before you buy! Research and select a vendor(s) with knowledge of the telehealth industry, then obtain devices for an in-person comparison. Once your team has determined which • Assure vendors provide necessary support, any needed device is the most appropriate for your updates, maintenance, or installation, and meet privacy needs, purchase the equipment and install requirements for telehealth equipment. -
Course Syllabus
Introduction to Health Informatics (101) Course Syllabus COURSE Health Informatics (101) COURSE DESCRIPTION Introduction to Health Informatics (101) offers an overview of the field of health informatics by providing students with the fundamental knowledge of the concepts of health informatics and how technology can be used in the delivery of health care. The course is intended to increase VA workforce capacity for the design, configuration, use, and maintenance of informatics interventions that improve health care delivery to our nation’s veterans. Geared towards the community college level, this web-based course is based on the content offered in conjunction with Bellevue College and developed for use in the Office of the National Coordinator (ONC) for Health Information Technology Workforce Development Program. One of six different self-study modules is offered each month on a rotating basis. COURSE GOALS & Upon completion of all six modules, participants will have: OBJECTIVES • Explored how technology can be used to improve health care delivery in health care organizations and in public health. • Acquired breadth of knowledge of the principles of health informatics. • Developed basic skills in using health informatics principles to improve practice. • Acquired a conceptual and theoretical framework of the design, development, and implementation of health information systems. • Acquired a basic understanding of educational and instructional design theory and principles and how the principles can be applied to deliver effective training to users of health information systems. COURSE PREREQUISITES There are no pre-requisites for this course. It is open to anyone interested in health informatics. There are no course fees and no tuition requirements for the program. -
ASHP Statement on the Pharmacist's Role in Clinical Informatics
Automation and Information Technology–Statements 13 ASHP Statement on the Pharmacist’s Role in Clinical Informatics Position ogy professionals to promote the safe, efficient, effective, timely, and optimal use of medications. They contribute to ASHP believes that pharmacists have the training, knowl- the transformation of healthcare by analyzing, designing, edge, background, and responsibility to assume a significant implementing, maintaining, and evaluating information and role in clinical informatics. communication systems that improve medication-related outcomes and strengthen the pharmacist–patient relation- Background ship. The role of pharmacy informaticists revolves around their knowledge of pharmacy practice, safe medication use, Healthcare organizations continue to invest a significant clinical decision-making, and the improvement of medica- amount of financial and human resources in health informa- tion therapy outcomes, combined with their understanding tion technology (HIT) initiatives, including advanced clini- of the discipline of informatics and HIT systems.10 Their pri- cal systems, electronic health records, business intelligence mary roles and responsibilities must encompass five broadly and analytics tools, and applications that deliver the highest defined categories: levels of patient safety and value. This growth has not only led to a considerable demand for HIT workers but, more • Data, information, and knowledge management: man- importantly, has identified the need for a work force with aging medication-related information while promot- training and skills to create a successful and safe interface ing integration, interoperability, and information ex- between HIT and the healthcare delivery system. This work change. force must understand healthcare, information and commu- • Information and knowledge delivery: delivering med- nication technology, and the people, processes, and culture ication-related information and knowledge throughout of an organization.