healthcare knowledge management
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Healthcare Knowledge Management. Kannika Chukiatmun For AGDP. Knowledge Management in Health. “…The basic practices to which it refers are as old as healthcare itself. - PowerPoint PPT PresentationTRANSCRIPT
HealthcareHealthcare Knowledge ManagementKnowledge Management
Kannika ChukiatmunKannika ChukiatmunFor AGDPFor AGDP
Knowledge Management in Health
• “…The basic practices to which it refers are as old as healthcare itself.
Since time immemorial, doctors and other practitioners have collected and shared information about their healing practices, both as individuals and as groups or communities.”
Phillip C.Candy
Director of education, Training and Development
National Health Service UK.
Knowledge Management in Health
• “…While there are several different conceptual models and definitions of knowledge management offered by various authors, they all share the view that it is more or less formal process of gathering, analyzing, and sharing information and insight based on health data that have been collected in various ways for various purpose.”
Phillip C.Candy
Director of education, Training and Development
National Health Service UK.
Knowledge Management in Health
• “…The four major elements:• Access to quality clinical data • Knowledge discovery• Knowledge translation • Knowledge integration and sharing
: are underpin virtually all the chapters.
….many of them are concerned with how this process has been affected by the development and widespread adoption of advanced information and communication technologies”
Phillip C.Candy Director of education, Training and Development
National Health Service UK.
The Issues
• Complex reciprocal relationship developing between healthcare and technology
• The centuries-evolved specialization of practice VS the consequent fragmentation of the care pathway from the patient point of view
• The information distributed among all the increasing stake holders brings up the question of how to deal with the separation of aspects of healthcare and the distributed nature of knowledge about individual patients– Making sense of information = right or wrong ?– Harmonization and standardization = partiality and gap– Ethic, privacy, legal issues etc.
To deal with those issues…..
• Individual practitioners
• Community of practitioners
• Patients and health information
Is it the old Is it the old way in the way in the new look ?new look ?
Refocusing the Issues
• Complex reciprocal relationship developing between healthcare and technology
• The centuries-evolved specialization of practice VS the consequent fragmentation of the care pathway from the patient point of view
• The information distributed among all the increasing stake holders brings up the question of how to deal with the separation of aspects of healthcare and the distributed nature of knowledge about individual patients– Making sense of information = right or wrong ?– Harmonization and standardization = partiality and gap– Ethic, privacy, legal issues etc.
The impacts and its own issues
• The paradigm shift as the physicians move away from germ theory of diseases to genetics.– The explosion of information– How to make sense of information……– ….
• From Knowledge Discovery to Knowledge Management and to Knowledge Engineering….and to……?– The dynamic nature of clinical data– The ability to interpret context-based healthcare information– The domain that support three integrals healthcare components
(stake holders as one : not each stake holders)– ………
What is the problem ?
“Various ways &various purposes of health data collections”
Administration
Front office HIS, HIM
Back office
Specific purpose Research, CRM, registries
Clinical information ???
Back to the future : “Clinical Knowledge Management”“Clinical Knowledge Management”
• Clinical data collection for diagnosis.• Clinical data decision making for treatment.• Clinical data record and progress note.• Clinical research.• Clinical data acquisition, dissemination and
organization.• Implementation of clinical knowledge.• Clinical teaching and knowledge extraction.
Back to the future : “Clinical Knowledge Management”“Clinical Knowledge Management”
• Model for KM in Primary Care
EBM Domain Community of Practice Domain
Clinical Audit Domain
Mentorship Domain
Explicit Tacit
Information-centered KM
Learner-centered KM
Integral tools / systems
Back to the future : “Clinical Knowledge Management”“Clinical Knowledge Management”
• The Multidimensional in nature…….
EBM Domain
Community of Practice
Domain
Clinical Audit
Domain
Mentorship Domain
Stake holdersPractitioners
Healthcare third party
Patients
Information technology