introduction to medical informatics

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HIBBs is a program of the Global Health Informatics Partnership An Introduction to Medical Informatics Y. SINGH NELSON R. MANDELA SCHOOL OF MEDICINE DEPARTMENT OF TELEHEALTH [email protected] Content licensed under Creative Commons Attribution-Share Alike 3.0 Unported

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Page 1: Introduction to Medical Informatics

HIBBs is a program of the Global Health Informatics Partnership

An Introduction to Medical Informatics

Y. SINGH

NELSON R. MANDELA SCHOOL OF MEDICINEDEPARTMENT OF TELEHEALTH

[email protected]

Content licensed under Creative Commons Attribution-Share Alike 3.0 Unported

Page 2: Introduction to Medical Informatics

Learning Objectives

Define medical informatics

Get a sense of what medical informatics encompasses

Why is medical informatics important

Some examples of applications

Page 3: Introduction to Medical Informatics

An Evolving Field

1950s Intuitively: “medical applications of computer science”

Medical computer scienceMedical information scienceBiomedical computingMedical informaticsHealth or healthcare informaticsClinical informatics

Page 4: Introduction to Medical Informatics

History

1949 Gustav Wager

1950 United States National Bureau of Standards

mid 50’s MYCIN

1965 Medline

1968 Homer Warner founded the department of medical informatics

1970 IMIA, MUMPS language and OS

Page 5: Introduction to Medical Informatics

Define Medical Informatics

No clear cut definitionDifferent schools of thought

Video One

Page 6: Introduction to Medical Informatics

Define Medical Informatics

Dr David ZitnerFour aspects of medical informatics:

Clinical care Health service administration Research Patient and provider education

Video Two

Page 7: Introduction to Medical Informatics

Define Medical Informatics

Systematic study Deals with all forms of “data”

Biological data Medical data Associated data

Problem solvingDecision making

Page 8: Introduction to Medical Informatics

Define Medical Informatics

Medical informatics is a scientific/systematic

field of study that deals with the acquiring, storage,

retrieval, and processing of medical, biological and associated data,

information and knowledge for the purpose of problem solving and

decision making

Page 9: Introduction to Medical Informatics

Data, Information, Knowledge

Data are the raw facts obtained

Information is outcome of analyzing data

Knowledge is obtained from analyzing information

Page 10: Introduction to Medical Informatics

Medical Informatics

Computerized Medical Records

Health Information Networks

Nursing Informatics

Medical Expert Systems

Computer-Aided Instruction

Physician Order Entry Systems

Clinical Information Systems

Policy Making

Veterinary Informatics Telemedicine

Medical Software Security

Medical Software Engineering

Page 11: Introduction to Medical Informatics

Why Medical Informatics

Why is proper management of medical data important ?

• Patient health record

• Administrative purposes

• Research and knowledge discovery

• Legal issues

• And the list goes

Page 12: Introduction to Medical Informatics

Why Medical Informatics

What is lacking in the current approach ?

• Organizational

• Logistical

• Research

• Passive nature of paper

Page 13: Introduction to Medical Informatics

Medical Informatics Solutions

Databases

Information Retrieval

Internet

Computer programs

Page 14: Introduction to Medical Informatics

Why Medical Informatics

What is lacking in the current paper based approach ?

Medication errors:

• Patient has allergic reactions

• Wrong medication given to patient

• Wrong dosage given to patient

http://www8.nationalacademies.org/onpinews/newsitem.aspx?recordid=11623

Page 15: Introduction to Medical Informatics

Medical Informatics Solutions

Medication errors may be prevented by a simple scanning device

Video Three

Page 16: Introduction to Medical Informatics

Why Medical Informatics

What is lacking in the current paper based approach ?

Cost:

• Paper and storage• Environmental Cost

Time:

• Find record, perform tests

Page 17: Introduction to Medical Informatics

Medical Informatics Solution

3D- Imaging

Other examples of medical informatics applications

Video four

Page 18: Introduction to Medical Informatics

Medical Informatics Solutions

Message from the American academy of family physicians

Video Five

Page 19: Introduction to Medical Informatics

Ultimate goal is to improve the quality of health care, research and education

in medicine and health

Page 20: Introduction to Medical Informatics

Public Health

Aggregated clinical data can be analyzed to identify emerging diseases within a region, country, or around the world.

Public health alerts (e.g., new flu strain) can

be incorporated into clinical information systems used by primary care clinicians.

Page 21: Introduction to Medical Informatics

Personalized Medicine

Genomic medicine

Manage greater quantities of data and more complex data over time

Page 22: Introduction to Medical Informatics

Does it Always Work

No

Page 23: Introduction to Medical Informatics

Steps to Success

According to Haux: Patient centered recording and use of data Process integrated decision support Comprehensive use of patient data for clinical and

reporting

Change ManagementWorkflow analysis Simple technology (Health care in the information society. A prognosis for the year 2013 -- Haux R, et al. Int J Med Inf 2002

Nov;66(1-3):3-21)

Page 24: Introduction to Medical Informatics

The work is provided under the terms of this Creative Commons Public License (“CCPL" or "license"). The work is protected by copyright

and/or other applicable law. Any use of the work other than as authorized under this license or copyright law is prohibited.

HIBBs is a program of the Global Health Informatics Partnershipwww.ghip.net

Thank You