nutr 564: information management nutr 564: management barbara bruemmer ph.d., r.d. uw nutritional...
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Nutr 564: Information ManagementNutr 564: Information Management
Nutr 564: ManagementNutr 564: Management
Barbara Bruemmer Ph.D., R.D. Barbara Bruemmer Ph.D., R.D.
UW Nutritional SciencesUW Nutritional Sciences
Summer 2002Summer 2002
Objectives:Objectives: Define key terms in information managementDefine key terms in information management Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition
informationinformation
Information ManagementInformation Management
List common types of information for List common types of information for assimilation and storage:assimilation and storage:
Identify types of information in the field Identify types of information in the field of nutrition and dietetics:of nutrition and dietetics:
– patient care patient care – food compositionfood composition– public policy / regulationspublic policy / regulations– food servicefood service– Medical researchMedical research– public healthpublic health
Information ManagementInformation Management
Objectives:Objectives: Define key terms in information managementDefine key terms in information management Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition
informationinformation
Information ManagementInformation Management
Information Management:Information Management:““the effective production, storage, retrieval, and dissemination of the effective production, storage, retrieval, and dissemination of
information in any format and on any medium” Hudsoninformation in any format and on any medium” Hudson
Strategic Information Management:Strategic Information Management:Business plans that support the formulation of information strategyBusiness plans that support the formulation of information strategy
Information Technology:Information Technology:The use of computer technology in managing, processing, and The use of computer technology in managing, processing, and
accessing information.accessing information.
Information ManagementInformation Management
Archive:Archive:Stored information Stored information
Confirm retrievalConfirm retrieval
InterfaceInterfaceConnection that allows communication and interaction Connection that allows communication and interaction between two software systemsbetween two software systems
Patient Information SystemsPatient Information SystemsThe management information system that is used for the The management information system that is used for the processing of patient information (patient records, medical processing of patient information (patient records, medical histories, and billing and financial information) in health histories, and billing and financial information) in health care facilities.care facilities.
Information ManagementInformation Management
Paperless Medical RecordPaperless Medical RecordComputer-based electronic data processing and storage of Computer-based electronic data processing and storage of medical records that eliminates the need for hard copies of medical records that eliminates the need for hard copies of these documents.these documents.
Research Records / FDA formsResearch Records / FDA forms
Information ManagementInformation Management
Paperless Medical RecordPaperless Medical RecordComputer-based electronic data processing and storage of Computer-based electronic data processing and storage of medical records that eliminates the need for hard copies of medical records that eliminates the need for hard copies of these documents.these documents.
Information ManagementInformation Management
Medical Informatics:Medical Informatics:““Simplistic definition:Simplistic definition: Computer applications in medical care”Computer applications in medical care”
““Complicated definition:Complicated definition: Biomedical Informatics is an Biomedical Informatics is an emerging discipline that has been defined as the study, emerging discipline that has been defined as the study, invention, and implementation of structures and algorithms invention, and implementation of structures and algorithms to improve communication, understanding and management to improve communication, understanding and management of medical information. The end objective of biomedical of medical information. The end objective of biomedical informatics is the coalescing of data, knowledge, and the informatics is the coalescing of data, knowledge, and the tools necessary to apply that data and knowledge in the tools necessary to apply that data and knowledge in the decision-making process, at the time and place that a decision-making process, at the time and place that a decision needs to be made. The focus on the structures and decision needs to be made. The focus on the structures and algorithms necessary to manipulate the information algorithms necessary to manipulate the information separates Biomedical Informatics from other medical separates Biomedical Informatics from other medical disciplines where information content is the focus.”disciplines where information content is the focus.”
Aamir Zakaria, M.D.; Vanderbilt Univ. http://www.faqs.org/faqs/medical-informatics-faq/
Information ManagementInformation Management
Medical Informatics:Medical Informatics:'Health informatics''Health informatics' is now tending to replace the is now tending to replace the previously commoner term 'medical informatics', previously commoner term 'medical informatics', reflecting a widespread concern to define an reflecting a widespread concern to define an information agenda for health services which information agenda for health services which recognizes the role of citizens as agents in their own recognizes the role of citizens as agents in their own care, as well as the major information-handling roles care, as well as the major information-handling roles of the non-medical healthcare professions. of the non-medical healthcare professions.
British Medical Informatics Society; http://www.cs.man.ac.uk/mig/links/what.medinfo.html
Information ManagementInformation Management
Information and communicationInformation and communication““Open the application”Open the application”
Information ManagementInformation Management
Objectives:Objectives: Define key terms in information managementDefine key terms in information management Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition
informationinformation
Information ManagementInformation Management
Types of InfoTypes of Info FilesFiles ExamplesExamples
DocumentsDocuments Consistency in storage form Consistency in storage form WordWord
Consistency in titleConsistency in title Web/htmlWeb/html
Acrobat (read only)Acrobat (read only)
TextText Consistency in storage formConsistency in storage form WordWord
Consistency in titleConsistency in title AccessAccess
Specialized programSpecialized program
NumericalNumerical zerozero ExcelExcel
Missing valuesMissing values AccessAccess
Information ManagementInformation Management
Types of InfoTypes of Info FilesFiles ExamplesExamples
DataData Input filesInput files Statistical Statistical ProgramsPrograms
Output filesOutput files SPSSSPSS
TablesTables StataStata
GraphicsGraphics SASSAS
Data-mixed typeData-mixed type
TextText ExcelExcel
NumericalNumerical AccessAccess
FormulasFormulas Specialized Specialized programprogram
Information ManagementInformation Management
Types of InfoTypes of Info FilesFiles ExamplesExamples
CalendarsCalendars OutlookOutlook
Hand-held devicesHand-held devices
Specialized Specialized programprogram
Address booksAddress books WordWord
AccessAccess
OutlookOutlook
Handheld devicesHandheld devices
Information ManagementInformation Management
Types of InfoTypes of Info FilesFiles ExamplesExamples
Web PagesWeb Pages Web pagesWeb pages Front PageFront Page
with linkswith links Netscape Netscape Composer Composer
ImagesImages PhotosPhotos Photo EditorPhoto Editor
ProjectsProjects TimelinesTimelines Microsoft Microsoft ProjectProject
GraphicsGraphics
Audio & Audio & Media PlayerMedia Player
Mixed MediaMixed Media
Information ManagementInformation Management
Specialty Issues:Specialty Issues:
Research references:Research references:
AuthorAuthor Other authorsOther authors
TitleTitle Journal / book Journal / book titletitle
VolumeVolume YearYear
PagePage KeywordsKeywords
Toggle Toggle CommentComment
Programs:Programs:
Ref Man Ref Man
Consider compatibility with MedlineConsider compatibility with Medline
Consider flexibilityConsider flexibility
Information ManagementInformation Management
Specialty Issues:Specialty Issues:
Data entry: Data entry: Data entry options for handheld devices, e.g. PalmData entry options for handheld devices, e.g. Palm
Information ManagementInformation Management
Problems/ LimitationsProblems/ Limitations
1. What is the ‘life’ of the program?1. What is the ‘life’ of the program?
2.2. What if the program is discontinued?What if the program is discontinued?
3.3. Can you transfer the information to another Can you transfer the information to another program?program?
4.4. Can you interface with another program?Can you interface with another program?
5.5. How flexible is the program?How flexible is the program?
6.6. What limit is there for memory, fields, etc.?What limit is there for memory, fields, etc.?
Information ManagementInformation Management
Objectives:Objectives: Define key terms in information Define key terms in information
managementmanagement Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition
informationinformation
Information ManagementInformation Management
Characteristics of a quality programCharacteristics of a quality program – Cost / Expense to maintain and renew licenseCost / Expense to maintain and renew license– StableStable– SecureSecure– User-friendlyUser-friendly– Timely and compatible updatesTimely and compatible updates– FlexibleFlexible– Input and output of equal qualityInput and output of equal quality– Memory reasonableMemory reasonable– Good interfaceGood interface– Other features available as necessary, e.g. sorting, Other features available as necessary, e.g. sorting,
merging, etc.merging, etc.
InformationInformation ManagementManagement
StandardizationStandardization– LAN compatible systems (PCs)LAN compatible systems (PCs)– Definitions/ criteriaDefinitions/ criteria– Data processing systemsData processing systems
• Efficient - duplication wastes resources, timeEfficient - duplication wastes resources, time– decrease the risk of errorsdecrease the risk of errors– decrease the likelihood of retrieving bad decrease the likelihood of retrieving bad
informationinformation• How many different variables do you track? How many different variables do you track?
Keywords?Keywords?
Information ManagementInformation Management
StandardizationStandardization– Institutional policyInstitutional policy
• Programs should be consistentPrograms should be consistent
– Naming of files / storageNaming of files / storage– Backups, who is responsibleBackups, who is responsible– What maintenance is availableWhat maintenance is available– Importance of policies and proceduresImportance of policies and procedures
Information ManagementInformation Management
Information flowInformation flow– MultidirectionalMultidirectional
Types of institutional informationTypes of institutional information– InternalInternal– External External – ConfidentialConfidential– LegalLegal
Information ManagementInformation Management
Information ProductionInformation Production
ProductionProduction– IntrinsicIntrinsic
• BasicBasic– data that is produced, does not need data that is produced, does not need
manipulationmanipulation– ““Raw” dataRaw” data
• ProcessedProcessed– Greater controlGreater control– Greater accuracy (if QA in place)Greater accuracy (if QA in place)
• Must conduct auditsMust conduct audits– Increased speedIncreased speed– Increased volumeIncreased volume
Information ProductionInformation Production
ProductionProduction– ExtrinsicExtrinsic
• Program Program
““The set of instructions that a computer The set of instructions that a computer follows when processing information. A follows when processing information. A program utilizes information from a program utilizes information from a database to transform input into outputdatabase to transform input into output
Information ProductionInformation Production
ProductionProduction– ExtrinsicExtrinsic
• Database Database
““a set of related information that is a set of related information that is organized and stored in a computer for organized and stored in a computer for access and is usually associated with access and is usually associated with software applications” Hudson software applications” Hudson
• SpreadsheetSpreadsheet
““A tool that allows input of numerical data A tool that allows input of numerical data into rows and columns for computation into rows and columns for computation and analysisand analysis
AccessAccess
ExcelExcel
Information Management -Information Management - DiscussionDiscussion
Strengths and Weaknesses of software Strengths and Weaknesses of software programsprograms
Information ManagementInformation Management - - DiscussionDiscussion
Use the correct program for your needsUse the correct program for your needs
Test compatibility Test compatibility
Test outputTest output
StorageStorage– High tech optionsHigh tech options– Programs, compatible, widely available, Programs, compatible, widely available,
training is offeredtraining is offered– Systems, capacity for storageSystems, capacity for storage
Information ManagementInformation Management
RetrievalRetrieval
Only as good as the person who Only as good as the person who understands what they want to understands what they want to retrieve and what they expect to do retrieve and what they expect to do with what they retrievewith what they retrieve
Garbage in = Garbage out
Information ManagementInformation Management
RetrievalRetrieval– Organization SystemOrganization System– Search engineSearch engine
• Directory/ site mapDirectory/ site map• Basic search/ advanced - word searchBasic search/ advanced - word search
– Google, Yahoo, MSN, Lycos, Web crawlerGoogle, Yahoo, MSN, Lycos, Web crawler– Evidence Based MedicineEvidence Based Medicine
• Multiple search engines, nonspecific keywords, Multiple search engines, nonspecific keywords, level of evidence, etc.level of evidence, etc.
Read only restrictionsRead only restrictions Password protectionPassword protection
Information ManagementInformation Management
Objectives:Objectives: Define key terms in information Define key terms in information
managementmanagement Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition
informationinformation
Information ManagementInformation Management
““Managers must find ways to utilize the Managers must find ways to utilize the information that they have without either information that they have without either becoming overburdened by too much data or becoming overburdened by too much data or settling for less data than is needed.”settling for less data than is needed.”
HudsonHudson
Information ManagementInformation Management
Consider information management an area for Consider information management an area for professionals. Conduct a thorough review of professionals. Conduct a thorough review of your needs prior to selecting an IM system and your needs prior to selecting an IM system and software.software.
Examples:Examples:
Budget programsBudget programs
BillingBilling
SchedulingScheduling
Forecasting, purchasing, orderingForecasting, purchasing, ordering
Quality AssuranceQuality Assurance
Information ManagementInformation Management
Patient Care:Patient Care:
Quality information management systems Quality information management systems should:should:
• Support quality careSupport quality care• Assure confidentialityAssure confidentiality• Facilitate communicationFacilitate communication• Streamline business practicesStreamline business practices
– Billing, Billing, – Scheduling, Scheduling, – Appointment remindersAppointment reminders– Lab resultsLab results
• Support Patient safety initiativesSupport Patient safety initiatives
Information ManagementInformation Management
Information as an asset: Information as an asset:
Leverage information for maximum effectiveness Leverage information for maximum effectiveness throughout the organizationthroughout the organization
Protect information from a variety of threats and Protect information from a variety of threats and for a variety of purposesfor a variety of purposes
Monitor the use of information to ensure Monitor the use of information to ensure consistency in information practicesconsistency in information practices
www.arma.org/sim.index.cfmwww.arma.org/sim.index.cfm
Information ManagementInformation Management
Information as an asset: Information as an asset:
Quantify the value of informationQuantify the value of information
Forecast information that will be needed in order Forecast information that will be needed in order to make business units successfulto make business units successful
Maintain information for legal compliance and Maintain information for legal compliance and long-term access.long-term access.
www.arma.org/sim.index.cfmwww.arma.org/sim.index.cfm
Information ManagementInformation Management