Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Public health information systems and data standards are essential for public health informatics. The birth of modern vital records systems in the 19th century in England and the U.S. established standards for collecting data on births, deaths, and diseases. This data has been critical for analyzing health trends, identifying disease outbreaks, and informing public health policy. Today, electronic systems have largely replaced paper-based reporting and allow more robust analysis and sharing of surveillance data. Standards ensure consistency and interoperability in collecting and aggregating this important public health information.
Legal and ethical considerations in nursing informaticsAHMED ZINHOM
This document outlines key concepts in nursing informatics related to information security, privacy, and ethics. It defines terms like privacy, confidentiality, consent and discusses threats to security like hackers. It also covers security measures to protect information like firewalls and passwords. Specific issues around internet technology, mobile devices and the impact on health information security are examined. Ten security principles related to accountability, consent and challenges to compliance are also overviewed.
This document provides an overview of health informatics and nursing informatics. It defines key terms like health informatics, nursing informatics, and e-health. It describes the goals and applications of nursing informatics in clinical practice, education, research, and administration. It also discusses challenges and the future of nursing informatics, as well as technologies used in telemedicine, telehealth, and other areas.
This document provides an overview of health information systems. It defines key terms like health information system and routine health information system. It describes the six components of an effective health information system according to the HMN framework: governance and leadership; data sources; data management; information products and dissemination; data quality; and data use. It also discusses data collection instruments, indicators, data quality dimensions, and characteristics of a strong health information system. The document is intended to teach participants about health information systems and their essential role in supporting decision-making across health system levels.
What is Health Informatics?
HI Goals
HI stakeholders
HI subfields / subspecialties
Healthcare trends & HI
HI professional environments
HI education / training opportunities & degrees
HI organizations / journals / meetings / events
HI professional certificates
HI books
A Healthcare Information System (HIS) is a process that records, stores, retrieves, and processes health data for decision making. It aims to streamline operations, improve patient care, administration and control, and fund and revenue management. An HIS addresses various departments and functions like file management, equipment, inpatient and outpatient care, pharmacy, nursing, materials, and laboratories. Maintaining an effective HIS through collaboration between the government and private sector is essential for a strong healthcare system, though this component remains weak in developing countries like India.
This document summarizes a seminar on health informatics presented by Pinki Barman. It defines health informatics as the application of information science and technology to support health and healthcare. It discusses the goals of health informatics in providing solutions for processing data, information and knowledge in medicine. Key aspects covered include data acquisition, storage, communication, manipulation and display. Health informatics involves clinical and non-clinical personnel, administrators, educators, IT professionals and others. Examples of health information applications and characteristics of health information systems are also summarized. The document concludes with definitions and elements of nursing informatics and its purposes and advantages.
Public health information systems and data standards are essential for public health informatics. The birth of modern vital records systems in the 19th century in England and the U.S. established standards for collecting data on births, deaths, and diseases. This data has been critical for analyzing health trends, identifying disease outbreaks, and informing public health policy. Today, electronic systems have largely replaced paper-based reporting and allow more robust analysis and sharing of surveillance data. Standards ensure consistency and interoperability in collecting and aggregating this important public health information.
Legal and ethical considerations in nursing informaticsAHMED ZINHOM
This document outlines key concepts in nursing informatics related to information security, privacy, and ethics. It defines terms like privacy, confidentiality, consent and discusses threats to security like hackers. It also covers security measures to protect information like firewalls and passwords. Specific issues around internet technology, mobile devices and the impact on health information security are examined. Ten security principles related to accountability, consent and challenges to compliance are also overviewed.
This document provides an overview of health informatics and nursing informatics. It defines key terms like health informatics, nursing informatics, and e-health. It describes the goals and applications of nursing informatics in clinical practice, education, research, and administration. It also discusses challenges and the future of nursing informatics, as well as technologies used in telemedicine, telehealth, and other areas.
This document provides an overview of health information systems. It defines key terms like health information system and routine health information system. It describes the six components of an effective health information system according to the HMN framework: governance and leadership; data sources; data management; information products and dissemination; data quality; and data use. It also discusses data collection instruments, indicators, data quality dimensions, and characteristics of a strong health information system. The document is intended to teach participants about health information systems and their essential role in supporting decision-making across health system levels.
What is Health Informatics?
HI Goals
HI stakeholders
HI subfields / subspecialties
Healthcare trends & HI
HI professional environments
HI education / training opportunities & degrees
HI organizations / journals / meetings / events
HI professional certificates
HI books
A Healthcare Information System (HIS) is a process that records, stores, retrieves, and processes health data for decision making. It aims to streamline operations, improve patient care, administration and control, and fund and revenue management. An HIS addresses various departments and functions like file management, equipment, inpatient and outpatient care, pharmacy, nursing, materials, and laboratories. Maintaining an effective HIS through collaboration between the government and private sector is essential for a strong healthcare system, though this component remains weak in developing countries like India.
This document summarizes a seminar on health informatics presented by Pinki Barman. It defines health informatics as the application of information science and technology to support health and healthcare. It discusses the goals of health informatics in providing solutions for processing data, information and knowledge in medicine. Key aspects covered include data acquisition, storage, communication, manipulation and display. Health informatics involves clinical and non-clinical personnel, administrators, educators, IT professionals and others. Examples of health information applications and characteristics of health information systems are also summarized. The document concludes with definitions and elements of nursing informatics and its purposes and advantages.
Information and Communication Technology ICT in HealthcareMadhushree Acharya
* Information & Communication Technology in Healthcare
* Need of ICT in Healthcare
* Constraints of implementation of ICT
* Implementation of ICT in various countries & India
* Various ICT Initiatives taken in India -
National health portal, Online Registration System, Mera Aspataal, SUGAM, NOTTO, Indradhanush Vaccine tracker, India fights Dengue, NHP Swasth Bharat, No more Tension Mobile app, Pradhan Mantri Surakshit Matritva Abhiyan Mobile App, Mother and Child Tracking System MCTS, Kilkari, Nikshay, m-cessation, m-Diabetes, Hospital Information System HIS, Health Management Information System HMIS, ANMoL, e-Aushadhi, e-Rakt Kosh, IDSP, Electronic Health Records EHR, Telemedicine.
Created - Feb 2018
Author - Dr. Madhushree Acharya, Academic JR, Community & Family Medicine, AIIMS Bhubaneswar
A health information system (HIS) refers to a system designed to manage healthcare data, including a patient's electronic medical record, a hospital's operations, and supporting healthcare policy decisions. [HIS] has five core components: hardware, software, telecommunications, databases, and human resources/procedures. Good information management is crucial at all levels of healthcare from local to national as it provides data to policymakers, managers, and healthcare providers. A HIS aims to adequately enable information processing for patient care, administration, research, and education while considering economic and legal factors. It should provide the right information, knowledge, and data to the right people at the right time and place in the right format to support decision making and
Intorduction to Health information system presentationAkumengwa
This document outlines the importance and components of a health information system (HIS). It defines an HIS as an information processing and storage subsystem of a healthcare organization. The importance of an HIS is that it produces information needed by various stakeholders to better manage health programs and services, detect health problems, and monitor progress towards health goals. The key components of an HIS include inputs like resources, processes like data collection and management, and outputs like information products and dissemination. The document also discusses assessing an HIS using the Health Metrics Network tool and provides an example assessment of Cameroon's HIS.
Health information systems (HIS) allow for the optimization of healthcare information acquisition, storage, retrieval, and usage. Key advantages of HIS include centralized data access across locations, increased efficiency through easy access to patient records and test results, improved security and confidentiality of patient data, increased storage capabilities, and improved accuracy through automated flagging of abnormal test results. However, HIS implementation presents disadvantages as well, most notably very high upfront and ongoing costs. Learning new systems also presents a learning curve challenge for some. On balance, the advantages of data access, efficiency, and patient care improvements provided by HIS are worth the costs.
Clinical informatics emerged in the 1960s and 1970s as the study of applying information technology to healthcare. It involves clinical care, the healthcare system, and information and communication technology. Clinical informaticians use their medical knowledge combined with informatics tools and concepts to improve healthcare processes, systems, and outcomes. Common applications include electronic health records and clinical decision support systems. While electronic health records provide benefits like reduced errors, their success depends on high quality data entry and integration across providers. Clinical informatics is still developing but shows promise to expand treatment options and improve patient care through data-driven insights.
This document discusses electronic medical records (EMRs) and electronic health records (EHRs). It defines EMRs as patient record systems that collect, store, and provide clinical information for patient care. EHRs contain longitudinal health information from multiple care settings. The document outlines the capabilities, components, levels of automation, attributes, and benefits of EMRs/EHRs, including improved data access and quality of care, as well as advantages like accessibility and reduced errors. However, it also notes disadvantages such as privacy concerns, maintenance costs, and potential for data hacking or loss.
This document provides an introduction to health informatics, including definitions of key terms, subdomains, and applications. It defines health informatics as the intersection of information science, computer science, and healthcare. The document outlines several subdomains including clinical informatics, medical informatics, nursing informatics, and bioinformatics. It also discusses some benefits and barriers to health information technology adoption, highlighting how tools like electronic health records and data warehouses can help improve decision making by generating and sharing health information.
This document discusses hospital information systems and nursing informatics. It begins by defining the objectives of the presentation which are to define management information systems, discuss different information systems used in hospitals, discuss nursing informatics and its implications, discuss obstacles to nursing information systems, and the role of nursing managers in hospital information systems. It then defines hospital management systems and hospital information systems. It describes the types of data stored in hospital information systems and types of systems including nursing information systems, clinical information systems, pharmacy information systems, financial information systems, and laboratory information systems. The document discusses nursing informatics and its implications for patient charting, staff scheduling, clinical data integration, and decision support. It also discusses the contributions of information technology to the efficiency
Nursing informatics involves the use of computer technology to support nursing practice, education, administration, and research. It has evolved from early systems that automated paperwork to more advanced applications that integrate data to support clinical decision making. Key trends include a shift toward electronic medical records and using informatics to improve care coordination and patient outcomes. Future directions may include greater use of telehealth and mobile technologies to enhance access to care. Overall, nursing informatics aims to leverage information and knowledge to enhance the quality and efficiency of nursing work.
Health informatics is the interdisciplinary study of how to design, develop, apply and use information technology in healthcare to improve health services. It involves optimizing the acquisition, storage, retrieval and use of health information. Key applications include translational bioinformatics, clinical research informatics, clinical informatics, consumer health informatics and public health informatics. Health informatics uses mathematics and statistics to understand health data and probabilistic methods to determine clinical probabilities and integrate new data.
Nursing informatics is defined as the integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It aims to support nurses, nursing practice, and patients through technology and access to information. Key aspects of nursing informatics include using technology to support clinical practice, administration, education, and research in nursing. It also involves ensuring privacy and security of patient health information stored and shared electronically.
This document discusses health informatics and patient safety. It covers visions for patient-centered care from Judge Cartwright in 1988 and the Bristol inquiry in 2001. Health IT use in New Zealand has increased, with nearly all doctors using electronic patient records by 2009. While health IT can help when designed properly, technology alone does not ensure patient safety or effective communication - a culture of safety and strong relationships are also required. Themes around continuous learning, responsibility, and communication are highlighted. A case example describes a surgeon who unknowingly removed a patient's gallbladder twice due to a missed scan report and unreviewed records.
This document provides an overview of informatics and technology in nursing. It discusses how health information and health IT can help improve care delivery and reduce errors. Informatics is presented as an interdisciplinary field that draws from areas like computer science, nursing, and other health disciplines. Nursing informatics applies informatics principles and technologies to support evidence-based practice, standards, research, and tools that promote safe and effective nursing care.
This document provides an overview of hospital information system architectures and strategies. It begins by defining the types of data processed in hospitals, including patient, resource, administrative, and management data. It then describes the main hospital functions like patient care, supply management, administration, and management. Under patient care, it outlines functions like admission, treatment planning, order entry, care delivery, and discharge. It provides details on what each function involves and what data is used. The document aims to explain the components of a hospital information system and how they can be integrated to support clinical and business operations.
This document discusses the use of computers in nursing. It begins by defining what a computer is and how computers have revolutionized the nursing profession leading to the development of nursing informatics. The document then discusses the historical perspectives of computer use in healthcare and nursing from the 1960s to present. It provides definitions of key terms like nursing informatics and outlines the major uses of computers in nursing education, practice, administration, and research. The document also discusses issues related to computer use in nursing like legal/ethical concerns and provides advantages and disadvantages.
This document discusses nursing informatics, which integrates nursing science with information management and analytical sciences. It is the science of processing and managing nursing data, information, and knowledge to support various areas of nursing. The field has grown with the increasing use of technology in healthcare, such as the transition to electronic health records. The document outlines the history of computing in nursing and covers topics like clinical information systems and the nursing informatics model.
Nursing informatics combines nursing science, computer science, and information science to manage and communicate data, helping to develop more efficient healthcare processes and provide high-quality patient care. It requires the use of information technology to collect evidence-based research, develop skills to use electronic medical records, create health policies through data collection, and facilitate interdisciplinary communication using technologies like telehealth. Effectively using data can improve patient care through more accurate diagnosis, engagement, and predictive analytics, as well as administrative functions like revenue management, appointments, and staffing.
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
Information and Communication Technology ICT in HealthcareMadhushree Acharya
* Information & Communication Technology in Healthcare
* Need of ICT in Healthcare
* Constraints of implementation of ICT
* Implementation of ICT in various countries & India
* Various ICT Initiatives taken in India -
National health portal, Online Registration System, Mera Aspataal, SUGAM, NOTTO, Indradhanush Vaccine tracker, India fights Dengue, NHP Swasth Bharat, No more Tension Mobile app, Pradhan Mantri Surakshit Matritva Abhiyan Mobile App, Mother and Child Tracking System MCTS, Kilkari, Nikshay, m-cessation, m-Diabetes, Hospital Information System HIS, Health Management Information System HMIS, ANMoL, e-Aushadhi, e-Rakt Kosh, IDSP, Electronic Health Records EHR, Telemedicine.
Created - Feb 2018
Author - Dr. Madhushree Acharya, Academic JR, Community & Family Medicine, AIIMS Bhubaneswar
A health information system (HIS) refers to a system designed to manage healthcare data, including a patient's electronic medical record, a hospital's operations, and supporting healthcare policy decisions. [HIS] has five core components: hardware, software, telecommunications, databases, and human resources/procedures. Good information management is crucial at all levels of healthcare from local to national as it provides data to policymakers, managers, and healthcare providers. A HIS aims to adequately enable information processing for patient care, administration, research, and education while considering economic and legal factors. It should provide the right information, knowledge, and data to the right people at the right time and place in the right format to support decision making and
Intorduction to Health information system presentationAkumengwa
This document outlines the importance and components of a health information system (HIS). It defines an HIS as an information processing and storage subsystem of a healthcare organization. The importance of an HIS is that it produces information needed by various stakeholders to better manage health programs and services, detect health problems, and monitor progress towards health goals. The key components of an HIS include inputs like resources, processes like data collection and management, and outputs like information products and dissemination. The document also discusses assessing an HIS using the Health Metrics Network tool and provides an example assessment of Cameroon's HIS.
Health information systems (HIS) allow for the optimization of healthcare information acquisition, storage, retrieval, and usage. Key advantages of HIS include centralized data access across locations, increased efficiency through easy access to patient records and test results, improved security and confidentiality of patient data, increased storage capabilities, and improved accuracy through automated flagging of abnormal test results. However, HIS implementation presents disadvantages as well, most notably very high upfront and ongoing costs. Learning new systems also presents a learning curve challenge for some. On balance, the advantages of data access, efficiency, and patient care improvements provided by HIS are worth the costs.
Clinical informatics emerged in the 1960s and 1970s as the study of applying information technology to healthcare. It involves clinical care, the healthcare system, and information and communication technology. Clinical informaticians use their medical knowledge combined with informatics tools and concepts to improve healthcare processes, systems, and outcomes. Common applications include electronic health records and clinical decision support systems. While electronic health records provide benefits like reduced errors, their success depends on high quality data entry and integration across providers. Clinical informatics is still developing but shows promise to expand treatment options and improve patient care through data-driven insights.
This document discusses electronic medical records (EMRs) and electronic health records (EHRs). It defines EMRs as patient record systems that collect, store, and provide clinical information for patient care. EHRs contain longitudinal health information from multiple care settings. The document outlines the capabilities, components, levels of automation, attributes, and benefits of EMRs/EHRs, including improved data access and quality of care, as well as advantages like accessibility and reduced errors. However, it also notes disadvantages such as privacy concerns, maintenance costs, and potential for data hacking or loss.
This document provides an introduction to health informatics, including definitions of key terms, subdomains, and applications. It defines health informatics as the intersection of information science, computer science, and healthcare. The document outlines several subdomains including clinical informatics, medical informatics, nursing informatics, and bioinformatics. It also discusses some benefits and barriers to health information technology adoption, highlighting how tools like electronic health records and data warehouses can help improve decision making by generating and sharing health information.
This document discusses hospital information systems and nursing informatics. It begins by defining the objectives of the presentation which are to define management information systems, discuss different information systems used in hospitals, discuss nursing informatics and its implications, discuss obstacles to nursing information systems, and the role of nursing managers in hospital information systems. It then defines hospital management systems and hospital information systems. It describes the types of data stored in hospital information systems and types of systems including nursing information systems, clinical information systems, pharmacy information systems, financial information systems, and laboratory information systems. The document discusses nursing informatics and its implications for patient charting, staff scheduling, clinical data integration, and decision support. It also discusses the contributions of information technology to the efficiency
Nursing informatics involves the use of computer technology to support nursing practice, education, administration, and research. It has evolved from early systems that automated paperwork to more advanced applications that integrate data to support clinical decision making. Key trends include a shift toward electronic medical records and using informatics to improve care coordination and patient outcomes. Future directions may include greater use of telehealth and mobile technologies to enhance access to care. Overall, nursing informatics aims to leverage information and knowledge to enhance the quality and efficiency of nursing work.
Health informatics is the interdisciplinary study of how to design, develop, apply and use information technology in healthcare to improve health services. It involves optimizing the acquisition, storage, retrieval and use of health information. Key applications include translational bioinformatics, clinical research informatics, clinical informatics, consumer health informatics and public health informatics. Health informatics uses mathematics and statistics to understand health data and probabilistic methods to determine clinical probabilities and integrate new data.
Nursing informatics is defined as the integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It aims to support nurses, nursing practice, and patients through technology and access to information. Key aspects of nursing informatics include using technology to support clinical practice, administration, education, and research in nursing. It also involves ensuring privacy and security of patient health information stored and shared electronically.
This document discusses health informatics and patient safety. It covers visions for patient-centered care from Judge Cartwright in 1988 and the Bristol inquiry in 2001. Health IT use in New Zealand has increased, with nearly all doctors using electronic patient records by 2009. While health IT can help when designed properly, technology alone does not ensure patient safety or effective communication - a culture of safety and strong relationships are also required. Themes around continuous learning, responsibility, and communication are highlighted. A case example describes a surgeon who unknowingly removed a patient's gallbladder twice due to a missed scan report and unreviewed records.
This document provides an overview of informatics and technology in nursing. It discusses how health information and health IT can help improve care delivery and reduce errors. Informatics is presented as an interdisciplinary field that draws from areas like computer science, nursing, and other health disciplines. Nursing informatics applies informatics principles and technologies to support evidence-based practice, standards, research, and tools that promote safe and effective nursing care.
This document provides an overview of hospital information system architectures and strategies. It begins by defining the types of data processed in hospitals, including patient, resource, administrative, and management data. It then describes the main hospital functions like patient care, supply management, administration, and management. Under patient care, it outlines functions like admission, treatment planning, order entry, care delivery, and discharge. It provides details on what each function involves and what data is used. The document aims to explain the components of a hospital information system and how they can be integrated to support clinical and business operations.
This document discusses the use of computers in nursing. It begins by defining what a computer is and how computers have revolutionized the nursing profession leading to the development of nursing informatics. The document then discusses the historical perspectives of computer use in healthcare and nursing from the 1960s to present. It provides definitions of key terms like nursing informatics and outlines the major uses of computers in nursing education, practice, administration, and research. The document also discusses issues related to computer use in nursing like legal/ethical concerns and provides advantages and disadvantages.
This document discusses nursing informatics, which integrates nursing science with information management and analytical sciences. It is the science of processing and managing nursing data, information, and knowledge to support various areas of nursing. The field has grown with the increasing use of technology in healthcare, such as the transition to electronic health records. The document outlines the history of computing in nursing and covers topics like clinical information systems and the nursing informatics model.
Nursing informatics combines nursing science, computer science, and information science to manage and communicate data, helping to develop more efficient healthcare processes and provide high-quality patient care. It requires the use of information technology to collect evidence-based research, develop skills to use electronic medical records, create health policies through data collection, and facilitate interdisciplinary communication using technologies like telehealth. Effectively using data can improve patient care through more accurate diagnosis, engagement, and predictive analytics, as well as administrative functions like revenue management, appointments, and staffing.
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
This document discusses stakeholders in healthcare including patients, providers, policymakers, payers, and the public. It then discusses the intersection of clinical informatics, public health informatics, and consumer health informatics. The remainder of the document summarizes the history of health information technology policy and adoption in the United States, including key reports, legislation, and programs that have aimed to increase adoption of electronic health records and health information exchange.
This document discusses stakeholders in healthcare including patients, providers, policymakers, and payers. It then summarizes the development of health information technology (IT) policy in the United States, including key reports and legislation like HIPAA, HITECH Act, and meaningful use regulations. The document outlines efforts and investments by US presidents to promote adoption of electronic health records and health information exchange. It also discusses various applications of public health informatics including consumer health informatics and personal health records.
This document discusses stakeholders in healthcare and their perspectives, as well as key developments in health information technology (IT) policy and adoption in the United States. It outlines major public health IT initiatives and frameworks, such as meaningful use stages and health information exchange. The document also examines issues in consumer health informatics, including roles of information and communication technologies and examples like personal health records and social media.
Public Health Informatics, Consumer Health Informatics, mHealth & Personal He...Nawanan Theera-Ampornpunt
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 24, 2017
This document discusses stakeholders in healthcare including patients, providers, policymakers, and payers. It then summarizes the development of health information technology (IT) policy in the United States, including key reports and legislation like HIPAA, HITECH Act, and meaningful use regulations. The document outlines efforts and challenges around adoption of electronic health records and health information exchange in the US. It also discusses various applications of public health informatics including consumer health informatics and personal health records.
This document discusses stakeholders in healthcare including patients, providers, policymakers, payers and the public. It outlines the roles and perspectives of each group. It also discusses various areas of health informatics including clinical informatics, public health informatics, and consumer health informatics. Social media and personal health records are presented as important tools for consumer health informatics. Barriers and issues related to their adoption are mentioned.
1) Stakeholders in healthcare include providers, patients, payers, and policymakers who each have different priorities and incentives related to health IT adoption.
2) The US government has taken several steps over the past few decades to promote health IT adoption through reports, legislation, and funding, including the HITECH Act within the 2009 stimulus package.
3) Consumer health informatics focuses on empowering individuals through technologies that provide health information, education, and tools to better manage their own health. Personal health records are one example aimed at engaging consumers.
1. The document discusses the benefits of electronic personal health records and electronic health records for both healthcare consumers and providers. It describes how personal health records can provide patients access to their health information and allow them to share it with authorized providers.
2. Electronic health records integrate health information from various healthcare providers and facilities to give providers a complete health history. However, privacy and security concerns must be addressed.
3. While electronic records provide benefits like 24/7 access to health information, their adoption in the US has been slow, with under 10% of Americans using personal health records in 2010. Barriers to use include a lack of understanding of the benefits.
Eysenbach AMIA Keynote: From Patient Needs to Personal Health ApplicationsGunther Eysenbach
AMIA Spring Conference, May 29th-31st, 2008, Phoenix/AZ. PHR Track Keynote covers: An international perspective on the importance of PHR/PHA development & research; patient needs (and other drivers of Personal Health Records); Emerging technological trends, with an emphasis on what Eysenbach calls PHR 2.0 – impact of Web 2.0 approaches e.g. to reduce attrition in ehealth applications
Eysenbach: Personal Health Applications and Personal Health RecordsGunther Eysenbach
Keynote talk at the AMIA Spring Conference in the PHR track (Personal Health Records), focussing on international develoments and a new paradigm which I call PHR 2.0
64 journal of law, medicine & ethicsDreams and Nightmare.docxevonnehoggarth79783
64 journal of law, medicine & ethics
Dreams and
Nightmares:
Practical and
Ethical Issues
for Patients and
Physicians Using
Personal Health
Records
Matthew Wynia and Kyle Dunn
Introduction and Definitions
The term “Electronic Health Records” (EHR) means
something different to each of the stakeholders in
health care, but it always seems to carry a degree of
emotional baggage. Increasingly, EHRs are advert-
ized as a nearly unmitigated good that will transform
medical care, improve safety and efficiency, allow
better patient engagement, and open the door to an
era of cheap, effective, timely, and patient-centered
care.1 Indeed, for some EHR proponents the ben-
efits of adopting them are so obvious that adoption
has become an end in itself.2 But for others — and
especially for a number of skeptical practitioners and
patients — EHR is a code word that portends the cor-
porate transformation of health care delivery, the loss
of patient privacy, the demand that patients bear more
responsibility in health care, and the unreflective take-
over of the health care system by people who do not
understand medical care or how health care relation-
ships unfold.3
For our purposes, we will consider EHRs impar-
tially, as a set of tools that can be used for a variety of
purposes. We define EHRs broadly as any electronic
means of storing and transferring health-related
information. We exclude from this definition the use
of the telephone and fax, arguably precursors to the
electronic means of data exchange now available. Like
face-to-face and paper-based interactions, the tele-
phone and fax are generally limited to two people.
Breaches of phone line security, while possible and
perhaps even frequent, are unlikely to affect thou-
sands of people at once.
In this paper, we examine the development of a new
set of EHR tools, Personal Health Records (PHRs).
PHRs may be variously defined (Table I) and have sev-
eral potential functional and payment models (Table
II), but the general aim of all PHRs is to increase
patients’ access to and sense of ownership over their
health care information. According to the Markle
Foundation, the advent of PHRs “represents a transi-
tion from a patient record that is physician-centered
to one that is patient-centered, prospective, interac-
Matthew Wynia, M.D., M.P.H., is the Director of the In-
stitute for Ethics at the American Medical Association and a
Clinical Assistant Professor at the University of Chicago. He
received his M.D. from the Oregon Health and Science Univer-
sity in Portland, Oregon and his M.P.H. from Harvard Uni-
versity School of Public Health in Boston, MA. Kyle Dunn,
M.H.S., was a Research Assistant at the Institute for Ethics
at the American Medical Association and is now a Ph.D. can-
didate in the Department of Health Policy and Management
at the Johns Hopkins Bloomberg School of Public Health. He
received a B.S. in Molecular, Cellular and Developmental Bi-
ology .
Health Informatics Mobile Health, Telemedicine, and the Consumerjetweedy
Health informatics involves the use of information technology and systems to deliver healthcare. Mobile health or mHealth uses mobile devices to improve health outcomes through platforms like mobile apps and sensors. Telemedicine uses technology to provide remote healthcare services and overcome geographical barriers. Consumers are increasingly using mobile apps, fitness trackers, and online resources for health information. However, challenges include issues with costs, privacy, user-friendliness, and low health literacy.
The document discusses the benefits of electronic health records (EHRs), including improved patient care, decreased medical errors, and better collaboration between healthcare providers. It notes that 78% of physicians in one study said EHRs improved patient care. EHRs can contain a patient's medical history, test results, diagnoses and more. They allow for remote access to patient charts and provide alerts and recommendations to improve care. EHRs also improve research by providing more clinical data from large patient populations.
The document discusses security issues related to health care records in the digital age. It notes that health records breaches have increased substantially in recent years, with many breaches occurring due to lost or stolen portable electronic devices. The nurse has a responsibility to protect patient information and ensure safeguards are in place with the increased use of health information technology. Strategies organizations can use include ensuring security protocols for portable devices and promoting a culture of safety regarding patient privacy and data protection.
The document discusses security issues related to health care records in the digital age. It notes that health records breaches have increased substantially in recent years, with many breaches occurring due to lost or stolen portable electronic devices. The nurse has a responsibility to protect patient information and ensure safeguards are in place with the increased use of health information technology. Strategies organizations can use include ensuring security protocols for portable devices and promoting a culture of safety regarding patient privacy and data protection.
Health information technology (Health IT) is an area of information technology that includes the design, development, creation, use and maintenance of information systems for the healthcare industry. Automated and compatible healthcare information systems will continue to improve healthcare and healthcare, reduce costs, increase efficiency, reduce errors and increase patient satisfaction, and optimize cost recovery for outpatient and inpatient health care providers.
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Public Health informatics, Consumer health informatics, mHealth & PHRs (November 11, 2019)
1. Nawanan Theera-Ampornpunt, M.D., Ph.D.
For Ramathibodi M.S. & Ph.D. Programs in
Data Science for Health Care
Nov. 11, 2019 SlideShare.net/Nawanan
Except where
citing other works
2. Stakeholders in Health Care
Patient
Providers
Policy-
Makers
Public
Payers
Diagram modified from Supachai Parchariyanon’s 4Ps Concept
• High bargaining
power
• Benefit with
improved quality in
fee-for-service
• Needs to satisfy many “bosses”
• Faces up-front costs in health IT
investments
• Long-term benefits depend on
payment schemes
• Require data for
policy-making
• Limited budget
• Often face
bureaucracies
• Highly political
• Concerns about resource allocation &
community’s well-being, but not
necessarily individual patients
• Directly benefits from
improved quality of care
• Knowledge gap between
patient & providers
5. Public Policy in Informatics: A US’s Case
1991: IOM’s CPR Report published
1996: HIPAA enacted
2000-2001: IOM’s To Err Is Human &
Crossing the Quality Chasm published
2004: George W. Bush’s Executive
Order establishing ONCHIT (ONC)
2009-2010: ARRA/HITECH Act &
“Meaningful use” regulations
6. Political Support Behind Health IT
“...We will make wider use of electronic records and other
health information technology, to help control costs and
reduce dangerous medical errors.”
Source: Wikisource.org Image Source: Wikipedia.org
President George W. Bush
Sixth State of the Union Address
January 31, 2006
?
7. U.S. Adoption of Health IT
• U.S. lags behind other Western countries
(Schoen et al, 2006;Jha et al, 2008)
• Money and misalignment of benefits is the
biggest reason
Ambulatory(Hsiao et al, 2009) Hospitals (Jha et al, 2009)
Basic EHRs w/ notes 7.6%
Comprehensive EHRs 1.5%
CPOE 17%
8. President Obama Backs Health IT
“...Our recovery plan will invest in
electronic health records and new technology
that will reduce errors, bring down costs,
ensure privacy, and save lives.”
President Barack Obama
Address to Joint Session of Congress
February 24, 2009
Source: WhiteHouse.gov
9. American Recovery & Reinvestment Act
Contains HITECH Act
(Health Information Technology for
Economic and Clinical Health Act)
~ 20 billion dollars for Health IT investments
Incentives & penalties for providers
10. U.S. National Leadership
David Blumenthal, MD, MPP
National Coordinator for
Health Information
Technology
(2009 - 2011)
Farzad Mostashari, MD, ScM
National Coordinator for
Health Information Technology
(2011 - 2013)
Robert Kolodner, MD
National Coordinator for
Health Information Technology
(2006 - 2009)
David Brailer, MD, PhD
National Coordinator for
Health Information Technology
(2004 - 2007)
Office of the National Coordinator for Health Information
Technology (ONC -- formerly ONCHIT)
Photos courtesy of U.S. Department of Health & Human Services
Karen B. DeSalvo, MD, MPH,
MSc
National Coordinator for
Health Information Technology
(2014 - 2016)
Vindell Washington, MD, MHCM
National Coordinator for
Health Information Technology
(2016 - Present)
11. What is in HITECH Act?
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Feb 4;362(5):382-5.
13. “Meaningful Use” of Health IT
Stage 1
- Electronic capture of
health information
- Information sharing
- Data reporting
Stage 2
Use of
EHRs to
improve
processes of
care
Stage 3
Use of
EHRs to
improve
outcomes
Better
Health
(Blumenthal D, 2010)
15. Health Information Exchange in the U.S.
Regional Health Information Organizations
(RHIOs)
State e-Health initiatives
Nationwide Health Information Network
(NHIN)
Still ongoing efforts, but with significant
progress
16. Other Public Health Informatics Applications
e-Health & m-Health
m-Health in disaster management: #ThaiFlood
Data reporting to government agencies
Claims & reimbursements
Diseases
Utilization statistics
Quality measures
etc.
Biosurveillance (case reporting vs. predictive)
Epidemiologic & health services research
22. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.webmd.com/
23. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.greatdreams.com/cancer-cure.htm
24. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.hon.ch/, http://socialmarketing.blogs.com/r_craiig_lefebvres_social/2007/02/health_literacy.html
25. Examples of Areas within
Consumer Health Informatics
Image Source: http://michaelcarusi.com/2012/01/01/when-you-should-not-become-a-social-media-manager/
26. Examples of Areas within
Consumer Health Informatics
Image Source: http://ucedtech.wikispaces.com/Welcome
28. Defining mHealth (mobile health)
WHO: “Medical and public health practice supported by
mobile devices, such as mobile phones, patient monitoring
devices, PDAs, and other wireless devices. mHealth involves
the use and capitalization on a mobile phone’s core utility
of voice and SMS as well as more complex functionalities
and applications including GPRS, 3G & 4G systems, GPS, and
Bluetooth technology.”
29. mHealth
http://whqlibdoc.who.int/publications/2011/9789241564250_eng.pdf
Majority of Member States reported
offering at least one type of mHealth
service. Many offered 4-6 programmes.
Frequently reported mHealth initiatives
were:
Health call centres (59%)
Emergency toll-free telephone services
(55%)
Managing emergencies and disasters (54%)
Mobile telemedicine (49%)
30. mHealth
Barriers to mHealth adoption by
countries
Competing health system priorities
Lack of evidence on evaluation
Results-based evaluation of mHealth
implementations is not routinely
conducted (only 12% of Member
States)
Data security
http://whqlibdoc.who.int/publications/2011/9789241564250_eng.pdf
31. Examples of Areas within
Consumer Health Informatics
Image Source: http://nutrition.about.com/od/recipesmenus/ss/learnlabels.htm
33. Roles of ICT in Consumer Health Informatics
Access to information
Networking opportunities
Education/Self-study
Personalization
Effective & efficient communications
With providers
Among patients
Empowerment
“User Experience”
34. Issues in Consumer Health Informatics
Health literacy & IT literacy
Cultural diversity & sensitivity
Usability, information presentation
Impact of ICT on behavioral modifications
Integration with provider’s systems
Information exchange & interoperability
Business model
Privacy & security
35.
36. Personal Health Records (PHRs)
“An electronic application through which individuals can
access, manage and share their health information, and that
of others for whom they are authorized, in a private, secure,
and confidential environment.” (Markle Foundation, 2003)
“A PHR includes health information managed by the
individual... This can be contrasted with the clinician’s record
of patient encounter–related information [a paperchart or
EHR], which is managed by the clinician and/or health care
institution.” (Tang et al., 2006)
37. Types of PHRs
Patient portal from a provider’s EHRs
(“tethered” PHRs)
Online PHRs
Stand-alone
Can be integrated with EHRs from multiple providers
(unidirectional/bidirectional data sharing)
Stand-alone PHRs
PC-based applications
USB Drive
CD-ROM or other data storage devices
Paper
39. Ideal PHRs
Integrated
Accessible
Secure
Comprehensive
Accurate & current
Patient able to
manage sharing &
update information
Engaging &
educational
User-friendly,
culturally & literacy
appropriate
The “Hub and Spoke” Model
(Kaelber et al., 2008)
40. Use Cases of PHRs
Data entry/update by patients
Data retrieval by providers
With patient’s consent
“Break-the-glass” emergency access
Data update from EHRs
Privacy settings
Personalized patient education
Communications with providers
42. Other IT for Consumer Health
Traditional Web
MedlinePlus
Other sites
Social Media
The Usuals: MySpace, Facebook, Twitter
Blogs, forums
PatientsLikeMe
Telemedicine & Telehealth
Home monitoring/recording devices
Tele-consultations, virtual visits
http://media.nstda.or.th/video/viewVideo.php?video_id=1273
43. References
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Feb 4;362(5):382-5.
Blumenthal D, Tavenner M. The “meaningful use” regulation for electronic health
records. N Engl J Med. 2010 Aug 5;363(6):501-4.
Connecting for Health. The personal health working group final report. Markle
Foundation; 2003 Jul 1.
Hsiao C, Beatty PC, Hing ES, Woodwell DA. Electronic medical record/electronic health
record use by office-based physicians: United States, 2008 and preliminary 2009
[Internet]. 2009 [cited 2010 Apr 12]; Available from:
http://www.cdc.gov/nchs/data/hestat/emr_ehr/emr_ehr.pdf
Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, Shields A,
Rosenbaum S, Blumenthal D. Use of electronic health records in U.S. hospitals. N Engl
J Med. 2009;360(16):1628-38.
Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for
personal health records (PHRs). J Am Med Inform Assoc. 2008 Nov-Dec;15(6):729-36.
Schoen C, Osborn R, Huynh PT, Doty M, Puegh J, Zapert K. On the front lines of care:
primary care doctors’ office systems, experiences, and views in seven countries. Health
Aff (Millwood). 2006;25(6):w555-71.
Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records:
definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med
Inform Assoc. 2006 Mar-Apr;13(2):121-6.