FFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Healthcare Information Healthcare Information Systems: An OverviewSystems: An Overview
Nancy B. Clark, M.Ed.Nancy B. Clark, M.Ed.Director of Medical Informatics EducationDirector of Medical Informatics Education
FSU College of MedicineFSU College of Medicine
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
What is wrong with this picture?What is wrong with this picture?
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
What is wrong with this picture?What is wrong with this picture?• illegible handwriting,• ambiguous and • incomplete data, • data fragmentation- each lab report is a separate
piece of paper which does not allow a physician to visualize the progress of a patient’s conditions.
• poor availability- studies have shown that as much as 40% of the time the paper record can not be found.
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
What is wrong with this picture?What is wrong with this picture?• Insecure in open, unguarded shelving in a clinic • In addition, paper records often become bulky with
time, which leads to lack of overview. • When it comes time to share the record with another
clinician, each individual piece of paper has to be hand copied, then mailed. It can cost a clinic up to $35 just to do this.
• Employee cost of moving all this paper around – estimates it costs $5 just to pull one chart.
• Space – most medical office space rents for $18-22/sq ft/yr 240 sq ft
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Outline Outline
• What kinds of HIT systems are there?• What are we using here at FSU CoM?• What major trends are emerging?• What are the benefits to adoption?• What are the barriers to adoption?• What is the current state of adoption?• How can you learn more?
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Elements of IT InfrastructureElements of IT Infrastructure
• Hardware/Software
• Support Issues
• Workflow/Mindset Issues
• Training Issues
• Budgeting Issues
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Basic TechnologyBasic Technology• High speed
networks• Wireless Networks
– PDAs– Tablets
• Internet access• Web server • Intranets
(SharePoint)
• Video conferencing • Bar-code readers • Voice over internet• Speech recognition
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Administrative ApplicationsAdministrative Applications
• Security (virus protection, firewalls, retinal scans, thumb prints)
• System wide e-mail with external access via web
• System wide calendaring• Single sign-on active user directory• Website• Intranet• Shared file systems• Personnel systems
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
HIT ApplicationsHIT Applications• Patient registration/
demographics• Insurance validation• Billing systems• Appointment systems• Computerized
Physician Order Entry (CPOE)
• EMR/EHR/CPR• Pharmacy systems
• Lab systems• Imaging systems• Telemedicine• Patient education• Decision Support• Library resources• Sensors
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Sad FactsSad Facts• Medical errors account for more deaths
than breast cancer, AIDs and motorcycle accidents.
• US has highest HC costs per capita in world• US has worst outcomes of industrialized
nations. (infant mortality, lifespan, etc.)• Healthcare is 10-15 yrs behind business in
adoption of IT
FFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
FSU College of Medicine FSU College of Medicine
Technology Supporting Technology Supporting Medical EducationMedical Education
What our graduates will expect to have in What our graduates will expect to have in their residencies, practices, and hospitals.their residencies, practices, and hospitals.
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Technology HighlightsTechnology Highlights• Tablet PCs• PDAs for Medical Reference• IT Enchanced Environment – printing,
scanner, classroom & small group presentation system
• The Portals: The College Web Site, the Electronic Library & Blackboard
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
The Tablet PCThe Tablet PC
Lenovo ThinkPad TabletPC
Issue First Day
1.88 GHz Processor3 G MB RAM
130 GB Hard DiskExternal DVD-RW
drivesSD card slotPCM/CIA slot3 USB ports
4.5 lbs
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Software InstalledSoftware Installed
– Windows Vista (7) – Tablet Edition– Office 2007, including Word, Excel,
PowerPoint, Publisher, Access, Outlook, Internet Explorer
– Adobe Acrobat Reader, Microsoft Digital Image Suite, WinZip, Sonic Record Now, medical spell checker, and EndNote
– Anti-virus, anti-spyware, & other security software
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Interesting Tablet SoftwareInteresting Tablet Software• Microsoft Office
OneNote• Windows Journal• Microsoft Educational
Pack for Tablet PC• Microsoft Experience
Pack for Tablet PC• Sticky Notes• Snipping Tool
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
EMREMR
• SOAPware
• Use 3rd year
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
PDAsPDAs
• Issues Fall 1st year
• Used to track all patient encounters
• Used as extension of library resources, to find information quickly in clinical environments at the point of care.
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
HP iPAQHP iPAQ
• Windows Mobile 6 • 1 GB SD card• Color, backlit, 240-360
screen• Sound recorder, mp3
player• Wireless - both WiFi &
Bluetooth
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine04/19/23 Intro to Medical Library Resources
19
FSU Licensed PDA SoftwareFSU Licensed PDA Software
• Epocrates Essentials ($149/yr)• Essential Evidence Plus ($249/yr)• DynaMed ($200/yr)• PEPID ($199/yr)• Pediatric Care Online ($289/yr)• Clinical Evidence ($99/yr)• Harrison’s Practice ($325/yr)• Geriatrics at Your Fingertips ($30)
• Savings to each faculty and student > $1,500/yr
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
iPhone RevolutioniPhone Revolution
• Cell phone technology expanding to PDAs
• Medical reference websites reformatting
• Software versions availability expanding– 6 resources: Epocrates, PEPID,
Dynamed, ePSS, Pediatric Care Online, Clinical Evidence
• WM cell phones popular
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine 21
PDA Versions AvailablePDA Versions Available
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Epocrates EssentialsEpocrates Essentials• Epocrates
Essentials– Most widely used
PDA program by medical practitioners
– Rx, (Drugs & Complementary meds)
– Sx/Dx (Symptom & Disease Reference)
– Labs & other tools.
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
IT Enhanced EnvironmentIT Enhanced Environment
• Wireless networking• Classroom Presentation Systems• Multi-function – copier, printer, scanner
- machines• A/V equipment in small group rooms
and community learning centers • Large format printing for posters and
signs is available for school related projects
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Clinical Learning Center Clinical Learning Center
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Sim CenterSim Center
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
The College PortalsThe College Portals
• Our Electronic Library
• SharePoint Intranet – Internal document sharing– Policies, procedures, etc.
• Enterprise Exchange e-mail system with integrated calendars and contacts
• Blackboard Courseware
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
www.med.fsu.eduwww.med.fsu.edu
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Our Library is always openOur Library is always open
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
24/7 Access to Resources24/7 Access to Resources• >1900 medical eJournals (3.5 M articles)• Hundreds of clinical eBooks • Evidence-based medicine resources and
Guidelines• Disease, drug, images and patient education
resources• Web-based course materials• Medical search engines• 200 periodicals databases• PDA versions of 7 web resources
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Blackboard - Course WebsitesBlackboard - Course Websites
• All Course Materials– Syllabus & Assignments– PowerPoints & Lecture notes– Discussion board & Grades Posting
FFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Overview of Current State of Overview of Current State of Healthcare IT AdoptionHealthcare IT Adoption
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Source of StatsSource of Stats
• 2009 HIMSS Leadership Survey– 304 IT HealthCare Executives representing 700
hospitals– http://www.himss.org/2009Survey/healthcareCIO_final.asp
• FSU CoM - Center on Patient Safety– Robert Brooks, MD, Associate Dean, Health Affairs– Nir Menachemi Ph.D., MPH, Director, Center on
Patient Safety
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Projected IT PrioritiesProjected IT Priorities
Source: 20th Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Top Business Issues Facing Top Business Issues Facing HealthCareHealthCare
Source: 20h Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Most Significant Barriers to Most Significant Barriers to Barriers to Implementing ITBarriers to Implementing IT
Source: 19th Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Status of Electronic Medical Status of Electronic Medical Record ImplementationRecord Implementation
Source: 20h Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Florida HospitalsFlorida Hospitals
Brooks R, et al. Patient Safety-Related Information Technology Utilization in Urban and Rural Hospitals. Journal of Medical Systems, Vol. 29, No. 2, April 2005
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Top Security Concerns of Top Security Concerns of Computerized Medical InformationComputerized Medical Information
Source: 20h Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Security ToolsSecurity Tools
Source: 20h Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Technology Adoption CurveTechnology Adoption Curve
50%
25%
75%
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Technology Adoption Technology Adoption (Next Two Years)(Next Two Years)
Source: 19th Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
2008 Health IT Staffing Needs2008 Health IT Staffing Needs
Source: 20h Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
2009 Health IT Staffing Needs2009 Health IT Staffing Needs
Source: 20h Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
National InitiativesNational Initiatives
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
““Wiring” HealthcareWiring” Healthcare
Hospitals
Primary care physician
Specialty physician
Ambulatory center (e.g.
imaging centers)
Payers
Pharmacy
Laboratory
Public health
Current system fragments patient information and creates redundant, inefficient efforts
Future system will consolidate information and provide a foundation for unifying efforts
Hospital
Data repository
Health Information Exchange
Network applications
Server
Payers
Labs
Outpatient RX
Physician office
Ambulatory centers Public health
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Sharing Medical DataSharing Medical Data
• Increase patient safety
• Lower Healthcare costs
• Allow for coordination of care
• Increase communication between providers
• Banking analogy
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Office of the National Office of the National Coordinator for Health ITCoordinator for Health IT
Established by Executive Order 13335 (April 27, 2004)
• Responsible for realizing the President’s vision of Health IT:– Widespread adoption of interoperable
EHR within 10 years– Medical information follows consumer– Clinicians have complete, computerized patient information– Quality initiatives measure performance and drive
quality-based competition– Public health and bioterrorism surveillance are seamlessly
integrated into care
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
GoalsGoals
• Develop a nationwide health information network (NHIN)
• Establish standards for data transfer and storage:– Continuity of care records
• Develop Regional Healthcare Information Organizations (RHIOs)
• See article: Burton, et al. Using electronic health records to help coordinate care. Milbank Quarterly. V(82);457-81. 2004
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Status of Health Information Status of Health Information Exchange (HIE)Exchange (HIE)
Source: 20th Annual HIMSS Leadership Survey Sponsored by ACS HealthCare Solutions
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Needed for CCRNeeded for CCR
• Universally agreed-on medical vocabulary• Principled and standard formats for
laboratory data, medical images, medical record…
• Standardization of medical literature formats--structured abstracts
• Health care standards -- treatment guidelines
• Standards for health data exchange
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Patient: John DoeMRN: 123-0Diagnosis: 410.0WBC: 14,000/cm3
Patient: John DoeMRN: 123-0Diagnosis: 410.0WBC: 14,000/cm3
• Current– HL7 messages for most lab data– DICOM messages for images– LOINC for laboratory results content– CPT-4 for procedures content– ICD-9 for diagnoses content (10 coming)– NDC ▬► RxNorm for medication content
• Anticipated medical vocabulary– SNOMED/UMLS Concept Unique Identifiers for
microbiology content
Clinical Data StandardsClinical Data Standards
FFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATE TATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Where can you learn more?Where can you learn more?
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Web Sites/Organizations Web Sites/Organizations • American Medical Informatics Association (AMIA)
• Healthcare Information and Management Systems Society (HIMSS)
• Healthcare IT News
• Healthcare Informatics
• Health Informatics at Wikipedia
• Medical Group Management Association (MGMA)
• The Informatics Review
• To Err Is Human: Building a Safer Health System (IOM)
• Crossing the Quality Chasm (IOM)
• Health Professions Education (IOM)
• Patient Safety: Achieving a New Standard for Care (IOM)
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Web 2.0Web 2.0
• http://www.hitsphere.com/
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Journals Journals
• JAMIA – J. of the American Medical Informatics Assoc.
• Telemedicine and e-Health• IEEE Trans. on Information Technology in
Biomedicine• Health Informatics • Studies in Health Technology and Informatics• Biosensors and Bioelectronics
• Healthcare Informatics Online (Magazine) • IEEE Technology and Society• British Computer Society
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
More Journals More Journals
• Artificial Intelligence in Medicine (Elsevier) • Computers in Biology and Medicine (Pergamon
Press) • Computers in Biomedical Research (Academic
Press) • Computer Methods and Programs in Biomedicine
(Elsevier) • IEEE Engineering in Medicine and Biology Magazine• Journal of Medical Systems (Plenum Press) • MD Computing (Springer-Verlag) • Medical Informatics & The Internet in Medicine
(Taylor & Francis) • Methods of Information in Medicine (Schattauer) • Yearbook of Medical Informatics (Schattauer)
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Conferences Conferences
• HIMSS: regional and national conferences. 3/10/10 Atlanta
• AMIA: Annual Symposium (and Spring Congress)
• HEALTHCOM: Health Communication Conference
• MEDINFO: (every 3 years, next in 2007), run by the IMIA (International Medical Informatics Association)
• MGMA: 2007 MGMA Health Care Information Technology Forums
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
TrainingTraining
• AMIA/Oregon Health Sciences 10 x 10 program http://www.amia.org/10x10/partners/ohsu/
FFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of MedicineFFLORIDALORIDA SSTATETATE UUNIVERSITYNIVERSITY
The College of MedicineThe College of Medicine
Health IT ConclusionsHealth IT Conclusions• Financial Support for Health IT on-going concern• Patient Centric Focus
– Customer Satisfaction– Patient Safety
• High-speed networks, Intranet and wireless information systems currently in use, to be expanded across regions
• Electronic Medical Records (EMR) and Computerized Physician Order Entry (CPOE) most important applications
• Interoperability is a must for Health IT