7 Dec 2012       eHealth Challenges       Iris Thiele Isip Tan MD, MSc, FPCP, FPSEM       Chief, UP College of Medicine Me...
http://www.engineeringchallenges.org/cms/8996/9221.aspxSaturday, December 8, 12
http://www.engineeringchallenges.org/cms/8996/9221.aspxSaturday, December 8, 12
Provide energy                                          Restore &                             Develop carbon              ...
Kulikowski et al. AMIA                                                Board white paper: definition of                     ...
Kulikowski et al. AMIA                                                Board white paper: definition of                     ...
Electronic                                                                Medical Record                                  ...
Electronic                                                                Medical Record                            eHealt...
http://www2.fraserhealth.ca/media/how%20hazardous%20is%20healthcare%202.jpgSaturday, December 8, 12
To Err is Human:         Adverse            Building a Safer Health System          events            Institute of Medicin...
http://www.youtube.com/watch?v=7Ks3hezVSIMSaturday, December 8, 12
Electronic Medical Record (EMR)                           Core application for patient-                           specific...
EMR: Challenges                           Structured data entry vs free text                               Y   N    Visual...
EMR: Challenges        Universally agreed-on medical vocabulary        or standard terminologySaturday, December 8, 12
EMR: Challenges                            • Protection of                              patient privacy and               ...
Good information                                              Michael E. DeBakey, MD                      is the best medi...
http://youtu.be/2ikjOSmqpyoSaturday, December 8, 12
EMR: Challenges          Usability          Integrate EMR into busy clinical workflowSaturday, December 8, 12
“NextGen is unusable”                                          by juhansonin,                           http://www.flickr.c...
EMR: Challenges                           Optimal computing device                           for the clinical setting?Satu...
Incident record                                 Data generated when                             individual interacts with ...
http://youtu.be/Lo_3qOejQzISaturday, December 8, 12
EMR: Challenges        • Standards: to facilitate integration of          data, especially across systems from          di...
http://www.emrindustry.com/index.php/will-next-generation-emrs-be-platform-stack-of-apps/Saturday, December 8, 12
“The utopic future of medicine will                           seamlessly combine data from your daily                     ...
Saturday, December 8, 12
http://vimeo.com/38063992Saturday, December 8, 12
“As opposed to the doctor-centric, curative                           model of the past, the future is going to be        ...
“Movement in which networked patients                                       shift from being mere passengers to           ...
Personal Health Record    • Provider-owned and                • Patient-owned      provider-maintained                 sof...
Personal Health Record        • Portable, interoperable digital file              –Selected, clinically relevant health da...
Saturday, December 8, 12
No longer fill out forms                                                                 Authentication                    ...
Systems for improved                                                            patient education                         ...
http://www.chaindrugreview.com/front-page/newsbreaks/thrifty-white-introduces-smart-cap-to-spur-rx-complianceSaturday, Dec...
http://www.ama-assn.org/amednews/2010/05/10/bisb0510.htmSaturday, December 8, 12
Gamification                                use of game play mechanisms                                  for non-game appl...
http://www.informationweek.com/healthcare/mobile-wireless/10-wearable-health-tech-devices-to-watchSaturday, December 8, 12
eHealth                           Challenges                                   Data mining                                ...
Saturday, December 8, 12
Slide from presentation of Desikan et al, 2011 Siam International Conference on Data MiningSaturday, December 8, 12
We are drowning in   data but starving for   knowledge!   clinical decision   support   healthcare resource   management  ...
Challenges in Data Mining for Healthcare  data set from various  data sources  bias from  heterogeneous data  missing valu...
Electronic                                                                Medical Record                                  ...
Thank You            http://www.endocrine-witch.net                        @endocrine_witch                               ...
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ehealth Challenges

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ehealth Challenges

  1. 1. 7 Dec 2012 eHealth Challenges Iris Thiele Isip Tan MD, MSc, FPCP, FPSEM Chief, UP College of Medicine Medical Informatics Unit Associate Professor 4, UP College of Medicine Section of Endocrinology, Diabetes & Metabolism, Philippine General Hospital “Unitron Sky Walker” by pasukaru76, http://www.flickr.com/photos/pasukaru76/6271854325/Saturday, December 8, 12
  2. 2. http://www.engineeringchallenges.org/cms/8996/9221.aspxSaturday, December 8, 12
  3. 3. http://www.engineeringchallenges.org/cms/8996/9221.aspxSaturday, December 8, 12
  4. 4. Provide energy Restore & Develop carbon from fusion improve urban sequestration infrastructure methods Make solar Advance energy personalized economical learningPrevent Engineer Reverse-nuclear better engineer terror medicines the brain Provide Advance access to health clean water informatics Secure Manage the cyberspace nitrogen cycle Enhance virtual reality Engineer the tools of scientific discovery “jigsaw puzzle” by spekulator, http://www.sxc.hu/photo/944284Saturday, December 8, 12
  5. 5. Kulikowski et al. AMIA Board white paper: definition of biomedical informatics and specification of core competencies for graduate education in the discipline. J Am Med Inform Assoc 2012;19:931-8.Saturday, December 8, 12
  6. 6. Kulikowski et al. AMIA Board white paper: definition of biomedical informatics and specification of core competencies for graduate education in the discipline. J Am Med Inform Assoc 2012;19:931-8.Saturday, December 8, 12
  7. 7. Electronic Medical Record Systems for improved patient education and compliance eHealth Challenges Data mining for medical Center for Development of knowledge Advanced Computing (India) Image from katerha, http://www.flickr.com/photos/katerha/5021019816/Saturday, December 8, 12
  8. 8. Electronic Medical Record eHealth Challenges Center for Development of Advanced Computing (India) Image from katerha, http://www.flickr.com/photos/katerha/5021019816/Saturday, December 8, 12
  9. 9. http://www2.fraserhealth.ca/media/how%20hazardous%20is%20healthcare%202.jpgSaturday, December 8, 12
  10. 10. To Err is Human: Adverse Building a Safer Health System events Institute of Medicine 1999 2.9% 6.6-13.6% Ooops mortality Colorado 44,000 - & Utah 98,000 50% 3.7% deaths/year Medical New York ErrorsSaturday, December 8, 12
  11. 11. http://www.youtube.com/watch?v=7Ks3hezVSIMSaturday, December 8, 12
  12. 12. Electronic Medical Record (EMR) Core application for patient- specific informationSaturday, December 8, 12
  13. 13. EMR: Challenges Structured data entry vs free text Y N Visual disturbances Y N Eye itching Y N Eye painSaturday, December 8, 12
  14. 14. EMR: Challenges Universally agreed-on medical vocabulary or standard terminologySaturday, December 8, 12
  15. 15. EMR: Challenges • Protection of patient privacy and confidentiality –Health Insurance Portability and Accountability Act (1996)Saturday, December 8, 12
  16. 16. Good information Michael E. DeBakey, MD is the best medicine.Saturday, December 8, 12
  17. 17. http://youtu.be/2ikjOSmqpyoSaturday, December 8, 12
  18. 18. EMR: Challenges Usability Integrate EMR into busy clinical workflowSaturday, December 8, 12
  19. 19. “NextGen is unusable” by juhansonin, http://www.flickr.com/photos/ juhansonin/3857845956/Saturday, December 8, 12
  20. 20. EMR: Challenges Optimal computing device for the clinical setting?Saturday, December 8, 12
  21. 21. Incident record Data generated when individual interacts with HCP Patient record A series of incident records generated by specific HCP Health record All patient records generated over an individual’s lifetime by all HCPs who provide services http://www.hc-sc.gc.ca/ohih-bsi/Saturday, December 8, 12
  22. 22. http://youtu.be/Lo_3qOejQzISaturday, December 8, 12
  23. 23. EMR: Challenges • Standards: to facilitate integration of data, especially across systems from different vendors –Digital Imaging & Communications in Medicine (DICOM) –Health Level 7 (HL7)Saturday, December 8, 12
  24. 24. http://www.emrindustry.com/index.php/will-next-generation-emrs-be-platform-stack-of-apps/Saturday, December 8, 12
  25. 25. “The utopic future of medicine will seamlessly combine data from your daily apps and personalize a health treatment plan based on the life you actually live.” http://www.carepractice.com/emr-needs-a-kick-in-the-app-hole/Saturday, December 8, 12
  26. 26. Saturday, December 8, 12
  27. 27. http://vimeo.com/38063992Saturday, December 8, 12
  28. 28. “As opposed to the doctor-centric, curative model of the past, the future is going to be patient-centric and proactive.” Elias A. Zerhouni MD, NIH Director Dec 2007 Image by JD Hancock http://www.flickr.com/photos/jdhancock/4100030094/Saturday, December 8, 12
  29. 29. “Movement in which networked patients shift from being mere passengers to responsible drivers of their health ... providers encourage and value them as full partners” Society for Participatory MedicineImage by Liz Gracehttp://www.flickr.com/photos/liz-grace/5078868809/ Participatory MedicineSaturday, December 8, 12
  30. 30. Personal Health Record • Provider-owned and • Patient-owned provider-maintained software program digital summary – Patient can enter, – Read-only for patient organize, retrieve own – Access to lab results health information through a password- – Web-based i.e. Google protected Web site Health, Microsoft – Commercial EHRs offer HealthVault digital summaries through patient portals Endsley et al. An Introduction to Personal Health Records http://www.afp.org/fpmSaturday, December 8, 12
  31. 31. Personal Health Record • Portable, interoperable digital file –Selected, clinically relevant health data can be managed, secured and transferred –Platforms: Smart cards, PDAs, cellphones, USB-compatible devices Endsley et al. An Introduction to Personal Health Records http://www.afp.org/fpmSaturday, December 8, 12
  32. 32. Saturday, December 8, 12
  33. 33. No longer fill out forms Authentication Protection from fraud if lost Rapid access to previously unavailable information Paperwork for health record transfers are eliminated Electronic prescriptions can be stored on the cardSaturday, December 8, 12
  34. 34. Systems for improved patient education and compliance eHealth Challenges Center for Development of Advanced Computing (India) Image from katerha, http://www.flickr.com/photos/katerha/5021019816/Saturday, December 8, 12
  35. 35. http://www.chaindrugreview.com/front-page/newsbreaks/thrifty-white-introduces-smart-cap-to-spur-rx-complianceSaturday, December 8, 12
  36. 36. http://www.ama-assn.org/amednews/2010/05/10/bisb0510.htmSaturday, December 8, 12
  37. 37. Gamification use of game play mechanisms for non-game applications http://www.imedicalapps.com/2011/08/2011-mobile-health-world-congress-gamification-health-care/Saturday, December 8, 12
  38. 38. http://www.informationweek.com/healthcare/mobile-wireless/10-wearable-health-tech-devices-to-watchSaturday, December 8, 12
  39. 39. eHealth Challenges Data mining for medical Center for Development of knowledge Advanced Computing (India) Image from katerha, http://www.flickr.com/photos/katerha/5021019816/Saturday, December 8, 12
  40. 40. Saturday, December 8, 12
  41. 41. Slide from presentation of Desikan et al, 2011 Siam International Conference on Data MiningSaturday, December 8, 12
  42. 42. We are drowning in data but starving for knowledge! clinical decision support healthcare resource management “toes” by basheertome, http://www.flickr.com/photos/basheertome/7001981033/Saturday, December 8, 12
  43. 43. Challenges in Data Mining for Healthcare data set from various data sources bias from heterogeneous data missing values, noise and outliers protection of security, integrity and privacy Pink Sherbet photography, http://www.flickr.com/photos/pinksherbet/4621820292/Saturday, December 8, 12
  44. 44. Electronic Medical Record Systems for improved patient education and compliance eHealth Challenges Data mining for medical Center for Development of knowledge Advanced Computing (India) Image from katerha, http://www.flickr.com/photos/katerha/5021019816/Saturday, December 8, 12
  45. 45. Thank You http://www.endocrine-witch.net @endocrine_witch Image from http://wthr.frumph.net/Saturday, December 8, 12
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