1
A Personal Journey Toward
Thailand’s eHealth:
A Presentation in Consideration for a Lecturer Position
at the Department ...
2
Introduction
Nawanan Theera-Ampornpunt
2003 M.D. (First-Class Honors) (Rama’33)
2009 M.S. in Health Informatics (U of MN...
3
Points To Address
• How I view the Department
• How I fit with the Department’s mission
• How I can play a role for the ...
4
Outline
• My Personal Journey
• My Academic Work
• Looking Back & Looking Forward
• Community Medicine & eHealth
• Addre...
5
My Personal Journey
6
A Humble Beginning
7
An Innocent First Encounter
8
Journey as a Medical Student
2nd Year
9
Journey as a Medical Student
3rd Year
10
Extracurricular Activities
11
A Confused Medical Student
Image Sources: (Left) http://static.brazencareerist.com/brazenlife/2012/10/confused-250x250....
12
Journey as a Medical Student
5th Year
Image Source: (Right) http://www.flickr.com/photos/99979595@N00/236508120
13
“ครูผู้จุดประกาย”
14
“ครูผู้จุดประกาย” ของผม
Image Source: http://www.flickr.com/photos/99979595@N00/236508120
15
Medical Informatics (Now Known As
Biomedical and Health Informatics)
• “The field that is concerned with the
optimal us...
16
One Chapter Ends, Another Begins
2003
17
A Journey in the New Direction
First Full-Time Physician
Working in the IT Division at Ramathibodi, with
support from t...
18
A Journey in the New Direction
2005
19
A Journey in the New Direction
2009 M.S. (Health Informatics) Commencement
20
A Journey in the New Direction
2011 Ph.D. (Health Informatics) Commencement
21
Fellowship of the International Partnership in
Health Informatics Education (IPHIE)’s
8th International Master Class (2...
22
President
Thai Student Association of Minnesota
(2007-2008)
Experiences While Studying Abroad
23
• Research Assistant, Institute for Health
Informatics, University of Minnesota
Experiences While Studying Abroad
24
My Academic Work
25
• Thai Hospitals’ Adoption of Information Technology
Survey (THAIS)
• Studied all 1,302 hospitals in Thailand to assess...
26
Survey Instrument
Theera-Ampornpunt (2011)
27
Critical Success Factors in Health IT Projects
Theera-Ampornpunt (2011)
Communications of plans & progresses
Physician ...
28
Theory of Hospital Adoption of
Information Systems (THAIS)
Theera-Ampornpunt (2011)
29
Kijsanayotin B, Du J, Theera-Ampornpunt N, Gurses A, Speedie SM. Improving access
to clinical information in an emergen...
30
Theera-Ampornpunt N, Kijsanayotin B, Speedie SM. Creating a large database test bed
with typographical errors for recor...
31
Theera-Ampornpunt N, Speedie SM, Du J, Park YT, Kijsanayotin B, Connelly DP. Impact
of prior clinical information in an...
32
Connelly DP, Park YT, Du J, Theera-Ampornpunt N, Gordon BD, Bershow BA,
Gensinger RA Jr, Shrift M, Routhe DT, Speedie S...
33
Du J, Park YT, Theera-Ampornpunt N, McCullough JS, Speedie SM. The use of count
data models in biomedical informatics e...
34
Speedie SM, Park YT, Du J, Theera-Ampornpunt N, Bershow BA, Gensinger RA Jr,
Routhe DT, Connelly DP. The impact of elec...
35
Theera-Ampornpunt N. Medical informatics: a look from USA to Thailand. In:
Ramathibodi’s Fourth Decade: Best Innovation...
36
นวนรรน ธีระอัมพรพันธุ์. Electronic health records: “อเมริกาเข้มแข็ง” สอนอะไรไทย? ใน:
Health Informatics: From Standards...
37
นวนรรน ธีระอัมพรพันธุ์. ตํานานความเชื่อและข้อเท็จจริงเกี่ยวกับมาตรฐานสารสนเทศทางสุขภาพ.
ใน: Health Data Standards Expo:...
38
นวนรรน ธีระอัมพรพันธุ์. หัวข้อวิจัยด้านเวชสารสนเทศในบริบทของประเทศไทย. ใน: Health
Informatics: Strengthening through Me...
39
Parchariyanon S, Asavanant K, Srisiriratanakul S, Tongtaweechaikit C, Theera-
Ampornpunt N, Okaschareon C, Ungkanont A....
40
คอลัมน์ “ข้อคิดประจําฉบับ” จดหมายข่าวสมาคมเวชสารสนเทศไทย (2011 - Present)
Some Publications
41
Otero PD, Perrin C, Geissbuhler A, Cheung NT, Theera-Ampornpunt N, Lun KC.
Informatics education in low resource settin...
42
1. Theera-Ampornpunt N. Medical informatics: the new specialty for the future. Presented
at: 36th Anniversary Ramathibo...
43
8. Theera-Ampornpunt N. Information and technology: emergency medical informatics.
Presented at: The International Conf...
44
14. Theera-Ampornpunt N. HL7 Clinical Document Architecture: overview and
applications. Presented at: HL7 CDA Workshop ...
45
Ramathibodi
• Healthcare CIO Certificate Program
• Healthcare CEO Certificate Program
• Clinical Fellows
• Nursing Info...
46
• American Medical Informatics Association
– AMIA 2012 Annual Symposium Scientific
Program Committee
– Chair-Elect (201...
47
• Thai Medical Informatics Association (TMI)
– TMI Newsletter Editorial Board
– Health IT Quality Improvement Framework...
48
• กองบรรณาธิการ วารสารวิจัยระบบสาธารณสุข
• Peer Reviewer for
– Annals of Internal Medicine
– BMC Health Services Resear...
49
• Deputy Chief, Informatics Division
– Responsible for risk management, IT infrastructure, and IT
process improvement
•...
50
• Total International Peer-Reviewed Publications in
Scientific Database: 6
• Total Citations: 13
• H-index: 3
• 3 publi...
51
Looking Back &
Looking Forward
52
• Shaped & transformed by medical study
Ramathibodi
• Heavily influenced by systems thinking at
Community Medicine
• Fo...
53
• Find happiness in
your career
• Find happiness in
your relationships
• Keep integrity
• Most importantly,
have a purp...
54
• As the second formally-trained M.D., Ph.D.
in Health Informatics in Thailand, I am
driven and socially obligated...
•...
55
How To Fulfill This Mission
eHealth
Clinical Care
Health
Promotion &
Prevention
Health
Administration
Policy
Advocacy
R...
56
• Showcase of Health IT Implementations
• Education & Capacity Building
– Medical Students
– Residents & Fellows
– Heal...
57
Community Medicine &
eHealth
58
• Health Policy & Administration
• Health Systems/Health Services Research
• Community Engagement &
Patient Empowerment...
59
59
Components of Health Systems
59
WHO (2009)
60
60
WHO Framework
60
WHO (2009)
61
Use of information and communications
technology (ICT) for health; Including
• Treating patients
• Conducting research
...
62
eHealth Components (WHO-ITU Model)
63
• Safety
• Timeliness
• Effectiveness
• Efficiency
• Equity
• Patient-centeredness
Goals for “Health”
(IOM, 2001)
64
64
EQESAR Framework
• E - Equity
• Q - Quality
• E - Efficiency
• SA - Social Accountability
• R - Relevance
64
Departm...
65
Landmark IOM Reports
(IOM, 2001)(IOM, 2000)
66
Health Information Exchange (HIE)
Hospital A Hospital B
Clinic C
Government
Lab Patient at Home
67
The Anatomy of Health IT
Health
Information
Technology
Goal
Value-Add
Means
68
Addressing the
3 Questions
69
Points To Address
• How I view the Department
• How I fit with the Department’s mission
• How I can play a role for the...
70
How I View the Department of
Community Medicine
• A welcoming environment with a very
important altruistic mission towa...
71
How I Fit with the Department’s
Mission
• Information & Technologies are two
building blocks of health systems
• Common...
72
How I Fit with the Department’s
Mission
• Personal Strengths
– Public-Spirited; Strive for Altruism
– Systems Thinker
–...
73
Could I Be The Missing Piece?
Image Source: http://vivavisibilityblog.com/wp-content/uploads/2009/03/missingpuzzlepiece...
74
Working As Part of the Big Machine
75
How I Can Contribute to
the Department
• Teaching (Common Com Med Topics and/or
Informatics)
– Medical Students
– (Futu...
76
How I Can Contribute to
the Department
• Academic Services
– Policy Advocacy
– Serve in External Committees
– Presentat...
77
Map of Collaborations
International
National
Within
Mahidol
• AMIA
• AeHIN
• (University of Minnesota)
• (Northwestern ...
78
The Journey Beyond:
A Long & Winding Road
Image Source: http://twinstrivia.com/2013/05/20/the-road-to-minnesota-is-long...
79
A Personal Manifesto
มุ่งสู่ฝัน อันไกล ที่ใหญ่ยิ่ง
มั่นคงนิ่ง แน่วแน่ ไม่แปรผัน
เดินตามทาง ดั่งวาด อาจมองจันทร์
หน้าเรา...
80
Thank You
Q & A
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A Personal Journey Toward Thailand's eHealth: A Presentation in Consideration for a Lecturer Position at the Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital

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A Personal Journey Toward Thailand's eHealth: A Presentation in Consideration for a Lecturer Position at the Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital

  1. 1. 1 A Personal Journey Toward Thailand’s eHealth: A Presentation in Consideration for a Lecturer Position at the Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital September 26, 2013 Nawanan Theera-Ampornpunt, M.D., Ph.D. Faculty of Medicine Ramathibodi Hospital http://www.SlideShare.net/Nawanan
  2. 2. 2 Introduction Nawanan Theera-Ampornpunt 2003 M.D. (First-Class Honors) (Rama’33) 2009 M.S. in Health Informatics (U of MN) 2011 Ph.D. in Health Informatics (U of MN) Current Employment: Medical Systems Analyst Informatics Division Faculty of Medicine Ramathibodi Hospital
  3. 3. 3 Points To Address • How I view the Department • How I fit with the Department’s mission • How I can play a role for the Department
  4. 4. 4 Outline • My Personal Journey • My Academic Work • Looking Back & Looking Forward • Community Medicine & eHealth • Addressing the 3 Questions • Q & A
  5. 5. 5 My Personal Journey
  6. 6. 6 A Humble Beginning
  7. 7. 7 An Innocent First Encounter
  8. 8. 8 Journey as a Medical Student 2nd Year
  9. 9. 9 Journey as a Medical Student 3rd Year
  10. 10. 10 Extracurricular Activities
  11. 11. 11 A Confused Medical Student Image Sources: (Left) http://static.brazencareerist.com/brazenlife/2012/10/confused-250x250.jpg (Right) http://www.nmsu.edu/~counsel/career/images/bw-confused-student.jpg
  12. 12. 12 Journey as a Medical Student 5th Year Image Source: (Right) http://www.flickr.com/photos/99979595@N00/236508120
  13. 13. 13 “ครูผู้จุดประกาย”
  14. 14. 14 “ครูผู้จุดประกาย” ของผม Image Source: http://www.flickr.com/photos/99979595@N00/236508120
  15. 15. 15 Medical Informatics (Now Known As Biomedical and Health Informatics) • “The field that is concerned with the optimal use of information, often aided by the use of technology, to improve individual health, health care, public health, and biomedical research” (Hersh, 2009) The Eye-Opening Field Shortliffe et al. (2001)
  16. 16. 16 One Chapter Ends, Another Begins 2003
  17. 17. 17 A Journey in the New Direction First Full-Time Physician Working in the IT Division at Ramathibodi, with support from these individuals 2004 - 2005
  18. 18. 18 A Journey in the New Direction 2005
  19. 19. 19 A Journey in the New Direction 2009 M.S. (Health Informatics) Commencement
  20. 20. 20 A Journey in the New Direction 2011 Ph.D. (Health Informatics) Commencement
  21. 21. 21 Fellowship of the International Partnership in Health Informatics Education (IPHIE)’s 8th International Master Class (2006) Experiences While Studying Abroad
  22. 22. 22 President Thai Student Association of Minnesota (2007-2008) Experiences While Studying Abroad
  23. 23. 23 • Research Assistant, Institute for Health Informatics, University of Minnesota Experiences While Studying Abroad
  24. 24. 24 My Academic Work
  25. 25. 25 • Thai Hospitals’ Adoption of Information Technology Survey (THAIS) • Studied all 1,302 hospitals in Thailand to assess state of IT adoption, identify associating factors, and determine relationships between how well IT is managed and other aspects of IT adoption Ph.D. Dissertation Theera-Ampornpunt (2011)
  26. 26. 26 Survey Instrument Theera-Ampornpunt (2011)
  27. 27. 27 Critical Success Factors in Health IT Projects Theera-Ampornpunt (2011) Communications of plans & progresses Physician & non-physician user involvement Attention to workflow changes Well-executed project management Adequate user training Organizational learning Organizational innovativeness
  28. 28. 28 Theory of Hospital Adoption of Information Systems (THAIS) Theera-Ampornpunt (2011)
  29. 29. 29 Kijsanayotin B, Du J, Theera-Ampornpunt N, Gurses A, Speedie SM. Improving access to clinical information in an emergency department: a qualitative study. Poster session presented at: Biomedical and Health Informatics - From Foundations to Applications to Policy. AMIA 2008 Annual Symposium; 2008 Nov 8-12; Washington, DC. Some Publications
  30. 30. 30 Theera-Ampornpunt N, Kijsanayotin B, Speedie SM. Creating a large database test bed with typographical errors for record linkage evaluation. Poster session presented at: Biomedical and Health Informatics - From Foundations to Applications to Policy. AMIA 2008 Annual Symposium; 2008 Nov 8-12; Washington, DC. Some Publications
  31. 31. 31 Theera-Ampornpunt N, Speedie SM, Du J, Park YT, Kijsanayotin B, Connelly DP. Impact of prior clinical information in an EHR on care outcomes of emergency patients. AMIA Annu Symp Proc. 2009 Nov:634-8. Cited in: PubMed; PMID 20351932. Some Publications
  32. 32. 32 Connelly DP, Park YT, Du J, Theera-Ampornpunt N, Gordon BD, Bershow BA, Gensinger RA Jr, Shrift M, Routhe DT, Speedie SM. The impact of electronic health records on care of heart failure patients in the emergency room. J Am Med Inform Assoc. 2012 May-Jun;19(3):334-40. Epub 2011 Nov 9. Cited in: PubMed; PMID 22071528. Some Publications
  33. 33. 33 Du J, Park YT, Theera-Ampornpunt N, McCullough JS, Speedie SM. The use of count data models in biomedical informatics evaluation research. J Am Med Inform Assoc. 2012 Jan-Feb;19(1):39-44. Epub 2011 Jun 29. Cited in: PubMed; PMID 21715429. Some Publications
  34. 34. 34 Speedie SM, Park YT, Du J, Theera-Ampornpunt N, Bershow BA, Gensinger RA Jr, Routhe DT, Connelly DP. The impact of electronic health records on people with diabetes in three different emergency departments. J Am Med Inform Assoc. Forthcoming 2013. Epub 2013 Jul 10. Cited in: PubMed; PMID 23842938. Some Publications
  35. 35. 35 Theera-Ampornpunt N. Medical informatics: a look from USA to Thailand. In: Ramathibodi’s Fourth Decade: Best Innovation to Daily Practice; 2009 Feb 10-13; Nonthaburi, Thailand [CD-ROM]. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2009 Feb. 1 CD-ROM: 4 3/4 in. Some Publications
  36. 36. 36 นวนรรน ธีระอัมพรพันธุ์. Electronic health records: “อเมริกาเข้มแข็ง” สอนอะไรไทย? ใน: Health Informatics: From Standards to Practice. งานประชุมประจําปีสมาคมเวชสารสนเทศไทย ครัง้ ที่ 19; 2010 Nov 10-12; Nonthaburi, Thailand.Nonthaburi (Thailand): Thai Medical Informatics Association; 2010 Nov. Some Publications
  37. 37. 37 นวนรรน ธีระอัมพรพันธุ์. ตํานานความเชื่อและข้อเท็จจริงเกี่ยวกับมาตรฐานสารสนเทศทางสุขภาพ. ใน: Health Data Standards Expo: From Reimbursement to Clinical Excellence; 2011 Aug 8-9; Bangkok, Thailand. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2011 Aug. Some Publications
  38. 38. 38 นวนรรน ธีระอัมพรพันธุ์. หัวข้อวิจัยด้านเวชสารสนเทศในบริบทของประเทศไทย. ใน: Health Informatics: Strengthening through Meaningful Usage of Health Data. งานประชุมประจําปี สมาคมเวชสารสนเทศไทย ครั้งที่ 20; 2012 Jan 26-27; Bangkok, Thailand. Bangkok (Thailand): Thai Medical Informatics Association; 2012 Jan. Some Publications
  39. 39. 39 Parchariyanon S, Asavanant K, Srisiriratanakul S, Tongtaweechaikit C, Theera- Ampornpunt N, Okaschareon C, Ungkanont A. Implementation of Thailand’s first prototype for exchanging of laboratory results using HL7 version 3 and LOINC. Poster session presented at: Informatics: Transforming Health and Healthcare. AMIA 2012 Annual Symposium; 2012 Nov 3-7; Chicago, IL. Some Publications
  40. 40. 40 คอลัมน์ “ข้อคิดประจําฉบับ” จดหมายข่าวสมาคมเวชสารสนเทศไทย (2011 - Present) Some Publications
  41. 41. 41 Otero PD, Perrin C, Geissbuhler A, Cheung NT, Theera-Ampornpunt N, Lun KC. Informatics education in low resource settings. In: Berner ES, editor. Informatics education in healthcare: lessons learned. London: Springer; 2014. p. 197-222. Book Chapter
  42. 42. 42 1. Theera-Ampornpunt N. Medical informatics: the new specialty for the future. Presented at: 36th Anniversary Ramathibodi Academic Conference; 2005 May 12-15; Nonthaburi, Thailand. Moderator, in Thai. 2. Theera-Ampornpunt N. Alternative careers for MD. Presented at: Ramathibodi Faculty Hour; 2008 Oct 22; Bangkok, Thailand. Panel discussion via videoconference, in Thai. 3. Theera-Ampornpunt N. Next step of health informatics education and research in Thailand. Presented at: Medical Data Standards Expo; 2010 Aug 20-21; Bangkok, Thailand. Moderator, in Thai. 4. Theera-Ampornpunt N. Adopting health IT: what, why, and how? Presented at: How to Implement World Standard Hospital IT?; 2010 Nov 3; Khon Kaen, Thailand. Invited speaker, in Thai. 5. Theera-Ampornpunt N. Health informatics: the next “stethoscope” in healthcare. Presented at: Intelligent logistics for innovation hospitals; 2010 Dec 23; Bangkok, Thailand. Invited speaker, in Thai. 6. Theera-Ampornpunt N. Health informatics for hospital executives. Presented at: Ramathibodi Hospital Administration Certificate Program; 2011 Feb 14; Bangkok, Thailand. Invited speaker, in Thai. 7. Theera-Ampornpunt N. Toward the national agenda for Thailand’s public health informatics. Presented at: Health Informatics Workshop: Health Informatics Challenges & Solutions in Limited-resource Settings: Capturing, Mining and Applying Healthcare Data; 2012 Jan 31-Feb 2; Bangkok, Thailand. Invited speaker. Notable Presentations
  43. 43. 43 8. Theera-Ampornpunt N. Information and technology: emergency medical informatics. Presented at: The International Conference in Emergency Medicine: Challenges in Emergency Medicine: It’s Time for Change!; 2012 Feb 1; Bangkok, Thailand. Invited speaker. 9. Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand. Invited speaker. 10. Theera-Ampornpunt N. Health information privacy: Asia’s viewpoint. Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand. Invited speaker. 11. Theera-Ampornpunt N. Kijsanayotin B. Thai informatics year in review. Presented at: The 21st Annual Meeting of the Thai Medical Informatics Association (TMI21 - 2012); 2012 Nov 21-23; Nonthaburi, Thailand. Panel discussion, in Thai. 12. Theera-Ampornpunt N. Leveraging clinical IT for dengue: opportunities for tomorrow. Presented at: Joint International Tropical Medicine Meeting 2012 (JITMM2012) - Emergence of Tropical Diseases: Trans-disciplinary Strategies; 2012 Dec 12-14; Bangkok, Thailand. Invited speaker. 13. Theera-Ampornpunt N. IT health informatics: how IT can help emergency department flow? Presented at: Prince Mahidol Award Youth Program - Clinical Practice in Emergency Medicine: Navigating Self and System; 2013 Jan 28; Bangkok, Thailand. Invited speaker. Notable Presentations
  44. 44. 44 14. Theera-Ampornpunt N. HL7 Clinical Document Architecture: overview and applications. Presented at: HL7 CDA Workshop at the Faculty of Medicine Ramathibodi Hospital; 2013 Jun 20-21; Bangkok, Thailand. Invited speaker, in Thai. 15. Theera-Ampornpunt N. Ethical and social issues in health IT. Presented at: Emergency and Trauma Nurses: Trends and Challenges; 2013 Jul 17-19; Bangkok, Thailand. Invited speaker, in Thai. 16. Theera-Ampornpunt N. eHealth in Thailand: status and trend / security and privacy for health data. Presented at: IT in Pharmacy; 2013 Aug 7; Bangkok, Thailand. Invited speaker, in Thai. 17. Theera-Ampornpunt N. HL7 & HL7 CDA: the implementation of Thailand’s healthcare messaging exchange standards. Presented at: Directions and Future of Thailand’s Health Information Standards; 2013 Aug 21; Bangkok, Thailand. Invited speaker, in Thai. 18. Theera-Ampornpunt N. Overview of health informatics and disease surveillance system. Presented at: Leadership in Disease Control Workshop; 2013 Aug 21-23; Nonthaburi, Thailand. Invited speaker, in Thai. Notable Presentations
  45. 45. 45 Ramathibodi • Healthcare CIO Certificate Program • Healthcare CEO Certificate Program • Clinical Fellows • Nursing Informatics for Undergraduate Nursing Students MU ICT • Health IT Track, Undergraduate ICT Students MU Tropical Medicine • Diploma & M.S. in Biomedical & Health Informatics TMI & SIPA • Health Informatics Students & Healthcare Professionals Teaching Experiences
  46. 46. 46 • American Medical Informatics Association – AMIA 2012 Annual Symposium Scientific Program Committee – Chair-Elect (2012) & Chair (2013), AMIA Student Working Group – AMIA 2012 Annual Symposium Session Chair • Asia eHealth Information Network (AeHIN) – Scientific Program Committee – Evaluation Working Group Contributor & Expert Other Notable Experiences
  47. 47. 47 • Thai Medical Informatics Association (TMI) – TMI Newsletter Editorial Board – Health IT Quality Improvement Framework Drafting Task Force – Scientific Program Committee (2012-2013) – Vice Chair, Education Special Interest Group • eRefer Task Force (NHSO Bangkok) • eHealth & Interoperability Development Team • National Data Clearing House Establishment Research Team Other Notable Experiences
  48. 48. 48 • กองบรรณาธิการ วารสารวิจัยระบบสาธารณสุข • Peer Reviewer for – Annals of Internal Medicine – BMC Health Services Research – วารสารวิจัยระบบสาธารณสุข – AMIA 2011 Annual Symposium – Applied Clinical Informatics – electronic Journal of Health Informatics (eJHI) – Thailand’s National Conference on Computer Information Technologies 2011 (CIT2011) • Grant Reviewer for NECTEC Other Notable Experiences
  49. 49. 49 • Deputy Chief, Informatics Division – Responsible for risk management, IT infrastructure, and IT process improvement • Deputy Director for Informatics, Chakri Naruebodindra Medical Institute • Course designer & secretary, Healthcare CIO Certificate Program, Hospital Administration School • Committees – Rama-GRIPP (Health Policy Development) – R2R – Medical Students’ Ramathibodi Computer Club Previous Work at Ramathibodi Since Coming Back
  50. 50. 50 • Total International Peer-Reviewed Publications in Scientific Database: 6 • Total Citations: 13 • H-index: 3 • 3 publications with at least 3 citations • G-index: 3 • 3 publications with at least 9 citations combined • Journal Published with Highest Impact Factor: 3.571 Academic Output Summary
  51. 51. 51 Looking Back & Looking Forward
  52. 52. 52 • Shaped & transformed by medical study Ramathibodi • Heavily influenced by systems thinking at Community Medicine • Found real “passion” in health informatics • Blessed with opportunities at Ramathibodi • Long time spent on personal development Looking Back
  53. 53. 53 • Find happiness in your career • Find happiness in your relationships • Keep integrity • Most importantly, have a purpose in life Looking Forward
  54. 54. 54 • As the second formally-trained M.D., Ph.D. in Health Informatics in Thailand, I am driven and socially obligated... • To promote personal & population health through establishment of sustainable foundations for eHealth and strengthening of the field of Biomedical and Health Informatics in Thailand before my end of life. My “Mission in Life”
  55. 55. 55 How To Fulfill This Mission eHealth Clinical Care Health Promotion & Prevention Health Administration Policy Advocacy Research & Development Workforce Development
  56. 56. 56 • Showcase of Health IT Implementations • Education & Capacity Building – Medical Students – Residents & Fellows – Health Informatics Students – Other Health Professionals • Research • Policy Advocacy • Academic Talks & Awareness Building How To Fulfill This Mission
  57. 57. 57 Community Medicine & eHealth
  58. 58. 58 • Health Policy & Administration • Health Systems/Health Services Research • Community Engagement & Patient Empowerment • Health Promotion & Prevention • Primary Care • Research Methods & Biostatistics • Epidemiology • Global Health Aspects of Community Medicine
  59. 59. 59 59 Components of Health Systems 59 WHO (2009)
  60. 60. 60 60 WHO Framework 60 WHO (2009)
  61. 61. 61 Use of information and communications technology (ICT) for health; Including • Treating patients • Conducting research • Educating the health workforce • Tracking diseases • Monitoring public health. Sources: 1) WHO Global Observatory of eHealth (GOe) (www.who.int/goe) 2) World Health Assembly, 2005. Resolution WHA58.28 Slide adapted from: Mark Landry, WHO WPRO & Boonchai Kijsanayotin eHealth
  62. 62. 62 eHealth Components (WHO-ITU Model)
  63. 63. 63 • Safety • Timeliness • Effectiveness • Efficiency • Equity • Patient-centeredness Goals for “Health” (IOM, 2001)
  64. 64. 64 64 EQESAR Framework • E - Equity • Q - Quality • E - Efficiency • SA - Social Accountability • R - Relevance 64 Department of Community Medicine,  Faculty of Medicine Ramathibodi Hospital, Mahidol University
  65. 65. 65 Landmark IOM Reports (IOM, 2001)(IOM, 2000)
  66. 66. 66 Health Information Exchange (HIE) Hospital A Hospital B Clinic C Government Lab Patient at Home
  67. 67. 67 The Anatomy of Health IT Health Information Technology Goal Value-Add Means
  68. 68. 68 Addressing the 3 Questions
  69. 69. 69 Points To Address • How I view the Department • How I fit with the Department’s mission • How I can play a role for the Department
  70. 70. 70 How I View the Department of Community Medicine • A welcoming environment with a very important altruistic mission toward better health of the people and population • A broad discipline with diverse and vibrant areas of interest • A department that houses inspiring role models and thought leaders in various areas • A home that can help me fulfill my dream
  71. 71. 71 How I Fit with the Department’s Mission • Information & Technologies are two building blocks of health systems • Common goals toward better health • Health IT & eHealth are necessary tools for health policy-makers & clinicians in the 21st Century
  72. 72. 72 How I Fit with the Department’s Mission • Personal Strengths – Public-Spirited; Strive for Altruism – Systems Thinker – Driven, Determined & Responsible – Multi-tasker – Integrity – Attention to Detail – Independent Thinker – English Language Skills – Broad Academic Experiences
  73. 73. 73 Could I Be The Missing Piece? Image Source: http://vivavisibilityblog.com/wp-content/uploads/2009/03/missingpuzzlepiece.jpg
  74. 74. 74 Working As Part of the Big Machine
  75. 75. 75 How I Can Contribute to the Department • Teaching (Common Com Med Topics and/or Informatics) – Medical Students – (Future) Graduate Students at the Department – (Future) Short Courses – (Future) Informatics Graduate Curriculum • Research – Informatics Research – Assist Others in Their Research Projects
  76. 76. 76 How I Can Contribute to the Department • Academic Services – Policy Advocacy – Serve in External Committees – Presentations in Seminars & Conferences • Internal Operations – IT or Other Internal Process Improvements – As assigned • Ramathibodi – IT Management of Chakri Naruebodindra – Other Committee Involvement – Student Affairs
  77. 77. 77 Map of Collaborations International National Within Mahidol • AMIA • AeHIN • (University of Minnesota) • (Northwestern University) • TMI • HSRI • MoPH • NHSO Bangkok • ETDA • NECTEC • SIPA • MUIT • Faculty of ICT • Faculty of Tropical Medicine • Faculty of Engineering • Faculty of Public Health Bold represents relatively strong collaboration; (In parentheses) is a potential collaboration
  78. 78. 78 The Journey Beyond: A Long & Winding Road Image Source: http://twinstrivia.com/2013/05/20/the-road-to-minnesota-is-long-and-hard/
  79. 79. 79 A Personal Manifesto มุ่งสู่ฝัน อันไกล ที่ใหญ่ยิ่ง มั่นคงนิ่ง แน่วแน่ ไม่แปรผัน เดินตามทาง ดั่งวาด อาจมองจันทร์ หน้าเรานั้น ต้องฟันป่า และฝ่าไพร พัฒนา “สถาบัน” อันประสิทธิ์ นานาจิต คิดก้าวหน้า พาสดใส สร้างประทีป ส่องทาง ยังคนไทย สรรค์สร้างไว้ ให้ชาติ ผงาดยืน ร่วมกันสร้าง ทางเดิน เจริญรุ่ง แรงใจมุ่ง มั่นหมาย ไม่ขัดขืน ผลักดันเพื่อ ระบบงาน อันยั่งยืน ดันเต็มที่ ทุกวันคืน ยอมฝืนทน เพื่อระบบ ข้อมูล สร้างคุณค่า ฝันนั้นหนา คือเป้า เฝ้าฝีกฝน อันเส้นทาง ร้างนัก จักเจียมตน ไกลสุดพ้น ทนได้ ด้วยแรงใจ นวนรรน ธีระอัมพรพันธุ์ 29 ก.ค. 2556
  80. 80. 80 Thank You Q & A

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