Health Informatics and Health Equity (Ramathibodi) presented in JCMS2015

1. Health Informatics &
Health Equity
Joint Conference in Medical Sciences 2015
June 6, 2015
SlideShare.net/Nawanan

2. 2
Speakers
อ. ดร. นพ.นวนรรน ธีระอัมพรพันธุ์
รองผู้อํานวยการบริหารสถาบันการแพทย์จักรีนฤบดินทร์ ฝ่ายสารสนเทศ
อาจารย์ ภาควิชาเวชศาสตร์ชุมชน
คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี
อ. ดร. นพ.บดินทร์ ทรัพย์สมบูรณ์
ผู้ช่วยคณบดีฝ่ายการศึกษา และผู้ช่วยคณบดีฝ่ายสารสนเทศ
อาจารย์ ภาควิชาสรีรวิทยา
คณะแพทยศาสตร์ศิริราชพยาบาล
รศ. นพ.รัฐพลี ภาคอรรถ
รองผู้อํานวยการโรงพยาบาลจุฬาลงกรณ์ ฝ่ายเทคโนโลยีสารสนเทศ
รองศาสตราจารย์ ภาควิชาศัลยศาสตร์
คณะแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย

3. Health Informatics &
Health Equity:
The Ramathibodi’s Way
Nawanan Theera-Ampornpunt, M.D., Ph.D.

4. 4
• Health Information & Health Informatics
• Health IT & Quality of Care
• Opportunities
• Health IT: The Ramathibodi’s Way
Outline

5. 5
Health Information &
Health Informatics

6. 6
Health Information is Everywhere

7. 7
Shortliffe EH. Biomedical informatics in the education of physicians. JAMA.
2010 Sep 15;304(11):1227-8.
“Information” in Medicine

8. 8
• The interdisciplinary field that studies and
pursues the effective uses of biomedical
data, information, and knowledge for
scientific inquiry, problem solving, and
decision making, motivated by efforts to
improve human health.
American Medical Informatics Association
http://www.amia.org/about-amia/science-informatics
Biomedical Informatics

9. 9
Basic Research
Applied Research
And Practice
Biomedical Informatics Methods,
Techniques, and Theories
Imaging
Informatics
Clinical
Informatics
Bioinformatics
Public Health
Informatics
Molecular and
Cellular
Processes
Tissues and
Organs
Individuals
(Patients)
Populations
And Society
Health Informatics
Adapted from American Medical Informatics Association
http://www.amia.org/about-amia/science-informatics
Health Informatics

10. 10
Health IT &
Quality of Care

11. 11
To treat & to
care for their
patients to their
best abilities,
given limited
time &
resources
Image Source: http://en.wikipedia.org/wiki/File:Newborn_Examination_1967.jpg (Nevit Dilmen)
What Clinicians Want?

12. 12
A safe, effective care
that focus on us, the
patients, and our needs
What Patients Want?

13. 13
• Safety
• Timeliness
• Effectiveness
• Patient-Centeredness
• Efficiency
• Equity
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality
chasm: a new health system for the 21st century. Washington, DC: National Academy
Press; 2001.
“Quality” of Care

14. 14
14
WHO (2009)
Information as 1 of 6 Building Blocks

15. 15
The Challenge
Image Source: https://twitter.com/sacjai/status/533587099761770496 (Sachin H. Jain @sacjai)

16. 16
Opportunities

17. 17
(IOM, 2001)(IOM, 2000) (IOM, 2011)
Health IT & Patient Safety

18. 18
Hospital A Hospital B
Clinic C
Government
Lab Patient at Home
Health Information Exchange
• Provider information access leads to safe, timely, effective & efficient care
• Patient information access leads to patient-centered, engaged & equitable care

19. 19
eHealth & e-Transaction
ETDA

20. 20
Patients’ Privacy Protections &
Health Information Exchange
ETDA และสํานักงานเลขาธิการวุฒิสภา (19 พ.ค. 2558)

21. 21
Health IT:
The Ramathibodi’s Way

22. 22
Homegrown Hospital Information Systems
Focus on Medication Errors & Rapid
Expansion to Support Patient Care Operations
Digital Imaging, Back Office & Standards
RamaEMR, Software Process Excellence
Future: Full EHRs? Patient Portal? Information
Exchange? “Guiding Light” on Informatics?
The Ramathibodi’s Way

23. 23
• Health informatics focus on information
toward health
• Health IT is at the core of high-quality care
• Opportunities are emerging for health IT
• Ramathibodi has a long history of internal
health IT development with efforts to improve
quality & internal operations
• Leveraging health IT for equity, access &
patient-centeredness should be our next
goals when other quality goals are achieved
Summary

24. Next
Health Informatics &
Health Equity:
Siriraj & Chulalongkorn