Next Step of Health Informatics Education and Research in Thailand


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Next Step of Health Informatics Education and Research in Thailand

  1. 1. Next Step of Health Informatics Education and Research Ed ti dR h in Thailand Nawanan Theera-Ampornpunt, MD, MS (Health Informatics) Faculty of Medicine Ramathibodi Hospital PhD Candidate in Health Informatics, Uni ersit of Minnesota Informatics University August 21, 2010 21 This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Thailand License.
  2. 2. Session Outline • Introduction about the field • Thailand’s research in ICT in healthcare Thailand s • Thailand’s educational landscape in ICT & health i f h lth informatics ti • National policy a d st ateg es for ICT at o a po cy and strategies o C & informatics workforce development, research, research and education 2
  3. 3. Introduction 3
  4. 4. What Is Informatics? • The discipline focused on acquisition, storage, and use of information in a g , specific setting or domain (Hersh, 2009) • Scientific study of information ( e s a e al, 0 0) (Bernstam et a , 2010) • How is it different from computer science? p 4
  5. 5. What Is Informatics? Knowledge g Knowledge K l d management Information Informatics (Data + Meaning) Computer Data Science 5
  6. 6. What’s Health Informatics? • Formerly known as “Medical Informatics” (this term is being retired) • Health Informatics = Biomedical Informatics • Informatics in biomedicine and health – Personal health and wellbeing – Health care – Public health (epidemiology, policy, environment) – Biomedical research – Education of health professionals 6
  7. 7. What’s Health Informatics? Shortliffe, 2002 7
  8. 8. Informatics & Other Fields Social Sciences (Psychology, Statistics & Sociology, Research Linguistics, Law Methods & Ethics) Cognitive & Medical Decision Sciences & Science Public Health Engineering Management Computer & Biomedical/ Library Science, Information Health Information Science Retrieval, KM Informatics 8
  9. 9. Information Is Everywhere 9
  10. 10. Why Health Informatics? • Information is at the heart of biomedicine p • Health care is not simple – People’s business – Biological organisms vs. engineered machines g g g – Uncertainty in medicine – Life and death – Complex and heterogeneous nature of information & knowledge 10
  11. 11. Fundamental Theorem Friedman, 2009 11
  12. 12. The Role of Informaticians I want a system that helps me make DDx, warns me when I’m about to make a mistake, like giving Aminoglycoside to a patient with CRF, reminds me when I forget to follow CPG for DM patients, and most importantly, don’t get between me and my patients! 12
  13. 13. The Role of Informaticians Not a problem, Doc! I will first need to understand what DDx DDx, I want a system that helps me Aminoglycoside, CRF, CPG, DM make are, and then I’ll whenwriting UML DDx, warns me start I’m aboutandmake a mistake, like to design the ER Diagram I’m Diagram. I m giving Aminoglycoside to a web app thinking about using a patient with CRF, remindswe’ll need to with AJAX. I believe me when I forgetfrom MySQL to for migrate to follow CPG some other DM patients, and most Linux web DBMS, and ideally a importantly, don’t get between server. It will probably need SSL me and my patients! think? too. What do you y 13
  14. 14. The Result Washington Post ( g (March 21, 2005) , 5) “One of the most important lessons learned to date is that the complexity of human change management may be easily underestimated” Langberg ML (2003) in “Challenges to implementing CPOE: a case study of a work in progress at Cedars-Sinai” 14
  15. 15. The Role of Informaticians Medical Technical Language Language Knowledge of Knowledge of Key Clinical Reasoning & g Technical Issues Healthcare Processes Relevant to Health Care 15
  16. 16. The Result 16
  17. 17. Key Areas in Health Informatics • Clinical applications – Electronic Health Records (EHRs) – Computerized Physician Order Entry (CPOE) – Clinical Decision Support Systems (CDSSs) – Personal Health Records (PHRs) – Health Information Exchange (HIE) • People & Organizational Issues in Informatics • Standards • Privacy & Security of Health Information • Clinical Research I f Cli i l R h Informatics ti 17
  18. 18. Current Workforce • ~10-15 clinicians with strong IT experience who can be considered “thought leaders” • 2 MD/PhD in Information Science/Informatics • 2-3 PhD or Post-Doc in Health Informatics 23 Post Doc • 3 MD & 1 Pharm + Masters in H/M Informatics • Other clinicians with some IT/informatics training (unknown #) • IT management & staff (not trained in informatics) (unknown #) • Estimated needs: 1 per 50-60 staff (Hersh, 2008) 18
  19. 19. Educational Opportunities • Certificates g • Undergraduate – ICT/Engineering with health care focus – MD with some informatics background g – Electives • MS/PhD in Health Informatics – Integrate students with health & IT backgrounds • MD/MS & MD/PhD in Health Informatics • Fellowship in Health Informatics? 19
  20. 20. Next? • What are the active areas of research at the intersection of ICT and healthcare? – Success factors/issues? • What are the landscape of currently available curricula in ICT and informatics? • How to establish a high-quality academic program in health informatics in Thailand? ea o a cs a a d • Who sets the national policy in the area of ICT & informatics? • What should be the strategies for moving the country’s informatics education & research forward? 20
  21. 21. References • Bernstam EV S i h JW J h B EV, Smith JW, Johnson TR Wh i bi TR. What is biomedical di l informatics? J Biomed Inform. 2010 Feb;43(1):104-10. • Friedman CP. A "fundamental theorem" of biomedical informatics. J Am Med Inform Assoc. 2009 Apr;16(2):169-70. • Hersh W. A stimulus to define informatics and health information technology. technology BMC Med Inform Decis Mak 2009;9:24 Mak. 2009;9:24. • Hersh W. Health and biomedical informatics: opportunities and challenges for a twenty-first century profession and its education. Yearb Med Inform. 2008:157-64. • Shortliffe EH. JBI status report. Journal of Biomedical Informatics. 2002 Oct;35(5-6):279-80 Oct;35(5 6):279 80. 21