Health Informatics In Asia (Gunadarma U)Joko

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Presentasi Prof. K.C.Lun tentang perkembangan Informatika Kedokteran di Asia.

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Health Informatics In Asia (Gunadarma U)Joko

  1. 1. Health Informatics in the Asia Pacific Professor K. C. Lun Past President, International Medical Informatics Association, CEO, CEO Gateway Consulting, Consulting Professor (Adjunct), Duke-NUS Graduate Medical School Duke- Professor (Adjunct), School of Biological Sciences Nanyang Technological University Singapore University, kclun@ntu.edu.sg kclun@ntu edu sg Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  2. 2. The Asia-Pacific: A vibrant and diverse region di i in terms of • geography • socio-economy socio economy • culture • politics liti Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  3. 3. The Asia-Pacific Diversity also Di it l presents many challenges i th h ll in the development of health informatics: informatics • communication • information sharing • pace of development • standards implementation • manpower training Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  4. 4. Health Informatics Development in the Asia-Pacific f • Wide ranging • Highly correlated with socio-economic development • Depends on government and industry commitment to health infocomm infra-structures Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  5. 5. Asia Pacific - a major player in telemedicine Factors contributing to need: √ large sized countries √ low specialist:population ratio √ technology and telecommunication costs increasingly affordable √ helps developing countries jumpstart medical informatics √ High penetration rate for equitable distribution of healthcare services Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  6. 6. Health Informatics Initiatives - Asia Pacific Showcases Telemedicine in Bhutan • ITU/IDRC project • multipurpose community telecentre in Jakar • email consults, teleradiology, epidemiologic surveillance Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  7. 7. Health Informatics Initiatives - Asia Pacific Showcases • Japan – a leader in telemedicine projects in the Asia Pacific • National Cancer Center of Japan: p • Network of 14 Cancer Centers throughout Japan • 130 teleconferences per year with 16,000 participants i i • High-resolution image transfers – 2000 x 2000 pixels (source: H Mizushima) Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  8. 8. Special Issue: Telemedicine in the Asia Pacific May 2001 edition: International Journal of Medical Informatics (Vol 61, Issues 22–23 ) Guest Editor: Dr K C Lun Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  9. 9. Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  10. 10. Health Informatics Initiatives - Asia Pacific Showcases China’s Golden Projects: Modernizing the Chinese economy g y • Telecommunication and information infrastructure initiatives beginning 1993 • Project categorized into 4 phases h • Phase 3: Golden Health Project • China Golden Health Medical Network (CGHN) started in 1996 by Ministry of Public Health linking 30 hospitals and > 3000 medical experts Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  11. 11. Health Informatics Initiatives - Asia Pacific Showcases China’s Golden Projects: Modernizing the Chinese economy g y • Chinese Medicine International Telemedicine Center (1997) to provide TCM consultation for id lt ti f Chinese and non-Chinese patients worldwide • Dalian Telemedicine Center (1996) connecting Beijing Sino- Japanese Friendship Hospital and two remote sites (Changhai and Zhuanghe Hospitals) as well as with the European Institute in ith th E I tit t i Strasbourg, France Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  12. 12. Health Informatics Initiatives - Asia Pacific Showcases Health Informatics projects of the Hospital Authority of Hong Kong • Clinical Management System since 1995 – Integrated clinical g workstation supporting order entry, electronic patient record, clinical record data reporting and analysis, medication decision d i i support, t outcome documentation Source: Dr C P Wong, H.K. Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  13. 13. Health Informatics Initiatives - Asia Pacific Showcases Health Informatics projects of the Hospital Authority of Hong Kong eSARS system • Set up by HA in March 2003 to combat SARS • Connected HA CMS with the HK police MIIDSS to trace relatives and contacts of SARS patients • Largescale use of the internet to help manage a public health problem Source: Dr C P Wong, H.K. Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  14. 14. Health Informatics Initiatives - Asia Pacific Showcases Malaysia Telemedicine Flagship Project Four Applications: F A li ti • Tele-consultation • Tele CME for health Tele-CME professionals • Mass customized Personalized Information & Education • Lifetime Health Plan Good example of g government commitment Source: Dato Dr Abu Bakar Sulaiman Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  15. 15. Health Informatics Initiatives - Asia Pacific Showcases Taiwan Healthcare IC Card Project • NHI project using Java card technology • 4 kinds of information personal info NHI-related info medical service info public health administration info • As of Sept 2003, 95% of 22.5m population issued with smart cards • Accepted in 70% of hospitals and clinics • Problems with paper cards – identity Source: Smart Card Alliance fraud and false claims Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  16. 16. Health Informatics Initiatives - Asia Pacific Showcases Singapore iN2015 – 10-year Masterplan Goals for Healthcare and Biomedical Sciences: • Personal health records to give public greater ability t manage th i h lth t bilit to their health • Infocomm systems to support well- integrated q g quality healthcare y • Clinical decision support systems to provide POC clinical practice information • Conducive regulatory framework to facilitate data collection and sharing for biomedical and h lth services bi di l d health i research Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  17. 17. Tapping Singapore’s EHR capabilities Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  18. 18. • CXO Forum • 1-day Conference with the theme: Integrating 1 day Healthcare / Empowering Patients • Featured Distinguished Industry Speaker, invited international speakers and showcased Singapore projects • 5 day Executive Medical Informatics Course 5-day Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  19. 19. National Health Informatics Initiatives: Key Success Factors y • National vision and commitment – Taiwan’s Healthcare IC Card – Malaysia’s Telemedicine Flagship – Singapore’s iN2015 Initiative Singapore s • Funding – National (government, govt & (government industry) – International agencies (e.g. Bhutan telemedicine project) Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  20. 20. National Health Informatics Initiatives: Key Success F t K S Factors • Good Health & Infocomm Infrastructures – Lack of good infocomm infrastructure limits the HI activities achievable • Dynamic leadership to drive projects – Needed to lead development and sustain it • Strong customer buy-in – Large and sustainable user-base to ensure project long-term viability • International Networking – Know what resources and expertise are available and how to tap them Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  21. 21. Networking for Skills d R Skill and Resource Sharing Sh i • Asia Pacific projects show that there is no shortage of health informatics skills and experience i th f h lth i f ti kill d i in the region • Useful for Asia-Pacific countries with expertise and resources to share them with other countries in the region • Sharing formula could be bilateral, bil t l multilateral or ltil t l through international agencies such as ADB ADB, UNDP and World Bank Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  22. 22. APAMI as Regional Networking Facilitator • Established in 1994 as an IMIA regional group to promote regional co-operation and i l ti d development of health informatics • To-date, APAMI has 15 national members and 4 corresponding members • APAMI conferences: • Singapore (1994) • Sydney (1997) • Hong Kong (2000) • Daegu, K D Korea (2003) • Taipei (2006) Web: www.apami.org Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  23. 23. APAMI Leadership Roles Hosting the 9th World Congress on Medical Informatics in Seoul, Aug 18-22 1998 and the 12th World Congress in Brisbane, Aug 20-24 2007 Spawned national health informatics associations in Malaysia, Indonesia, Sri Lanka, India and the Philippines Promoted cross country scientific interaction at national cross-country health informatics meetings of Singapore, Hong Kong, Australia, Japan, Korea, Thailand, Malaysia, Sri Lanka, the Philippines and Taiwan Ge e ated ea t Generated health informatics a a e ess in India, o at cs awareness d a, Pakistan, Sri Lanka, Vietnam and Fiji Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  24. 24. Need for standards Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  25. 25. Importance of Standards in Health Informatics • Data standards have always been a major focal point in health informatics • Impact on: – data quality and patient safety – interoperability - the ability of one computer system to exchange data with another computer basic interoperability functional interoperability semantic interoperability Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  26. 26. Data exchange in a hospital Source: Dr Michio Kimura, Japan Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  27. 27. Facilitating data exchange with one format ith f t Source: Dr Michio Kimura, Japan Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  28. 28. APAMI Committee for Asian Health Informatics Standardization (CAHIS) • Established at APAMI 2003 in Daegu • Recognizes need to harmonize differences in health informatics standards between Asian and non-Asian countries • Differences arising from: g – Language and character sets – Data vocabularies a a ocabu a es – Practice pattern and systems Contact person – Dr YS Kwak, Korea (yskwak@kyungpook.ac.kr) Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  29. 29. APAMI Committee for Asian Health Informatics Standardization (CAHIS) I f ti St d di ti • CAHIS complements the work of ISO/TC 215 and CEN/TC 251 • Focuses on standards issues that are specific to Asian region • Proposed CAHIS working groups: – Electronic Health Record (EHR) – Messaging and Communication – Healthcards – Vocabulary – Character sets Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  30. 30. Growing HI development in Asia • eHealth Consortium in Hong K H Kong • Healthcare IT Innovation Week i Singapore W k in Si • Health informatics courses in Korea (D i K (Daegu), H ) Hong Kong, Taiwan and Singapore (?) • e-JHI (Australia) Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  31. 31. Looking beyond the Asia Pacific region Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  32. 32. International Medical Informatics Association Global Network (founded 1968) (www.imia.org) Goal and Objectives: • the promotion of informatics in health care and biomedical research EFMI • the advancement of international cooperation • the stimulation of research, development and education • the dissemination and exchange of information APAMI IMIA-LAC Helina 49 Member Countries 3R i Regional G l Groups 12 Corporate Institutional Members 15 Academic Institutional Members
  33. 33. (www.imia.org) (www imia org)
  34. 34. 2007年国际医药信息大会将在澳大利亚举行 2007年国际医药信息大会将在澳大利亚举行 www.medinfo2004.org di f 2004 Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  35. 35. Other Major IMIA Activities IMIA World, World IMIA Code of C d f Recommendations Regional and Ethics for for Informatics WG/SIG Health in Health and Professionals Medical Conferences Education Ed ti Official Recommendations Publications Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  36. 36. IMIA Yearbooks of Medical Informatics Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  37. 37. IMIA Working Groups & Special Interest G oup on Nursing te est Group o us g Special Interest Group 1: Nursing WG1 Health and Medical Informatics Education WG2 Consumer Health Informatics C H lth I f ti WG3 Intelligent Data Analysis and Data Mining WG4 Data Protection in Health Information Systems WG5 Primary Health Care Informatics WG6 Medical Concept Representation WG7 Biomedical Pattern Recognition WG8 Mental Health Informatics WG9 Health Informatics for Development WG10 HIS and Health Profession Workstations WG11 Dental Informatics WG13 Organization and Dental Issues WG15 Tech Assessment & Quality Developn in Hlth Info WG16 Standards in Health Care Informatics WG17 Computerized Patient Records WG18 Telematics in Healthcare Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  38. 38. Asian Penetration of HI Journals • Survey of Paper Authorship in last 5 issues of International Journal of Medical Informatics and Methods of Information in Medicine • Out of 134 papers, only 10 (7.5%) * were from the Asia Pacific region (including Australia and New Zealand) • Publications and conference presentations are the two major channels through which we can get our HI work recognized by the international community! * by 1st author only Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
  39. 39. Thank You ! E-mail: kclun@ntu.edu.sg

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