- Bio-Medical Informatics (BMI) is 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.
- Emergency Medical Informatics (EMI) applies BMI principles to emergency patient care and operations by facilitating the collection, management, processing, and application of emergency patient care and operational data.
- As an emergency physician, it is important to ensure that any emergency department information system (EDIS) is safe, effective, and patient-centered, and to find ways to measure its impact and make it more valuable for clinical practice and research. National organizations like the Korean
Theera-Ampornpunt N. The intersection of ICT and health informatics research. Presented at: Faculty of ICT, Mahidol University; 2012 Feb 24; Bangkok, Thailand.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2020
Theera-Ampornpunt N. Health informatics: the next “stethoscope” in healthcare. Presented at: Intelligent logistics for innovation hospitals; 2010 Dec 23; Faculty of Engineering, Mahidol University, Thailand. Invited speaker, in Thai.
New Normal, New Future - Free Download E bookkevin brown
Healthcare is shifting from the traditional provider-centric,
in-patient setting to patient-centric, virtual consultations
with increased remote care monitoring. This transition
has prompted the need for MedTech industry to relook
at the products they develop and enhance value in care
delivery.
The COVID-19 pandemic has increased the use of
digital health technologies, and the need to develop
innovative devices or systems that support virtual
health. The last couple of years have seen increased
use of wearables, mobile and app-based technologies
along with data and analytics have been transforming
healthcare delivery.
Advancements in healthcare technologies like
Artificial Intelligence (AI), Virtual Reality and Augmented
Reality 3D-printing, robotics and nanotechnology are
shaping the future of healthcare. This technology boom
is helping address disease and medical conditions
through provision of cheaper, faster and more effective
solutions for diseases.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
Introduction to Health Informatics and Health IT in Clinical Settings (Part 1...Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 17, 2020
Presented at the 9th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on March 4, 2019
Theera-Ampornpunt N. The intersection of ICT and health informatics research. Presented at: Faculty of ICT, Mahidol University; 2012 Feb 24; Bangkok, Thailand.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2020
Theera-Ampornpunt N. Health informatics: the next “stethoscope” in healthcare. Presented at: Intelligent logistics for innovation hospitals; 2010 Dec 23; Faculty of Engineering, Mahidol University, Thailand. Invited speaker, in Thai.
New Normal, New Future - Free Download E bookkevin brown
Healthcare is shifting from the traditional provider-centric,
in-patient setting to patient-centric, virtual consultations
with increased remote care monitoring. This transition
has prompted the need for MedTech industry to relook
at the products they develop and enhance value in care
delivery.
The COVID-19 pandemic has increased the use of
digital health technologies, and the need to develop
innovative devices or systems that support virtual
health. The last couple of years have seen increased
use of wearables, mobile and app-based technologies
along with data and analytics have been transforming
healthcare delivery.
Advancements in healthcare technologies like
Artificial Intelligence (AI), Virtual Reality and Augmented
Reality 3D-printing, robotics and nanotechnology are
shaping the future of healthcare. This technology boom
is helping address disease and medical conditions
through provision of cheaper, faster and more effective
solutions for diseases.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
Introduction to Health Informatics and Health IT in Clinical Settings (Part 1...Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 17, 2020
Presented at the 9th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on March 4, 2019
Introduction to Health Informatics and Health IT in Clinical Settings (Part 2...Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 17, 2020
Theera-Ampornpunt N. Informatics in emergency medicine: a brief introduction. In: The International Conference in Emergency Medicine: Challenges in Emergency Medicine: It’s Time for Change!; 2012 Jan 30 - Feb 1; Bangkok, Thailand. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2012 Feb.
Defining Biomedical Informatics and its Relationship to Dental Research and P...sathish sak
The scientific field that deals with the storage, retrieval, sharing, and optimal use of biomedical information, data, and knowledge for problem solving and decision making.
Medical informatics touches on all basic and applied fields in biomedical science and is closely tied to modern information technologies, notably in the areas of computing and communication
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.
Presented at the Master of Science Program in Medical Epidemiology and the Doctor of Philosophy Program in Clinical Epidemiology, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 25, 2021
Introduction to Health Informatics and Health Information Technology (Part 1)...Nawanan Theera-Ampornpunt
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 3, 2017
Introduction to Health Informatics and Health IT in Clinical Settings (Part 2...Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 17, 2020
Theera-Ampornpunt N. Informatics in emergency medicine: a brief introduction. In: The International Conference in Emergency Medicine: Challenges in Emergency Medicine: It’s Time for Change!; 2012 Jan 30 - Feb 1; Bangkok, Thailand. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2012 Feb.
Defining Biomedical Informatics and its Relationship to Dental Research and P...sathish sak
The scientific field that deals with the storage, retrieval, sharing, and optimal use of biomedical information, data, and knowledge for problem solving and decision making.
Medical informatics touches on all basic and applied fields in biomedical science and is closely tied to modern information technologies, notably in the areas of computing and communication
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.
Presented at the Master of Science Program in Medical Epidemiology and the Doctor of Philosophy Program in Clinical Epidemiology, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 25, 2021
Introduction to Health Informatics and Health Information Technology (Part 1)...Nawanan Theera-Ampornpunt
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 3, 2017
A presentation in March 2012 presented at the Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University in Bangkok, Thailand. Presentation partly in English and partly in Thai.
Presentation given by Prof Fernando J Martin-Sanchez at the HISA (Health Informatics Society Australia) event "A Leap into E-Health" - see http://www.hisa.org.au/events/event_details.asp?id=211738 for further details - on 29th February 2012.
Presented at the Healthcare CEO50 Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
Christopher Chute, MD, DrPH
Chair, Division of Biomedical Informatics
Mayo Clinic
Presentation “Strategies for the ICD-10 Transition”
Participants will have an understanding of the background and implications of three key areas:
∙ How Meaningful Use standards impact ACO operations and success
∙ What role will the new ICD-10 play in providers understanding their practice and outcomes
∙ What are the future directions in ICD-11 and beyond Meaningful Use Phase 3
Presentation given at Health Informatics and Knowledge Management conference
(http://publichealth.curtin.edu.au/HIKM/), as part of Australasian Computer Science Week 2012.
http://www.cs.rmit.edu.au/acsw2012/
Clinical Information Systems (Part 1) - Health IT: The Big Picture
121213 bmi and emergency physician
1. Bio-Medical Informatics
&
Emergency Physician
Jae-Ho Lee, M.D. , PhD. Assistant Professor,
Depart. of Emergency Medicine/Depart. of Biomedical Informatics
University of Ulsan College of medicine
2. Contents
• Megatrends: Health Care & Health IT
• What is Bio-Medical Informatics (BMI) ?
• BMI & Clinician
• Emergency Medicine, Emergency Medical
Informatics, and Emergency Physician
26. Biomedical Informatics
Biomedical informatics (BMI) is 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.
28. Interdisciplinary Nature of
Biomedical Informatics
Computer Computer
Science Science
(hardware) (software)
Cognitive Science
Bioengineering
& Decision Making
Biomedical
Informatics
Management Epidemiology
Sciences And Statistics
Clinical Basic Biomedical
Sciences Sciences
29. Biomedical Science & Medical Practice
Clinical Knowledge Management with BMI
From Research Into Practice with BMI
30. Era of Data/Information Tsunami
• Clinical Knowledge-Base (2000)
> 8,000 new articles/week (NLM)
→ 40% of all articles published worldwide
• Maintaining Current Clinical Knowledge (2000)
A General Internist
- 20 articles/day, 365 days of the year
31. “Pneumonia”
• Google search (2012.06.10.22:05)
In English: 39,600,000
Scholar: 1,180,000
Books: 7,740,000
“Community-Acquired Pneumonia” “guideline” “H2-blocker”
• Google search (2012.06.10.22:10)
In English: 1,670, Scholar: 42, Books: not found
32. Medicine is Fundamentally
an Information Science!!!
• Patient / Disease Information
Acquisition → Analysis → Decision → Practice
• Being Optimally Used?
• How to Use Clinical Information Better?
34. HIT vs. Healthcare Quality
✴ How can IT improve patient safety?*
Improving communication
Making knowledge more readily accessible
Prompting for key pieces of information
Assisting with calculation
Monitoring & checking in real time
Providing decision support
* NEJM 2003;348:2526-34
35. Promises of EMR*
• Optimizing the documentation of patient encounters
• Improving communication of information to physicians
• Improving access to patient medical information
• Error reduction
• Optimizing billing & improving reimbursement
• Data repository; research & quality improvement
• Reduction of paper
* Ped Emerg Care 2006;22:184-194
36. Electronic Medical Records
✤ “Life After a Disastrous EMR Implementation
: One Clinic’s Experience”*
High cost; direct, indirect
Inability to handle graphics effectively
Inadequate computer support
Ineffective user manual
Excessive Downtime
Difficulty in learning & Using the system
Confidentiality
* Idea Group Inc (IGI). Pitfalls and Triumphs of Information Technology Management, 2001
37. Computerized Provider Order Entry
22 new error types: commercial CPOE system*
Long gaps in medication delivery; fragmented CPOE display
Failure to discontinue medications or renew antibiotics
Mortality X3↑ after new CPOE (critically ill-pediatrics)#
Insufficient order entry
Too much time spent at the computer screen
* JAMA 2005;293:1197-12-3
# Pediatrics 2005;116:1506-12
38. Clinical Informatics
Why is Health IT hard?
• Doesn’t solve the physician’s problem
• Little attention to workflow
• Introducing technology is disruptive
• Benefits accrue to others
• Incentives are misaligned
• Lack physicians & nurses with informatics training
39. Disruptive Technology
• Clinical IT Systems are designed to be:
Objective
Rational Document & Bill
Linear
Solitary
Single minded
• Clinical Work is fundamentally:
Interpretative
Multitasking
Collaborative
Distributed
Opportunistic
Reactive
Interrupted frequently
40. Clinical Informatics
• Medical knowledge
• The field of informatics
• Leadership
41. BioMedical Informatics (BMI) for Doctors
• Role of Life-long Learner
• Role of Clinician
• Role of Educator/Communicator
• Role of Researcher
• Role of Manager
Contemporary Issues In Medicine: Medical Informatics and Population Health. AAMC, 1998
42. BMI is Fundamentally
a kind of Medicine!!!
• IT Medicine
IT 를 의료서비스(practice)와 의료의 질 향상
• 진단검사 의학, 영상 의학, 핵 의학, 예방 의학
44. Challenges of Emergency Medicine
Characteristics or Risk of ED*
• Unbounded demand
• Multiplicity of patients & inherent variability
• Uncertainty of diagnosis
• Narrow time windows
• Decision density & cognitive load
• Poor feedback
• Interruptions & distractions
• Fatigue & shift work
* P Croskerry, KS Cosby, S Schenkel, R Wears. Patient Safety in Emergency Medicine. 2008:p19
45. Challenges of Emergency Medicine
• Overcrowded
• “Boarding” of patients
• Waiting for inpatient beds
• Ambulance diversion
• Patients who leave without being seen
* Hospital-based Emergency Care: At the Breaking Point (IOM, 2007)
46. Challenges of Emergency Medicine
Intrinsic Extrinsic
Human cognitive properties High communication load
High levels of uncertainty Poor teamwork
High decision density Overcrowding
High cognitive load Production pressures
Narrow windows of opportunity High ambient noise levels
Multiple interruptions/distractions Information gaps
Low signal-to-noise ratio Report delays
Surge phenomena Inadequate staffing
Novel or infrequently occurring Poor feedback
conditions Inexperience
Patient factors Inadequate supervision
(e.g., language, delirium) Sleep deprivation/sleep debt
Fatigue
Multiple transitions of care
Poorly designed procedures
Marx: Rosen’s Emergency Medicine: Concepts & Clinical Practice, 6th ed(2006)
48. EDIS: ACEP TF white paper (2009)
Health IT presents ongoing opportunities
• to improve the quality of emergency care,
• promote patient safety,
• reduce medical errors,
• and enhance the efficiency of emergency departments.
49. EDIS: ACEP TF white paper (2009)
Emergency Department Information System (EDIS)
is Electronic health record systems designed specifically
to manage data and workflow in support of Emergency
department patient care and operations.
Fundamentally, an EDIS should
• facilitate the delivery of patient care,
• conform to relevant data interoperability standards,
• and comply with applicable privacy and security
constructs to ensure the secure availability of relevant
healthcare information.
51. EDIS Functions
Other Considerations
• System Interfaces
• The User Interface (UI)
• Clinical Decision Support (CDS)
• A Consolidated Digitized Environment
• Picture Archiving and Communication System (PACS)
• Patient Safety
• Coordination of Care
• Automated Alerts
• Medical Content and Domain Knowledge
• Reference Material
• Authentication & Authorization Processes
• Using Patient-Centered Automation
• Risk Management
• Remote EDIS Access
ACEP TF white paper, 2009
52. Patient Entry
Anonymous pre-hospital identification
“temporary” unique identification
- before triage, during triage
“무명남”, “무명녀”, “사전접수?”, “접취?”
56. Emergency Medical Informatics (EMI)
• The collection, management, processing, and application of
emergency patient care & operational data*
• A domain of Clinical Informatics
• Emergency Medicine + BioMedical Informatics
• HIT → Emergency medicine Quality Improvement
• Prehospital, ED, Public surveillance
* EMERGENCY MEDICINE INFORMATICS: INFORMATION MANAGEMENT
AND APPLICATIONS IN THE 21ST CENTURY, Emergencias 2009; 21: 354-361
57. Emergency Medical Informatics (EMI)
Healthcare IT & Emergency care: 6 key areas*
• Management & coordination of patient flow and care
• Linkage of the ED to the wider health care community
• Clinical decision support
• Clinical documentation
• Training and knowledge enhancement
• Population health monitoring
* Hospital-based Emergency Care: At the Breaking Point (IOM, 2007)
58. BMI for Emergency Physicians
• Is ED IT system safe, effective, and patient-centered?
• How can we measure/evaluate that?
• How can we make it more valuable?
• How to use HIT in practice & research?
• How to practice Emergency IT Medicine?
59. Role of
Korean Society of
Emergency Medical Informatics
(KSEMI)