Uploaded byCarolina Health Informatics Program @ UNC
Clinical Informatics: Education, Experience, Expectations
Britt Ritter is pursuing a graduate certificate in clinical informatics while working as a clinical pharmacy specialist and professor. She completed a practicum evaluating an electronic health record system at UNC hospitals. This experience reinforced lessons from her informatics coursework and demonstrated how informatics applies to patient care and pharmacy practice. Ritter believes informatics knowledge will be increasingly important for pharmacists as health data and technology advance.
More Related Content
Similar to Clinical Informatics: Education, Experience, Expectations
More from Carolina Health Informatics Program @ UNC
Clinical Informatics: Education, Experience, Expectations
- 1. Clinical Informatics Education Experience Expectations Britt Ritter, PharmD Clinical Specialist, Department of Pharmacy Clinical Assistant Professor, School of Pharmacy Student, School of Information and Library Sciences
- 2. Objectives Education Graduate Certificatein Clinical Informatics Experience Practicum Expectations Healthcare Pharmacy
- 3.
- 5. Carolina Health InformaticsProgram Graduate Certificate in Clinical Informatics Required (2) • Introduction to Database (INLS 523) • Systems Analysis (INLS 582) Elective (2 out of > 20) • Evidence-Based Medicine (INLS 890) • Electronic Health Records (INLS 890) Practicum
- 6.
- 7.
- 8.
- 9. Electronic Health Record ElectronicHealth Records Overview. Nat Institute of Health, Nat Cent for Res Resources. April 2006. Pub. The MITRE Corp., Center for Enterprise Modernization.
- 10.
- 11.
- 12. Practicum UNC HCS Practiceand Quality Initiative is implementing new patient care modules in WebCIS to demonstrate meaningful use. – Smoking cessation – Obesity Two UNCHCS outpatient clinics – CAH – UNC Internal Medicine
- 14. Practicum Goals Expert walkthrough and “black box” testing Are modules being used by nurses Analyze usability Explore modules in context of workflow Determine aspects where modules affect patient care Define the relevance of these modules to meaningful use
- 15. Personal Goals How willthis experience relate to my certificate education? How will this education and practicum experience relate to pharmacy?
- 18. Practicum Conclusions Experience gainedwith the modules Workflow analyzed, and weaknesses identified Meaningful use versus meaningful capture Recommendations made to UNC HCS
- 19. Revisit Personal Goals Howwill this experience relate to my certificate education? How will this education and practicum experience relate to pharmacy?
- 20. Practicum Conclusions – EHR:The environment studied, WebCIS – Database: EHR systems are essentially complex databases – Systems analysis: Understanding workflows and usability are essential for applying informatics to systems – EBM: How all of the above can affect patient care.
- 21. Personal Goals How willthis experience relate to my certificate education? How will this education and practicum experience relate to pharmacy?
- 23. Philosophical Questions (aka, why I am speaking to you today) • Is this certificate useful in pharmacy? Or, more importantly, will it be? • Should more pharmacy students and trainees be given opportunities in informatics? • How important will the changes in health informatics be to patient care? • How could informatics change pharmacy? • What kind of person am I?
- 25.
- 27. U.S. Bureau ofLabor Statistics • Pharmacy – Employment of pharmacists is expected to increase by 25 percent from 2010 to 2020, faster than the average for all occupations • Computer and Information Systems Managers • Computer and Information Research Scientists – Employment for computer and information systems managers is projected to grow 18-28 percent from 2010 to 2020
- 28. Proposed Timeline of “New” Informatics Infrastructure, builds, system conversions System optimization, quality of improvement, standards ‘Big Data,’ secondary use of data
- 30. How will itaffect Pharmacy
- 32. How will itaffect Pharmacy /*MUE_BAR*/ Select patientID, ptlname, MRN, FIN, ptattend from UNCH_db where service = “Sxx” and INR > 4.0 and med = “warfarin”, “dabigatran”, “rivaroxiban” and ICD-9 = 430, 431, 432, 850, 851,852,853, 854 and hair color = “blonde” order by date admin;
- 33. How will itaffect Pharmacy
- 34. “Big Data” I amcertain that the battle of the next generation (of Internet businesses) will be made up of who has more data and who knows how to use it better than anyone else. Scott Thompson, former PayPal executive
- 35. How will itaffect Pharmacy http://www.health.ny.gov/technology/projects/vision.htm
- 36. How will itaffect Pharmacy http://www.simile-widgets.org/timeline/
- 37. How does thefield of pharmacy (education, training, and practice) position itself for these possible changes?
- 38. Clinical Informatics “Cohorts” •American Board of Medical Specialties – Recognized clinical informatics as a subspecialty, 2011 • UNC School of Public Health – CHIP Certificate program 2012 • UNC School of Nursing – CHIP Certificate program 2011 • UNC School of Pharmacy, UNC Hospitals – Elective – Included in some training programs at different levels
- 39. A lot ofinformation, but • Clinical Decision Support • Storage and data warehouse – Secondary use of data – Data analytics • HIPPA and Information Security • Hardware – Mobility • Patient portal • Social media
- 40. Clinical Informatics Education Experience Expectations Britt Ritter, PharmD Clinical Specialist, Department of Pharmacy Clinical Assistant Professor, School of Pharmacy Student, School of Information and Library Sciences
- 44. Is this meaningfuluse? Or, is this meaningful capture?
Editor's Notes
- #6 Pharmacy Informatics - robots, dispensing devices (Pyxis,Omnicell), TPN compounder, etc..But this is more “clinical,” maybe how clinical pharmacy is different from pharmacy of retail, dispensing, etc.
- #7 How is a 5__ class an introduction?What is your favorite database? Learn modeling, MS Access, SQL
- #8 Find and define problemBuild models to help define and create solutionsHow to find best solutionSoftware development life cycleChange managementContextual Design – interviews of end users
- #10 Vocabulary, architecture, data language, EBM and QI, MU, security, etc.
- #11 Hands on ExperienceOften with area IT industryEngage the practical and theoreticalPresentation and physical Deliverable
- #12 Robert Berger, MDRobb Malone, PharmDNew modules in WebCIS for meaningful use needed usability testing and analysisSmoking cessationObesity
- #13 Marcy DelMonte
- #15 Expert walkthrough and “black box” testingDetermine if modules are being usedAnalysis of usabilityInterviews, site visits, questionnairesExplore context of workflowsDetermine the applicability of modules to patient care and outcomes
- #21 Captured, structured data better than free textWhy is QI information gathered on vital screenDoes a nurse counsel on smoking, obesity, etc?
- #24 Neighbor
- #27 Manhattan ProjectNorris Dam
- #29 Systems changes per Obama $Technical: builds, conversionsSystem modification and optimization to impact quality of care and best practicesEnsure Meaningful useUnderstand systems of care, workflowsUtilization of Big Data to identify best outcomes
- #31 Documenting interventions
- #32 13 of these measures are specifically drug relatedSome colleagues would think a 2-3 lie in the “clinical pharmacist” domain
- #33 Replace MUE and DUE With Queries
- #34 Where will you get your (BIG) dataLocalUHCYour system (Seimens, Epic, Microsoft, etc.)
- #36 Med Reconciliation - doesn’t have to be expansiveGood example of using information “better”Health Information Exchange