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 November 10, 2021
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.
Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 2021
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
Public Health Informatics, Consumer Health Informatics, mHealth & Personal He...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 24, 2017
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.
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.
Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 2021
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
Public Health Informatics, Consumer Health Informatics, mHealth & Personal He...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 24, 2017
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.
Theera-Ampornpunt N. Medical informatics: a look from USA to Thailand. In: Ramathibodi’s Fourth Decade: Best Innovation to Daily Practice; 2009 Feb 10-13; Nonthaburi, Thailand [CD-ROM]. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2009. 1 CD-ROM: 4 3/4 in.
Theera-Ampornpunt N, Kelley T, Ramly E, Shaw R, Khairat S, Sonnenberg FA. The paths toward informatics careers in the post-HITECT era [panel submission]. AMIA Annu Symp Proc. 2012 Nov:1565-7.
Introduction to Health Informatics and Health IT (Part 1) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 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 Information Technology (Part 2)...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
Clinical Information Systems and Electronic Health Records (October 18, 2021)Nawanan Theera-Ampornpunt
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 18, 2021
Presented at the 7th Healthcare CIO Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on July 8, 2016
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
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. [Electronic Health Records: What Does The HITECH Act Teach Thailand?]. Presented at: Health Informatics: From Standards to Practice. Thai Medical Informatics Association Annual Conference 2010; 2010 Nov 10-12; Nonthaburi, Thailand. Panel discussion, in Thai.
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.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Theera-Ampornpunt N. Medical informatics: a look from USA to Thailand. In: Ramathibodi’s Fourth Decade: Best Innovation to Daily Practice; 2009 Feb 10-13; Nonthaburi, Thailand [CD-ROM]. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2009. 1 CD-ROM: 4 3/4 in.
Theera-Ampornpunt N, Kelley T, Ramly E, Shaw R, Khairat S, Sonnenberg FA. The paths toward informatics careers in the post-HITECT era [panel submission]. AMIA Annu Symp Proc. 2012 Nov:1565-7.
Introduction to Health Informatics and Health IT (Part 1) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 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 Information Technology (Part 2)...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
Clinical Information Systems and Electronic Health Records (October 18, 2021)Nawanan Theera-Ampornpunt
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 18, 2021
Presented at the 7th Healthcare CIO Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on July 8, 2016
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
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. [Electronic Health Records: What Does The HITECH Act Teach Thailand?]. Presented at: Health Informatics: From Standards to Practice. Thai Medical Informatics Association Annual Conference 2010; 2010 Nov 10-12; Nonthaburi, Thailand. Panel discussion, in Thai.
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.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
Presented at Healthcare CIO Certificate Program (Class of 2015), Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 14, 2015
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on September 15, 2016
Consumer Health Information & Telehealth andreakyer
Week 7 presentation on Consumer Healthcare Informatics and Telehealth for INFO648 - Biomedical Informatics, iSchool Drexel University, Professor Michelle Rogers, PhD, Fall 2009
EHRs, PHRs, EMRs: Making Sense of the Alphabet SoupCHI*Atlanta
CHI*Atlanta's October program tackles health records and the potential of user experience to improve their adoption. Panelists include CDC, Kaiser Permanente, and Greenway Technologies. Hosted at Philips Design to cover public, private, and vendor perspectives.
Overview of Health Informatics: survey of fundamentals of health information technology, Identify the forces behind health informatics, educational and career opportunities in health informatics.
Role of Health Information Systems in Health CareIn the articl.docxhealdkathaleen
Role of Health Information Systems in Health Care
In the article, Robert Fichman, Rajiv Kohli, and Ranjani Krishnan discussed the role of the Health Information System in Health Care on the medical, social, and economic points related to the diagnosis providing and financial transactions. The main argument of the article indicates the future indispensability of the IS utilization in Health Care system regarding the optimization of the medical process, which will benefit the medical staff and clients’ recuperation. The authors support the claim stating that the involvement of the IS promotes the reduction of treatment costs caused by the mechanized data recording. Moreover, the adaptation of IS leads to the successful outperformance of the challenges related to the hierarchical nature of healthcare, which implies the physicians’ appropriate implementation of technology for the process of examination, treatment, and rehabilitation program elaboration, which intensifies the adherence of the medical professional to the client-centered orientation. Finally, IS deals with the privacy concern, which presents the obligation of the medical professional to ensure the security of the patient’s data to avoid the leakage of information as the issue of data loss deals with PHI, which can follow the court procedures. Hence, the authors lead to the point that the utilization of the Information Systems will optimize the quality of medical service due to the improvement of the data transfer, diagnosis and treatment program creation, and reduction of the cost of service.
Recommendations
1. According to Fichman, Kohli, and Krishnan (2011), the utilization of IS enhances the risk of patients’ data leakage, which captures media attention and violates security regulations. Regarding the presented perspective the recommendation implies ensuring IS with encryption, which will provide anonymity of the clients’ data and its automatic deletion in case of hacking attack. In this case, addressing the program of the identity based anonymization represents a reasonable solution of the privacy preservation as it encodes and removes patients’ identifiable information from the data set and means that the necessary information is visible for the clients/medical professionals and deleted for the hackers (Abouelmehdi, Beni Hessane, & Khaloufi, 2018).
2. Fichman, Kohli, and Krishnan (2011) state that the medical professionals apply IS during the process of treatment program creation, which aims to enhance patients’ satisfaction. However, the principal challenge of the presented point specifies the necessity of the correct assessment of the clients’ clinical history. Regarding the mentioned perspective, the recommendation means the elaboration of the separate Patient Data Analysis information system. PDA-IS utilizes the query engine, that implies the generation of standard and ad-hoc analytical patient and service-centric queries, which promotes the qualified analysis of the pati ...
Medical Informatics Update 2013 Programpaulgoldfarb
Event program for the Medical Informatics Update 2013 held October 16, 2013 and sponsored by the Center for Advanced Information Management at Columbia University and IBM Healthcare.
Presented at the BDMS Golden Jubilee Scientific Conference 2022 "BDMS Beyond 50 years: Looking towards the centennial," Bangkok Dusit Medical Services Public Company Limited (BDMS), Bangkok, Thailand on October 19, 2022
Presented at The Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo) 2021, Bangkok, Thailand on November 26, 2021
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
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 November 15, 2021
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
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 November 10, 2021
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part 1 (November 10, 2021)
1. Nawanan Theera-Ampornpunt, M.D., Ph.D.
For Ramathibodi M.S. & Ph.D. Programs in
Data Science for Healthcare and Clinical Informatics
Nov. 10, 2021 SlideShare.net/Nawanan
Except where
citing other works
2. Stakeholders in Health Care
Patient
Providers
Policy-
Makers
Public
Payers
Diagram modified from Supachai Parchariyanon’s 4Ps Concept
• High bargaining
power
• Benefit with
improved quality in
fee-for-service
• Needs to satisfy many “bosses”
• Faces up-front costs in health IT
investments
• Long-term benefits depend on
payment schemes
• Require data for
policy-making
• Limited budget
• Often face
bureaucracies
• Highly political
• Concerns about resource allocation &
community’s well-being, but not
necessarily individual patients
• Directly benefits from
improved quality of care
• Knowledge gap between
patient & providers
5. Public Policy in Informatics: A US’s Case
1991: IOM’s CPR Report published
1996: HIPAA enacted
2000-2001: IOM’s To Err Is Human &
Crossing the Quality Chasm published
2004: George W. Bush’s Executive
Order establishing ONCHIT (ONC)
2009-2010: ARRA/HITECH Act &
“Meaningful use” regulations
6. Political Support Behind Health IT
“...We will make wider use of electronic records and other
health information technology, to help control costs and
reduce dangerous medical errors.”
Source: Wikisource.org Image Source: Wikipedia.org
President George W. Bush
Sixth State of the Union Address
January 31, 2006
?
7. U.S. Adoption of Health IT
• U.S. lags behind other Western countries
(Schoen et al, 2006;Jha et al, 2008)
• Money and misalignment of benefits is the
biggest reason
Ambulatory(Hsiao et al, 2009) Hospitals (Jha et al, 2009)
Basic EHRs w/ notes 7.6%
Comprehensive EHRs 1.5%
CPOE 17%
8. President Obama Backs Health IT
“...Our recovery plan will invest in
electronic health records and new technology
that will reduce errors, bring down costs,
ensure privacy, and save lives.”
President Barack Obama
Address to Joint Session of Congress
February 24, 2009
Source: WhiteHouse.gov
9. American Recovery & Reinvestment Act
Contains HITECH Act
(Health Information Technology for
Economic and Clinical Health Act)
~ 20 billion dollars for Health IT investments
Incentives & penalties for providers
10. U.S. National Leadership
David Blumenthal, MD, MPP
National Coordinator for
Health Information Technology
(2009 - 2011)
Farzad Mostashari, MD, ScM
National Coordinator for
Health Information Technology
(2011 - 2013)
Robert Kolodner, MD
National Coordinator for
Health Information Technology
(2006 - 2009)
David Brailer, MD, PhD
National Coordinator for
Health Information Technology
(2004 - 2007)
Office of the National Coordinator for Health Information
Technology (ONC -- formerly ONCHIT)
Photos courtesy of U.S. Department of Health & Human Services
Karen B. DeSalvo, MD, MPH,
MSc
National Coordinator for
Health Information Technology
(2014 - 2016)
Vindell Washington, MD, MHCM
National Coordinator for
Health Information Technology
(2016 - 2017)
11. U.S. National Leadership
Donald Rucker, MD
National Coordinator for
Health Information Technology
(2017 - Present)
Jon White, MD
National Coordinator for
Health Information Technology
(Interim) (2017 - 2017)
Office of the National Coordinator for Health Information
Technology (ONC -- formerly ONCHIT)
Photos courtesy of U.S. Department of Health & Human Services
12. What is in HITECH Act?
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Feb 4;362(5):382-5.
14. “Meaningful Use” of Health IT
Stage 1
- Electronic capture of
health information
- Information sharing
- Data reporting
Stage 2
Use of
EHRs to
improve
processes of
care
Stage 3
Use of
EHRs to
improve
outcomes
Better
Health
(Blumenthal D, 2010)
16. Health Information Exchange in the U.S.
Regional Health Information Organizations
(RHIOs)
State e-Health initiatives
Nationwide Health Information Network
(NHIN)
Still ongoing efforts, but with significant
progress
17. Other Public Health Informatics Applications
e-Health & m-Health
m-Health in disaster management: #ThaiFlood
Data reporting to government agencies
Claims & reimbursements
Diseases
Utilization statistics
Quality measures
etc.
Biosurveillance (case reporting vs. predictive)
Epidemiologic & health services research
23. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.webmd.com/
24. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.greatdreams.com/cancer-cure.htm
25. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.hon.ch/, http://socialmarketing.blogs.com/r_craiig_lefebvres_social/2007/02/health_literacy.html
26. Examples of Areas within
Consumer Health Informatics
Image Source: http://michaelcarusi.com/2012/01/01/when-you-should-not-become-a-social-media-manager/
27. Examples of Areas within
Consumer Health Informatics
Image Source: http://ucedtech.wikispaces.com/Welcome
29. Defining mHealth (mobile health)
WHO: “Medical and public health practice supported by
mobile devices, such as mobile phones, patient monitoring
devices, PDAs, and other wireless devices. mHealth involves
the use and capitalization on a mobile phone’s core utility
of voice and SMS as well as more complex functionalities
and applications including GPRS, 3G & 4G systems, GPS, and
Bluetooth technology.”
30. mHealth
http://whqlibdoc.who.int/publications/2011/9789241564250_eng.pdf
Majority of Member States reported offering at
least one type of mHealth service. Many
offered 4-6 programmes. Frequently reported
mHealth initiatives were:
Health call centres (59%)
Emergency toll-free telephone services (55%)
Managing emergencies and disasters (54%)
Mobile telemedicine (49%)
31. mHealth
Barriers to mHealth adoption by
countries
Competing health system priorities
Lack of evidence on evaluation
Results-based evaluation of mHealth
implementations is not routinely
conducted (only 12% of Member
States)
Data security
http://whqlibdoc.who.int/publications/2011/9789241564250_eng.pdf
32. Examples of Areas within
Consumer Health Informatics
Image Source: http://nutrition.about.com/od/recipesmenus/ss/learnlabels.htm
34. Roles of ICT in Consumer Health Informatics
Access to information
Networking opportunities
Education/Self-study
Personalization
Effective & efficient communications
With providers
Among patients
Empowerment
“User Experience”
35. Issues in Consumer Health Informatics
Health literacy & IT literacy
Cultural diversity & sensitivity
Usability, information presentation
Impact of ICT on behavioral modifications
Integration with provider’s systems
Information exchange & interoperability
Business model
Privacy & security
36.
37. Personal Health Records (PHRs)
“An electronic application through which individuals can
access, manage and share their health information, and that
of others for whom they are authorized, in a private, secure,
and confidential environment.” (Markle Foundation, 2003)
“A PHR includes health information managed by the
individual... This can be contrasted with the clinician’s record
of patient encounter–related information [a paperchart or
EHR], which is managed by the clinician and/or health care
institution.” (Tang et al., 2006)
38. Types of PHRs
Patient portal from a provider’s EHRs
(“tethered” PHRs)
Online PHRs
Stand-alone
Can be integrated with EHRs from multiple providers
(unidirectional/bidirectional data sharing)
Stand-alone PHRs
PC-based applications
USB Drive
CD-ROM or other data storage devices
Paper
40. Ideal PHRs
Integrated
Accessible
Secure
Comprehensive
Accurate & current
Patient able to
manage sharing &
update information
Engaging &
educational
User-friendly,
culturally & literacy
appropriate
The “Hub and Spoke” Model
(Kaelber et al., 2008)
41. Use Cases of PHRs
Data entry/update by patients
Data retrieval by providers
With patient’s consent
“Break-the-glass” emergency access
Data update from EHRs
Privacy settings
Personalized patient education
Communications with providers
43. Other IT for Consumer Health
Traditional Web
MedlinePlus
Other sites
Social Media
The Usuals: MySpace, Facebook, Twitter
Blogs, forums
PatientsLikeMe
Telemedicine & Telehealth
Home monitoring/recording devices
Tele-consultations, virtual visits
http://media.nstda.or.th/video/viewVideo.php?video_id=1273
44. References
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Feb 4;362(5):382-5.
Blumenthal D, Tavenner M. The “meaningful use” regulation for electronic health
records. N Engl J Med. 2010 Aug 5;363(6):501-4.
Connecting for Health. The personal health working group final report. Markle
Foundation; 2003 Jul 1.
Hsiao C, Beatty PC, Hing ES, Woodwell DA. Electronic medical record/electronic health
record use by office-based physicians: United States, 2008 and preliminary 2009
[Internet]. 2009 [cited 2010 Apr 12]; Available from:
http://www.cdc.gov/nchs/data/hestat/emr_ehr/emr_ehr.pdf
Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, Shields A,
Rosenbaum S, Blumenthal D. Use of electronic health records in U.S. hospitals. N Engl
J Med. 2009;360(16):1628-38.
Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for
personal health records (PHRs). J Am Med Inform Assoc. 2008 Nov-Dec;15(6):729-36.
Schoen C, Osborn R, Huynh PT, Doty M, Puegh J, Zapert K. On the front lines of care:
primary care doctors’ office systems, experiences, and views in seven countries. Health
Aff (Millwood). 2006;25(6):w555-71.
Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records:
definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med
Inform Assoc. 2006 Mar-Apr;13(2):121-6.