Presented at the Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 19, 2018
Presented at The Seventh National Conference on Medical Informatics and The Annual Meeting of the Thai Medical Informatics Association (TMI-NCMedInfo 2018), Bangkok, Thailand on November 23, 2018
Presented at the RACM 302 Community Medicine Course, Doctor of Philosophy Curriculum, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on December 3, 2018
Presented at the Nursing Informatics Course for Year 2 Nursing Students, Ramathibodi Nursing School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on June 26, 2018
Presented at The Seventh National Conference on Medical Informatics and The Annual Meeting of the Thai Medical Informatics Association) (TMI-NCMedInfo 2018), Bangkok, Thailand on November 23, 2018
Presented to the Subcommittee on Science, Technology, Research and Innovation to Drive the Country of the Science, Technology, Research and Innovation Committee, The House of Representatives, Bangkok, Thailand on July 29, 2020
Presented at The Seventh National Conference on Medical Informatics and The Annual Meeting of the Thai Medical Informatics Association (TMI-NCMedInfo 2018), Bangkok, Thailand on November 23, 2018
Presented at the RACM 302 Community Medicine Course, Doctor of Philosophy Curriculum, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on December 3, 2018
Presented at the Nursing Informatics Course for Year 2 Nursing Students, Ramathibodi Nursing School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on June 26, 2018
Presented at The Seventh National Conference on Medical Informatics and The Annual Meeting of the Thai Medical Informatics Association) (TMI-NCMedInfo 2018), Bangkok, Thailand on November 23, 2018
Presented to the Subcommittee on Science, Technology, Research and Innovation to Drive the Country of the Science, Technology, Research and Innovation Committee, The House of Representatives, Bangkok, Thailand on July 29, 2020
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on March 24, 2021
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on March 24, 2021
Health Information Integration (Digital Health) according to the National Ref...Nawanan Theera-Ampornpunt
Presented at the Senate Public Health Committee and Medical Innovation & Technology Subcommittee Seminar, Senate, Bangkok, Thailand on February 7, 2020
Presented at The Fifth National Conference on Medical Informatics and The Annual Meeting of The Thai Medical informatics Association (TMI-NCMedInfo 2017) on November 24, 2017. Copyrighted by Boonchai Kijsanayotin, reproduced and shared with permission.
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on March 24, 2021
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on March 24, 2021
Health Information Integration (Digital Health) according to the National Ref...Nawanan Theera-Ampornpunt
Presented at the Senate Public Health Committee and Medical Innovation & Technology Subcommittee Seminar, Senate, Bangkok, Thailand on February 7, 2020
Presented at The Fifth National Conference on Medical Informatics and The Annual Meeting of The Thai Medical informatics Association (TMI-NCMedInfo 2017) on November 24, 2017. Copyrighted by Boonchai Kijsanayotin, reproduced and shared with permission.
Presented at the 10th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on September 17, 2020
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
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
Telemedicine provides healthcare at a distance using telecommunications technology. It has grown from focusing on increasing access to now emphasizing convenience and cost reduction. Store-and-forward and home-based telemedicine have evidence for treating chronic diseases, while office/hospital telemedicine is effective for verbal interactions in specialties like neurology and psychiatry. Current trends include expanding telemedicine to more chronic conditions and migrating services from clinical settings to homes and mobile devices. However, reimbursement remains limited and fragmented while quality of remote care compared to in-person visits requires more evidence. Proper guidelines, standards, training and balancing innovation with risk-based regulation can maximize telemedicine's benefits while minimizing harms.
This document discusses digital health transformation and the role of health information technology. It begins by exploring concepts like artificial intelligence, blockchain, cloud computing and big data. It then examines the potential for "smart" machines in healthcare while acknowledging the complexities of digitizing such a system. The document emphasizes that clinical judgment is still necessary given variations in patients. It outlines components of healthcare systems and forms of health IT both within and beyond hospitals. Finally, it discusses using health IT to support clinical decision making and reduce errors.
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
The document discusses the field of health informatics and provides definitions and examples. It defines health informatics as the application of information science to healthcare and biomedical research. It describes the relationships between health informatics and other fields like computer science, engineering, and the medical sciences. The document also discusses different areas of health informatics like clinical informatics, public health informatics, and consumer health informatics. It provides examples of common health information technologies used in healthcare settings like electronic health records, computerized physician order entry, and picture archiving systems.
This document provides an introduction to research ethics and ethics for health informaticians. It begins with definitions of ethics, morals, and norms. It then discusses the role of law, professional codes of conduct, and ethics in establishing standards of acceptable behavior. Key topics in research ethics are introduced through discussions of historic cases like the Nazi human experiments, Beecher's research ethics violations, and the Tuskegee Syphilis Study. The document outlines the Belmont Report's three ethical principles of respect for persons, beneficence, and justice. Ethical issues in health informatics like alerts fatigue from clinical decision support systems and unintended consequences of health IT are also discussed.
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
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
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 8, 2021
7. Class Exercise: Part 0
Thinking About Technology’s Roles
ลองยกตัวอย่างการนาเทคโนโลยีดิจิทัล
มาใช้อย่าง “Smart” (Digital Transformation)
ในงานของท่าน
10. 10
Input Process Output
Patient Care
Health care
Sick Patient Well Patient
Value-Add
- Technology & medications
- Clinical knowledge & skilled providers
- Quality of care; process improvement
- Customer service
- Information
Toward Systems Thinking
14. 14
• Safe
• Timely
• Effective
• Patient-Centered
• Efficient
• Equitable
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality
chasm: a new health system for the 21st century. Washington, DC: National Academy
Press; 2001. 337 p.
High Quality Care
16. 16
• Safe
• Timely
• Effective
• Patient-Centered
• Efficient
• Equitable
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality
chasm: a new health system for the 21st century. Washington, DC: National Academy
Press; 2001. 337 p.
Value Add: High Quality Care
19. 19
Context
The sailboat image source: Uwe Kils via http://en.wikipedia.org/wiki/Sailing
The destination
The boat
The sailor(s) &
people on board
The tailwind The headwind
The direction
The speed
The past journey
The sea
The sail
The current location
21. Class Exercise: Part 1
Knowing Your Context
Group discussion: ใน รพ.ของท่าน ปัจจัยที่น่าจะมีผล
ต่อการนา IT มาใช้ และการบริหารจัดการ IT มีอะไรบ้าง
และมีความสาคัญอย่างไร?
ทุกโรงพยาบาลในตัวอย่างเป็นโรงพยาบาลสมมติ รายละเอียดต่างๆ ไม่ได้อ้างอิงข้อเท็จจริง
25. 25
Context
The sailboat image source: Uwe Kils via Wikimedia Commons
The destination
The boat
The sailor(s) &
people on board
The tailwind The headwind
The direction
The speed
The past journey
The sea
The sail
The current location
31. 31
A Good “Vision”
Marchewka (2006)
“Our goal is to land a man on the
moon and return him safely
to the earth by the end of the decade.”
John F. Kennedy (1961)
45. 45Ash et al. (2003)
• Administrative
Leadership Level
–CEO
•Provides top level
support and vision
•Holds steadfast
•Connects with the
staff
•Listens
•Champions
– CIO
• Selects champions
• Gains support
• Possesses vision
• Maintains a thick skin
– CMIO
• Interprets
• Possesses vision
• Maintains a thick skin
• Influences peers
• Supports the clinical support
staff
• Champions
The Special People
46. 46Ash et al. (2003)
• Clinical Leadership
Level
– Champions
• Necessary
• Hold steadfast
• Influence peers
• Understand other
physicians
– Opinion leaders
• Provide a balanced
view
• Influence peers
– Curmudgeons
• “Skeptic who is
usually quite vocal in
his or her disdain of
the system”
• Provide feedback
• Furnish leadership
– Clinical advisory
committees
• Solve problems
• Connect units
The Special People
47. 47Ash et al. (2003)
• Bridger/Support level
–Trainers & support
team
•Necessary
•Provide help at the
elbow
•Make changes
•Provide training
•Test the systems
–Skills
•Possess clinical
backgrounds
•Gain skills on the
job
•Show patience,
tenacity, and
assertiveness
The Special People
49. 49
Context
The sailboat image source: Uwe Kils via Wikimedia Commons
The destination
The boat
The sailor(s) &
people on board
The tailwind The headwind
The direction
The speed
The past journey
The sea
The sail
The current location
50. 50
“The Boat”
• Size
• Resources
• Structures
• Work Processes
• Facilities/Geography
• Etc.
51. 51
“The Sea”
• Target customers
• Local competitiveness
• Relationship of hospital to local players
• Inter-organizational collaboration
• IT market environment
• National/international trend
• Regulations
• Standard of care
• Etc.
65. 65
Does service offer
competitive advantage?
Is external delivery
reliable and lower cost?
Keep Internal
Keep Internal
OUTSOURCE!
Yes
No
Yes
No
IT Outsourcing Decision Tree
68. 68
IT Project Management
• A project: “a temporary endeavor undertaken to
accomplish a unique purpose”
• Project management: “the application of
knowledge, skills, tools, and techniques to
project activities in order to meet or exceed
project requirements”
Marchewka (2006)
69. 69
The Project Management
Body of Knowledge (PMBOK®)
Marchewka (2006)
1. Project Integration Management
2. Project Scope Management
3. Project Time Management
4. Project Cost Management
5. Project Quality Management
6. Project Human Resources Management
7. Project Communications Management
8. Project Risk Management
9. Project Procurement Management
70. Class Exercise: Part 6
The Importance of Project Management
Group discussion: ถ้าขาด Project Management
ที่เหมาะสม จะเกิดอะไรขึ้นได้บ้างกับ IT Projects?
(What can go wrong with the IT projects?)
73. 73
The CHAOS Report
The Standish Group (1995)
Among the IT projects studied:
• 31% were cancelled before completion
• 53% were completed but over budget, over schedule, and
did not meet original specifications.
74. 74
Top Ten Factors for IT Project Success
Marchewka (2006)
Rank Success Factor
1 Executive Support
2 User Involvement
3 Experienced Project Manager
4 Clear Business Objectives
5 Minimized Scope
6 Standard Software Infrastructure
7 Firm Basic Requirements
8 Formal Methodology
9 Reliable Estimates
10 Other
Table 1.3 Source: Extreme Chaos. The Standish Group International, Inc. 2001.
http://www.standishgroup.com/sample_research/index.php
79. Class Exercise: Part 7
Change Management
Group discussion: เสนอวิธีบริหารการเปลี่ยนแปลง
ใน user แต่ละกลุ่มใน Rogers’ Adoption Curve
80. 80
Unified Theory of Acceptance and Use
of Technology (UTAUT)
Venkatesh et al. (2003)
Performance
Expectancy
Effort
Expectancy
Use
Behavior
Social
Influence
Facilitating
Conditions
Behavioral
Intention
Gender Age Experience
Voluntariness
of Use
Usefulness
Ease of Use
Social Norm
& Opinions
IT Support
81. 81
Adoption Strategies:
“The Tipping Point” Version
The Three Rules of Epidemics
• The Law of the Few
– Connectors
– Mavens
– Salesmen
• The Stickiness Factor
• The Power of Context
Gladwell (2000)
Ease of Use
Social Norm
& Opinions
IT Support
Change Agents
Opinion Leaders
Super-Users
Champions