Presented at the Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo 2016) on November 25, 2016.
Presented at the Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo 2016) on November 25, 2016.
Presented at the Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo 2016) on November 25, 2016.
Presented at the Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on December 4, 2017.
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 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
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 Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 19, 2018
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 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 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 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 Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo 2016) on November 25, 2016.
Presented at the Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on December 4, 2017.
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 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
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 Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 19, 2018
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 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 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 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
Social Media Use by Doctors: Advice for Safety and for Effectiveness (Februar...Nawanan Theera-Ampornpunt
Presented at the 10th Ramathibodi GI and Liver Annual Review 2017, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University on February 4-5, 2017
A presentation by Dr. Shailendra Kumar, Delhi University, during National Workshop on Library 2.0: A Global Information Hub, Feb 5-6, 2009 at PRL Ahmedabad
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on September 15, 2016
The Future of Thai Health Systems: Healthcare Quality Management and Control ...Borwornsom Leerapan
Panel discussion on the future of Thai health systems: healthcare quality management and control according to the Statute on the National Health System B.E. 2552
สถานการณ์ระบบบริการสุขภาพและการควบคุมคุณภาพตามธรรมนูญว่าด้วยระบบสุขภาพแห่งชาติ พ.ศ. 2552", การอภิปราย “อนาคตระบบสุขภาพไทย สุขภาพคนไทยดีขึ้นหรือแย่ลง”, ประชุมวิชาการ การวิจัยระบบสาธารณสุข ครั้งที่ 3
Presented at the Life Sci. Level Up Challenge 2020, a Project to Promote and Incubate New Medical and Health Technology Researchers and Startups Promot 2020 by Thailand Center of Excellence for Life Sciences (Public Organization) (TCELS) and Srinakharinwirot University, Ministry of Higher Education, Science, Research and Innovation, Bangkok, Thailand on August 1, 2020.
Health Information Exchange & Interoperability for Better Health Outcomes, an...Nawanan Theera-Ampornpunt
Presented at the Second Growing e-Health Expertise, Knowledge and Skills (GEEKS) Program, Department of Disease Control, Ministry of Public Health, Bangkok, Thailand on August 7, 2019
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
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
26. • “Don’t implement technology just for
technology’s sake.”
• “Don’t make use of excellent technology.
Make excellent use of technology.”
(Tangwongsan, Supachai. Personal communication, 2005.)
• “Health care IT is not a panacea for all that ails
medicine.” (Hersh, 2004)
Some “Smart” Quotes
35. To treat & to care
for their patients
to their best
abilities, given
limited time &
resources
Image Source: http://en.wikipedia.org/wiki/File:Newborn_Examination_1967.jpg (Nevit Dilmen)
What Clinicians Want
37. A safe, effective care that
focus on us, the patients,
and our needs
What Patients Want
38. • Safe (ปลอดภัย)
• Timely (ทันเวลา)
• Effective (มีประสิทธิผล)
• Patient-Centered
(ยึดผู้ป่วยเป็นศูนย์กลาง)
• Efficient (มีประสิทธิภาพ)
• Equitable (เป็นธรรม)
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.
Quality of Care
42. • Safe
–Drug allergies
–Medication Reconciliation
• Timely
–Complete information at point of care
• Effective
–Better clinical decision-making
Being “Smart” in Healthcare
43. • Patient-Centered
–Empowerment & better self-care
• Efficient
–Faster care
–Time & cost savings
–Reducing unnecessary tests
• Equitable
–Access to providers & knowledge
Being “Smart” in Healthcare
45. • To Err is Human (IOM, 2000) reported that:
–44,000 to 98,000 people die in U.S. hospitals
each year as a result of preventable medical
mistakes
–Mistakes cost U.S. hospitals $17 billion to $29
billion yearly
–Individual errors are not the main problem
–Faulty systems, processes, and other conditions
lead to preventable errors
Patient Safety
46. • Humans are not perfect and are bound
to make errors
• Highlight problems in U.S. health care
system that systematically contributes
to medical errors and poor quality
• Recommends reform
• Health IT plays a role in improving
patient safety
Summary of These Reports
47. Image Source: (Left) http://docwhisperer.wordpress.com/2007/05/31/sleepy-heads/
(Right) http://graphics8.nytimes.com/images/2008/12/05/health/chen_600.jpg
To Err is Human 1: Attention
48. Image Source: Suthan Srisangkaew, Department of Pathology, Facutly of Medicine Ramathibodi Hospital
To Err is Human 2: Memory
49. • Medication Errors
–Drug Allergies
–Drug Interactions
• Ineffective or inappropriate treatment
• Redundant orders
• Failure to follow clinical practice
guidelines
Common Errors
50. External Memory
Knowledge Data
Long Term Memory
Knowledge Data
Inference
DECISION
PATIENT
Perception
Attention
Working
Memory
CLINICIAN
Elson, Faughnan & Connelly (1997)
Clinical Decision Making
51. Example of “Alerts & Reminders”
Reducing Errors through Alerts & Reminders
52. • Guideline adherence
• Better documentation
• Practitioner decision making or
process of care
• Medication safety
• Patient surveillance & monitoring
• Patient education/reminder
Documented Values of Health IT
53. Tip #3: Link IT Values to
Quality (Including Safety)
55. Hospital Information System (HIS) Computerized Physician Order Entry (CPOE)
Electronic
Health
Records
(EHRs)
Picture Archiving and
Communication System
(PACS)
Various Forms of Health IT
74. • The Large N Interfaces Problem
N = 2, Interface = 1
# Interfaces = N(N-1)/2
N = 3, Interface = 3
N = 5, Interface = 10
N = 100, Interface = 4,950
Standards: Why?
75. นวนรรน ธีระอัมพรพันธุ์. ตำนำนควำมเชื่อและข้อเท็จจริงเกี่ยวกับมำตรฐำนสำรสนเทศทำงสุขภำพ. ใน: Health
Data Standards Expo: From Reimbursement to Clinical Excellence; 2011 Aug 8-9; Bangkok,
Thailand. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital;
2011 Aug.
http://www.slideshare.net/nawanan/myths-and-truths-on-health-information-standards
Myths and Truths on Standards
76. Myths
• We don’t need standards
• Standards are IT people’s jobs
• We should exclude vendors from this
• We need the same software to share data
• We need to always adopt international standards
• We need to always use local standards
Theera-Ampornpunt (2011)
Myths and Truths on Standards
77. Tip #4: Go for Systems that
Use Standards, Not a Unified,
Conquer-the-World System
Image Source: http://www.denofgeek.com/movies/avengers/37236/why-loki-was-cut-from-avengers-age-of-ultron
78. คาถามเพื่อมุ่งสู่ Health Information 4.0
•เลิกคุยกันว่าจะใช้ app
เดียวกันได้ยังไง เสียที
Image Sources: http://im-hospital.blogspot.com/2012/01/step-1-refer-link.html https://www.youtube.com/watch?v=nR5pbWSzv1c
81. Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อานวยการศูนย์เทคโนโลยีสารสนเทศและการสื่อสาร
สานักงานปลัดกระทรวงสาธารณสุข
Health 4.0 as eHealth Vision
82. Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อานวยการศูนย์เทคโนโลยีสารสนเทศและการสื่อสาร
สานักงานปลัดกระทรวงสาธารณสุข
Health 4.0 & Digital Economy (DE) Roadmap
83. Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อานวยการศูนย์เทคโนโลยีสารสนเทศและการสื่อสาร
สานักงานปลัดกระทรวงสาธารณสุข
DE, MoPH’s 4 Excellence & eHealth