This document discusses ethical issues around social media and privacy in healthcare. It notes that Thailand saw a large increase in internet users between 2016 and 2017, with most users being aged 20-29. It then presents several case studies of situations where social media posts raised privacy or ethical concerns. The document outlines ethical principles like autonomy and non-maleficence that relate to health information privacy. It also reviews Thai laws around protecting patient health information privacy and provides resources on best practices for social media use by health professionals.
1. The document discusses privacy preservation techniques for knowledge discovery from published data. It aims to anonymize data before release to limit disclosure risk while maximizing usefulness.
2. Three types of information disclosure are defined: membership, identity, and attribute disclosure. Identity disclosure occurs when a record is linked to an individual, while attribute disclosure reveals sensitive attributes about individuals.
3. Data anonymization techniques aim to prevent these disclosures. Explicit identifiers are first removed, then techniques like generalization and suppression are used to anonymize quasi-identifiers to prevent identity and attribute disclosures.
Seminar General Data Protection RegulationAxon Lawyers
The document summarizes key points from a seminar on data protection and the new General Data Protection Regulation (GDPR). It discusses definitions of personal data and health data, consent requirements, privacy by design, data transfers, security obligations, data breaches, the data protection officer role, and impact assessments. The new GDPR brings significant changes including tougher consent standards, higher fines for violations, additional rights for data subjects, and new responsibilities for processors. Member states still have flexibility in some implementation areas, and full compliance will require preparation.
The document summarizes key points from a seminar on data protection and the new General Data Protection Regulation (GDPR). It discusses definitions of personal data and health data, consent requirements, privacy by design, data transfers, security obligations, data breaches, the data protection officer role, and impact assessments. The new GDPR brings significant changes including tougher consent standards, higher fines for violations, additional rights for data subjects, and new responsibilities for processors. Member states still have flexibility in some implementation areas, and full compliance will require preparation.
This document provides an overview of information and communications technology (ICT) in healthcare. It discusses the concept of a "smart hospital" and how digitizing healthcare can help hospitals become smarter. A smart hospital is focused on using health IT and digital tools to improve quality of care, patient outcomes, and care delivery processes. The document outlines challenges to making healthcare smarter and provides examples of how technologies like electronic health records, clinical decision support, and health information exchange can help address issues like medical errors and support high quality care. The overall goal of health IT initiatives should be to link technology investments to meaningful improvements in healthcare quality, safety, efficiency and patient-centered care.
This document provides an overview of the key elements of the UK Data Protection Act of 1998 as amended in 2000. It explains that the Act aims to protect personal data by regulating its processing. It outlines the main roles in the Act, including Data Controller, Data Processor, and Data Subject. It defines what types of data are covered, the principles Data Controllers must comply with, and individuals' rights. Exceptions to the Act are noted. Requirements for businesses and staff responsibilities are also reviewed.
The document provides an overview of Malaysia's Personal Data Protection Act 2010. It discusses key aspects of the Act including the establishment of a Personal Data Protection Commissioner, the 7 data protection principles, and requirements around notice, consent, disclosure, security, retention, data integrity and access. It also discusses some examples of data breaches and penalties for non-compliance. The Act aims to regulate the processing of personal data and protect privacy as digital data and internet usage continues to grow significantly.
Presented at the Navamindradhiraj University National Conference 2018 "Networking in the Smart City : Collaboration of Smart Health and Smart Community" on July 13, 2018
This document discusses ethical issues around social media and privacy in healthcare. It notes that Thailand saw a large increase in internet users between 2016 and 2017, with most users being aged 20-29. It then presents several case studies of situations where social media posts raised privacy or ethical concerns. The document outlines ethical principles like autonomy and non-maleficence that relate to health information privacy. It also reviews Thai laws around protecting patient health information privacy and provides resources on best practices for social media use by health professionals.
1. The document discusses privacy preservation techniques for knowledge discovery from published data. It aims to anonymize data before release to limit disclosure risk while maximizing usefulness.
2. Three types of information disclosure are defined: membership, identity, and attribute disclosure. Identity disclosure occurs when a record is linked to an individual, while attribute disclosure reveals sensitive attributes about individuals.
3. Data anonymization techniques aim to prevent these disclosures. Explicit identifiers are first removed, then techniques like generalization and suppression are used to anonymize quasi-identifiers to prevent identity and attribute disclosures.
Seminar General Data Protection RegulationAxon Lawyers
The document summarizes key points from a seminar on data protection and the new General Data Protection Regulation (GDPR). It discusses definitions of personal data and health data, consent requirements, privacy by design, data transfers, security obligations, data breaches, the data protection officer role, and impact assessments. The new GDPR brings significant changes including tougher consent standards, higher fines for violations, additional rights for data subjects, and new responsibilities for processors. Member states still have flexibility in some implementation areas, and full compliance will require preparation.
The document summarizes key points from a seminar on data protection and the new General Data Protection Regulation (GDPR). It discusses definitions of personal data and health data, consent requirements, privacy by design, data transfers, security obligations, data breaches, the data protection officer role, and impact assessments. The new GDPR brings significant changes including tougher consent standards, higher fines for violations, additional rights for data subjects, and new responsibilities for processors. Member states still have flexibility in some implementation areas, and full compliance will require preparation.
This document provides an overview of information and communications technology (ICT) in healthcare. It discusses the concept of a "smart hospital" and how digitizing healthcare can help hospitals become smarter. A smart hospital is focused on using health IT and digital tools to improve quality of care, patient outcomes, and care delivery processes. The document outlines challenges to making healthcare smarter and provides examples of how technologies like electronic health records, clinical decision support, and health information exchange can help address issues like medical errors and support high quality care. The overall goal of health IT initiatives should be to link technology investments to meaningful improvements in healthcare quality, safety, efficiency and patient-centered care.
This document provides an overview of the key elements of the UK Data Protection Act of 1998 as amended in 2000. It explains that the Act aims to protect personal data by regulating its processing. It outlines the main roles in the Act, including Data Controller, Data Processor, and Data Subject. It defines what types of data are covered, the principles Data Controllers must comply with, and individuals' rights. Exceptions to the Act are noted. Requirements for businesses and staff responsibilities are also reviewed.
The document provides an overview of Malaysia's Personal Data Protection Act 2010. It discusses key aspects of the Act including the establishment of a Personal Data Protection Commissioner, the 7 data protection principles, and requirements around notice, consent, disclosure, security, retention, data integrity and access. It also discusses some examples of data breaches and penalties for non-compliance. The Act aims to regulate the processing of personal data and protect privacy as digital data and internet usage continues to grow significantly.
Presented at the Navamindradhiraj University National Conference 2018 "Networking in the Smart City : Collaboration of Smart Health and Smart Community" on July 13, 2018
The document discusses information and communication technology (ICT) in healthcare. It begins with an introduction to the speaker, Nawanan Theera-Ampornpunt, which includes their background and credentials. The presentation then discusses various aspects of digitizing healthcare, including what constitutes a "smart hospital" compared to just a digital or paperless hospital. Key points are that a smart hospital focuses on using technology and information to improve quality, safety, efficiency and other aspects of patient care. The presentation also covers why healthcare needs ICT, examples of health IT tools, and the importance of standards to enable information exchange and interoperability between different healthcare providers and systems.
The document discusses the concept of a "smart hospital" and how information and communication technologies (ICT) can help digitize healthcare and make it smarter by reducing errors, improving access to patient information, and helping address the fragmented nature of healthcare through standards-based health information exchange. The talk outlines how ICT can add value to healthcare through improved guideline adherence, safety, decision making, and patient education.
This document provides an overview of a presentation on ICT in healthcare in Thailand 4.0. It begins with introducing the speaker, Nawanan Theera-Ampornpunt, who has a MD and PhD in health informatics. The presentation then covers various topics including defining what a "smart hospital" is compared to a digital or paperless hospital, healthcare stages from 1.0 to 4.0, and how information technology can help address issues in healthcare like errors, access to information, and fragmentation. The presentation emphasizes that health IT should focus on quality improvement and using standards to enable information exchange and interoperability.
This document provides an overview of a presentation on health IT for Vichaiyut Hospital's 17th Conference in 2018. It was presented by Nawanan Theera-Ampornpunt, an assistant dean for informatics and lecturer at Mahidol University. The presentation discusses how healthcare differs from manufacturing and banking in its complexity, and argues that healthcare can still benefit from technology by focusing on information and process improvement rather than just implementing technology. It also summarizes landmark reports calling for healthcare reform and the role health IT can play in improving quality and patient safety.
This document provides an overview of hospital IT management from Nawanan Theera-Ampornpunt. It begins with an introduction of the author's background and credentials. The presentation outline is then shown, covering why health IT is needed in hospitals, what forms it takes, and how it should be managed. Key points include the importance of information in healthcare, the risks of medical errors, the value of clinical decision support, and the need to balance technology, people and processes. The presentation emphasizes linking IT to quality improvement rather than seeing it as an end in itself, and ensuring IT aligns with and enhances the overall organizational context.
This document discusses digital health care and IT Thailand 4.0. It begins with an introduction of the speaker, Dr. Nawanan Theera-Ampornpunt, who has a PhD in health informatics. The document then explores various aspects of digital health, including wearable devices, digitizing hospitals, smart manufacturing, banking and healthcare. It discusses the differences and challenges of making healthcare smart compared to other industries. The document emphasizes using health IT to improve quality including reducing errors, and focuses on information and process improvement rather than just technology. It outlines various areas of health informatics and examples of health IT used in clinical, public health and consumer settings.
This document discusses digital health transformation and the concept of a "smart hospital". It begins by looking at various technologies like artificial intelligence, cloud computing, the internet of things, and how they are impacting healthcare. It then defines what a smart hospital is, differentiating it from just a digital or paperless hospital. Specifically, a smart hospital leverages health information technology to improve the quality of care by making it safer, more timely, effective, patient-centered and efficient. The document outlines how technologies like electronic health records, computerized physician order entry, and clinical decision support systems can help hospitals achieve these goals and move towards becoming truly smart.
Presented at "Hospital Management 2015" Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 18, 2015
A document discusses introducing information technology systems into healthcare services. It begins by introducing the speaker, Dr. Nawanan Theeramamphorn, who has a PhD in health informatics. The presentation then outlines the topics to be covered, including the road to digitizing healthcare, what a "smart hospital" is, and how to move toward a smart hospital.
The Road toward a Smart Hospital (Presented at Roi Et Hospital) (2 Feb 2016)Nawanan Theera-Ampornpunt
The document discusses guidelines for managing Roi Et Hospital towards becoming a "Smart Hospital". It introduces Dr. Nawanan Theera-Ampornpunt, who received his medical degree in 2002 and PhD in Health Informatics from the University of Minnesota in 2014. His interests include using health IT to improve quality of care, IT management, security and privacy. The document then outlines the topics to be covered, including the road to digitizing healthcare, what constitutes a "smart hospital", and how to move towards becoming a smarter hospital.
Presented at the 9th Thailand Pharmacy Congress: Smart Aging Life & Digital Pharmacy 4.0, The Pharmaceutical Association of Thailand under Royal Patronage on November 18, 2017.
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.
1) The document discusses a presentation given at a health IT training course for military medical executives in Thailand.
2) The presenter has a medical degree and PhD in health informatics from the University of Minnesota and currently teaches at Ramathibodi Hospital.
3) The presentation covers why health IT is needed in healthcare, what forms it takes (e.g. EHRs, CPOE), and how hospital IT should be managed with a focus on quality, safety, and people over technology.
1) The document discusses a presentation on health IT for executives given at the Royal Thai Navy Medical Department's fiscal year 2016 budget training course for medical administration.
2) The presentation was given by Dr. Nawanan Theera-Ampornpunt, who has medical and health informatics degrees from Ramathibodi Hospital and the University of Minnesota.
3) The presentation covers why health IT is needed in healthcare, examples of health IT tools and their uses, and how to manage IT in healthcare organizations by balancing people, processes and technology.
Health IT in hospitals includes various systems like electronic health records, computerized physician order entry, picture archiving systems, and more. These systems can help reduce errors, improve access to information, and enhance care coordination in a fragmented healthcare system. However, selecting and implementing the right health IT requires a focus on using standards to allow information sharing, rather than seeking a single, unified system.
Presented at the Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2019
The document discusses using future technology with executives in the era of Industry 4.0. It describes a lecture on medical governance certification for senior executives. The speaker has a PhD in health informatics and is an assistant dean and community medicine professor. He discusses why healthcare is not yet "smart" like manufacturing due to its complex and varied nature. Health IT can help improve quality by supporting clinical decisions, documenting care, and reducing errors through alerts. However, technology also poses risks like alert fatigue if not implemented carefully with a focus on users and processes.
Presented at the Healthcare CEO50 Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
The document discusses information and communication technology (ICT) in healthcare. It begins with an introduction to the speaker, Nawanan Theera-Ampornpunt, which includes their background and credentials. The presentation then discusses various aspects of digitizing healthcare, including what constitutes a "smart hospital" compared to just a digital or paperless hospital. Key points are that a smart hospital focuses on using technology and information to improve quality, safety, efficiency and other aspects of patient care. The presentation also covers why healthcare needs ICT, examples of health IT tools, and the importance of standards to enable information exchange and interoperability between different healthcare providers and systems.
The document discusses the concept of a "smart hospital" and how information and communication technologies (ICT) can help digitize healthcare and make it smarter by reducing errors, improving access to patient information, and helping address the fragmented nature of healthcare through standards-based health information exchange. The talk outlines how ICT can add value to healthcare through improved guideline adherence, safety, decision making, and patient education.
This document provides an overview of a presentation on ICT in healthcare in Thailand 4.0. It begins with introducing the speaker, Nawanan Theera-Ampornpunt, who has a MD and PhD in health informatics. The presentation then covers various topics including defining what a "smart hospital" is compared to a digital or paperless hospital, healthcare stages from 1.0 to 4.0, and how information technology can help address issues in healthcare like errors, access to information, and fragmentation. The presentation emphasizes that health IT should focus on quality improvement and using standards to enable information exchange and interoperability.
This document provides an overview of a presentation on health IT for Vichaiyut Hospital's 17th Conference in 2018. It was presented by Nawanan Theera-Ampornpunt, an assistant dean for informatics and lecturer at Mahidol University. The presentation discusses how healthcare differs from manufacturing and banking in its complexity, and argues that healthcare can still benefit from technology by focusing on information and process improvement rather than just implementing technology. It also summarizes landmark reports calling for healthcare reform and the role health IT can play in improving quality and patient safety.
This document provides an overview of hospital IT management from Nawanan Theera-Ampornpunt. It begins with an introduction of the author's background and credentials. The presentation outline is then shown, covering why health IT is needed in hospitals, what forms it takes, and how it should be managed. Key points include the importance of information in healthcare, the risks of medical errors, the value of clinical decision support, and the need to balance technology, people and processes. The presentation emphasizes linking IT to quality improvement rather than seeing it as an end in itself, and ensuring IT aligns with and enhances the overall organizational context.
This document discusses digital health care and IT Thailand 4.0. It begins with an introduction of the speaker, Dr. Nawanan Theera-Ampornpunt, who has a PhD in health informatics. The document then explores various aspects of digital health, including wearable devices, digitizing hospitals, smart manufacturing, banking and healthcare. It discusses the differences and challenges of making healthcare smart compared to other industries. The document emphasizes using health IT to improve quality including reducing errors, and focuses on information and process improvement rather than just technology. It outlines various areas of health informatics and examples of health IT used in clinical, public health and consumer settings.
This document discusses digital health transformation and the concept of a "smart hospital". It begins by looking at various technologies like artificial intelligence, cloud computing, the internet of things, and how they are impacting healthcare. It then defines what a smart hospital is, differentiating it from just a digital or paperless hospital. Specifically, a smart hospital leverages health information technology to improve the quality of care by making it safer, more timely, effective, patient-centered and efficient. The document outlines how technologies like electronic health records, computerized physician order entry, and clinical decision support systems can help hospitals achieve these goals and move towards becoming truly smart.
Presented at "Hospital Management 2015" Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 18, 2015
A document discusses introducing information technology systems into healthcare services. It begins by introducing the speaker, Dr. Nawanan Theeramamphorn, who has a PhD in health informatics. The presentation then outlines the topics to be covered, including the road to digitizing healthcare, what a "smart hospital" is, and how to move toward a smart hospital.
The Road toward a Smart Hospital (Presented at Roi Et Hospital) (2 Feb 2016)Nawanan Theera-Ampornpunt
The document discusses guidelines for managing Roi Et Hospital towards becoming a "Smart Hospital". It introduces Dr. Nawanan Theera-Ampornpunt, who received his medical degree in 2002 and PhD in Health Informatics from the University of Minnesota in 2014. His interests include using health IT to improve quality of care, IT management, security and privacy. The document then outlines the topics to be covered, including the road to digitizing healthcare, what constitutes a "smart hospital", and how to move towards becoming a smarter hospital.
Presented at the 9th Thailand Pharmacy Congress: Smart Aging Life & Digital Pharmacy 4.0, The Pharmaceutical Association of Thailand under Royal Patronage on November 18, 2017.
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.
1) The document discusses a presentation given at a health IT training course for military medical executives in Thailand.
2) The presenter has a medical degree and PhD in health informatics from the University of Minnesota and currently teaches at Ramathibodi Hospital.
3) The presentation covers why health IT is needed in healthcare, what forms it takes (e.g. EHRs, CPOE), and how hospital IT should be managed with a focus on quality, safety, and people over technology.
1) The document discusses a presentation on health IT for executives given at the Royal Thai Navy Medical Department's fiscal year 2016 budget training course for medical administration.
2) The presentation was given by Dr. Nawanan Theera-Ampornpunt, who has medical and health informatics degrees from Ramathibodi Hospital and the University of Minnesota.
3) The presentation covers why health IT is needed in healthcare, examples of health IT tools and their uses, and how to manage IT in healthcare organizations by balancing people, processes and technology.
Health IT in hospitals includes various systems like electronic health records, computerized physician order entry, picture archiving systems, and more. These systems can help reduce errors, improve access to information, and enhance care coordination in a fragmented healthcare system. However, selecting and implementing the right health IT requires a focus on using standards to allow information sharing, rather than seeking a single, unified system.
Presented at the Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2019
The document discusses using future technology with executives in the era of Industry 4.0. It describes a lecture on medical governance certification for senior executives. The speaker has a PhD in health informatics and is an assistant dean and community medicine professor. He discusses why healthcare is not yet "smart" like manufacturing due to its complex and varied nature. Health IT can help improve quality by supporting clinical decisions, documenting care, and reducing errors through alerts. However, technology also poses risks like alert fatigue if not implemented carefully with a focus on users and processes.
Presented at the Healthcare CEO50 Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
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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.
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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.
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ICT and Health Informatics (September 3, 2018)
1. ICT and Health Informatics
Nawanan Theera-Ampornpunt
September 3, 2018
2. 2
2003 M.D. (First-Class Honors)
2011 Ph.D. (Health Informatics), Univ. of Minnesota
Assistant Dean for Informatics
Lecturer, Department of Community Medicine
Faculty of Medicine Ramathibodi Hospital
Mahidol University
Interests: Health IT for Quality of Care, Social Media
IT Management, Security & Privacy
nawanan.the@mahidol.ac.th
SlideShare.net/Nawanan
นวนรรน ธีระอัมพรพันธุ์ (Nawanan Theera-Ampornpunt)
Line ID: NawananT
Introduction
3. 3
The Road to Digitizing Healthcare
What is a “Smart Hospital”?
Toward a “Smart” Hospital
Outline
10. 10
• Life-or-Death
• Difficult to automate human decisions
– Nature of business
– Many & varied stakeholders
– Evolving standards of care
• Fragmented, poorly-coordinated systems
• Large, ever-growing & changing body of
knowledge
• High volume, low resources, little time
Why Healthcare Isn’t (Yet) “Smart”?
11. 11
But...Are We That Different?
Input Process Output
Transfer
Banking
Value-Add
- Security
- Convenience
- Customer Service
Location A Location B
13. 13
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
But...Are We That Different?
14. 14
• Large variations & contextual dependence
Input Process Output
Patient
Presentation
Decision-
Making
Biological
Responses
Standardizing Healthcare
15. 15
The World of Smart Machines
Image Sources: http://www.ibtimes.com/google-deepminds-alphago-
program-defeats-human-go-champion-first-time-ever-2283700
http://deepmind.com/
18. 18
• “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
25. 25
Healthcare 1.0
• Thai Traditional Medicine in the Ancient Times
Healthcare 1.0 - 4.0 is the speaker’s personal opinion and may not represent official views of the Ministry of Public Health
Image & Caption Source: http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-detail.html
http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-infodetail02.html
การย่อยขนาดตัวยาสมุนไพร โดยใช้ครกตาและหินบดยา
ของโรงศิริราชพยาบาล (ปัจจุบันคือ โรงพยาบาลศิริราช)
คนไทยสมัยก่อนมักให้บุคคลในครอบครัวบีบนวดได้
26. 26
Healthcare 2.0
• Modern (Western) Medicine
Healthcare 1.0 - 4.0 is the speaker’s personal opinion and may not represent official views of the Ministry of Public Health
Image & Caption Source: http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-detail.html
http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-infodetail02.html
27. 27
Healthcare 3.0
• Quality-Driven Healthcare
Healthcare 1.0 - 4.0 is the speaker’s personal opinion and may not represent official views of the Ministry of Public Health
Image & Caption Source: http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-detail.html
http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-infodetail02.html
28. 28
Healthcare 4.0
• Smart Healthcare & Smart Hospital
Healthcare 1.0 - 4.0 is the speaker’s personal opinion and may not represent official views of the Ministry of Public Health
Image & Caption Source: http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-detail.html
http://kanchanapisek.or.th/kp6/sub/book/book.php?book=33&chap=8&page=t33-8-infodetail02.html
38. 38
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?
39. 39
• 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
44. 44
• Safe
–Drug allergies
–Medication Reconciliation
• Timely
–Complete information at point of
care
• Effective
–Better clinical decision-making
Image Source: http://www.flickr.com/photos/childrensalliance/3191862260/
Being “Smart” in Healthcare
45. 45
• Efficient
–Faster care
–Time & cost savings
–Reducing unnecessary tests
• Equitable
–Access to providers & knowledge
• Patient-Centered
–Empowerment & better self-care
Being “Smart” in Healthcare
47. 47
• 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
48. 48
Summary of These Reports
• 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
49. 49
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
50. 50Image Source: Suthan Srisangkaew, Department of Pathology, Facutly of Medicine Ramathibodi Hospital
To Err is Human 2: Memory
51. 51
• Cognitive Errors - Example: Decoy Pricing
The Economist Purchase Options
• Economist.com subscription $59
• Print subscription $125
• Print & web subscription $125
Ariely (2008)
16
0
84
The Economist Purchase Options
• Economist.com subscription $59
• Print & web subscription $125
68
32
# of
People
# of
People
To Err is Human 3: Cognition
52. 52
• It already happens....
(Mamede et al., 2010; Croskerry, 2003; Klein,
2005; Croskerry, 2013)
What If This Happens in Healthcare?
53. 53
Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ. 2005 Apr 2;330(7494):781-3.
“Everyone makes mistakes. But our reliance on
cognitive processes prone to bias makes
treatment errors more likely than we think”
Cognitive Biases in Healthcare
54. 54
• Medication Errors
–Drug Allergies
–Drug Interactions
• Ineffective or inappropriate treatment
• Redundant orders
• Failure to follow clinical practice guidelines
Common Errors
56. 56
External Memory
Knowledge Data
Long Term Memory
Knowledge Data
Inference
DECISION
PATIENT
Perception
Attention
Working
Memory
CLINICIAN
Elson, Faughnan & Connelly (1997)
Clinical Decision Making
61. 61
Why We Need ICT
in Healthcare?
#3: Because access to
high-quality patient information
should improve care
62. 62
Why We Need ICT
in Healthcare?
#4: Because healthcare at
all levels is fragmented &
in need of process
improvement
63. 63
Documented Values of Health IT
• Guideline adherence
• Better documentation
• Practitioner decision making or
process of care
• Medication safety
• Patient surveillance &
monitoring
• Patient education/reminder
65. 65
Use of information and communications
technology (ICT) in health & healthcare
settings
Source: The Health Resources and Services Administration, Department of Health
and Human Service, USA
Slide adapted from: Dr. Boonchai Kijsanayotin
Health IT
66. 66
Use of information and communications
technology (ICT) for health; Including
• Treating patients
• Conducting research
• Educating the health workforce
• Tracking diseases
• Monitoring public health.
Sources: 1) WHO Global Observatory of eHealth (GOe) (www.who.int/goe)
2) World Health Assembly, 2005. Resolution WHA58.28
Slide adapted from: Mark Landry, WHO WPRO & Dr. Boonchai Kijsanayotin
eHealth
67. 67
eHealth Health IT
Slide adapted from: Dr. Boonchai Kijsanayotin
eHealth & Health IT
69. 69
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. 74
Incarnations of Health IT
Clinical
Informatics
Public
Health
Informatics
Consumer
Health
Informatics
HIS/CIS
EHRs
Computerized Physician
Order Entry (CPOE)
Clinical Decision
Support Systems
(CDS) (including AI)
Closed Loop
Medication
PACS/RIS
LIS
Nursing
Apps
Disease Surveillance
(Active/Passive)
Business
Intelligence &
Dashboards
Telemedicine
Real-time Syndromic
Surveillance
mHealth for Public
Health Workers &
Volunteers
PHRs
Health Information
Exchange (HIE)
eReferral
mHealth for
Consumers
Wearable
Devices
Social
Media
Copyright Nawanan Theera-Ampornpunt (2018)
79. 79
• 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?
80. 80
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 & Truths on Standards
81. 81
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 & Truths on Standards
82. 82
Being Smart #5:
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
83. 83
The Road to Digitizing Healthcare
What is a “Smart Hospital”?
Toward a “Smart” Hospital
Outline
87. 87
Clinical Decision Support Systems
• CDSS as a replacement or supplement of
clinicians?
– The demise of the “Greek Oracle” model (Miller & Masarie, 1990)
The “Greek Oracle” Model
The “Fundamental Theorem” Model
Friedman (2009)
Wrong Assumption
Correct Assumption
94. 94
2003 M.D. (First-Class Honors)
2011 Ph.D. (Health Informatics), Univ. of Minnesota
Assistant Dean for Policy and Informatics
Lecturer, Department of Community Medicine
Faculty of Medicine Ramathibodi Hospital
Mahidol University
Interests: Health IT for Quality of Care, Social Media
IT Management, Security & Privacy
nawanan.the@mahidol.ac.th
SlideShare.net/Nawanan
นวนรรน ธีระอัมพรพันธุ์ (Nawanan Theera-Ampornpunt)
Line ID: NawananT
Q&A