The document discusses integrating the openIMIS health insurance management system into medical education curricula. It provides examples of: - Courses that teach openIMIS skills and how it relates to clinical practice and health insurance processes - Expectations that students will be able to use openIMIS, describe its functions, and uphold ethics in medical informatics - Ways openIMIS data could inform research, health technology decisions, and provider payment models under universal health coverage The document suggests openIMIS training should not just focus on software navigation, but also use scenarios to discuss privacy, ethics and how openIMIS data relates to broader health issues.

1. Integrating openIMIS in the
Undergraduate and Graduate
Medical Curriculum
Iris Thiele Isip Tan MD, MSc
Chief, UP Medical Informatics Unit
Director, UP Manila Interactive Learning Center
University of the Philippines Manila
Photo by Nick Morrison on Unsplash

4. Photo by jesse orrico on Unsplash
MI 220 Medical Informatics
2 units
LU 4 (2nd year medical school)
MS Health Informatics
Medical Informatics track

5. Make learning
visible audible.
Photo by Icons8 Team on Unsplash
Students submit podcasts.
How can healthcare
professionals support patients
who Google?
What is the role of
health informatics in
universal healthcare?
How can wearables be
integrated in patient care?
What are the implications of
using blockchain technology
for electronic health records
with reference to the Data
Privacy Act?
Does the Data Privacy Act
provide enough protection
against ransomware attacks
in healthcare?
Should social media
platforms take responsibility
for medical misinformation
shared on their networks?
What are the responsibilities
of its users?
MI 220

6. WHO (2010). Monitoring the Building Blocks of Health Systems:
A Handbook of Indicators and their Measurement Strategies

8. Ingun P et al. WHO Technical Brief Series 2010
MI 220 Medical Informatics

9. openIMIS Manual (Philippines) Sept 2019
At the end of this course, students are expected to:
• Be adept with the use of OpenIMIS in terms of searching
for or adding a patient and documenting medical services
as rendered through simulated patient cases, (skills lab)
• To effectively navigate the process of Health Insurance from
enrollment, availing medical services and claims with
OpenIMIS, and;
• To uphold values of information accuracy, patient
confidentiality, and professional integrity in the field of
medical informatics.

10. openIMIS Manual (Philippines) Jan 2020
At the end of this course, students are expected to:
• Describe health systems and its core components or building
blocks, and relate these building blocks to clinical practice;
• Use openIMIS to search or to add an insured family or patient
and to documenting medical services as rendered through
simulated patient cases;
• Effectively navigate the process of health insurance management
from registration, enrollment, and documentation of availment of
medical services and claims using openIMIS; and
• Uphold values of ethics, information accuracy, patient
confidentiality, and professional integrity in the field of health
informatics.

11. MS Health Informatics
change to MS Biomedical Informatics
Medical
Informatics track
change to Health
Informatics track
Bioinformatics
track
Data Science
track
CAS
CAS
CM
new track

12. Leader/
Researcher
Develop theories, methods and processes applicable to
generation and use of biomedical data and its analysis.
Problem-solver
Design solutions to biomedical problems using computations
and systems approach, data and information analytics, and
advanced technologies.
Integrate other disciplines (e.g, Computer Science and
Statistics, Social and Behavioral Sciences, Bioengineering,
Management, etc.) to the design and evaluation of information
systems and applicable tools to solve health problems.
Team player
Apply a team approach in solving complex biomedical and
health information problems.
Effective
communicator
Articulate solutions to biomedical information problems to
users.
Filipino
professional
Integrate moral, ethical and social responsibilities as a Filipino
citizen to the practice of the informatics profession.
Proposed MS Biomedical Informatics
Program Learning Outcomes

13. Leader/
Researcher
PLO 1. Develop theories, methods and processes applicable to generation and
use of biomedical data and its analysis.
TLO 1. Create new knowledge in the field of health informatics.
Problem-solver
PLO 2. Design solutions to biomedical problems using computations and systems
approach, data and information analytics, and advanced technologies.
PLO 3. Integrate other disciplines (e.g, Computer Science and Statistics, Social
and Behavioral Sciences, Bioengineering, Management, etc.) to the design and
evaluation of information systems and applicable tools to solve health problems.
TLO 2. Design innovative solutions for problems in health
informatics.
Team player
PLO 4. Apply a team approach in solving complex biomedical and health
information problems.
TLO 3. Demonstrate interprofessional collaborative practice in
solving problems in health informatics.
Effective
communicator
PLO 5. Articulate solutions to biomedical or health information problems to users.
TLO 4. Demonstrate effective communication skills in explaining
solutions to problems in health informatics.
Filipino
professional
PLO 6. Integrate moral, ethical and social responsibilities as a Filipino citizen to the
practice of the informatics profession.
TLO 5. Apply professional practices in health informatics that
incorporate ethical principles & Filipino values.
Proposed MS Biomedical Informatics
Health Informatics Track Learning Outcomes

14. CORE
courses
(5 units)
MAJOR courses
(13 units)
Electives
(6 units)
Clinical &
Consumer
Health
Informatics
Public Health
Informatics
Clinical
Research
Informatics
BMI 201
Introduction to
Biomedical
Informatics
HI 210 Systems Analysis &
Design
HI 216 Data modeling &
design for healthcare
HI 250
Business
Aspects of
Health
Informatics
HPAD 201
Principles of
Health
Administration
CE 223
Informatics
for Clinical
Decision
Making
BMI 271 Ethical
Legal & Social
Issues in
Biomedical
Informatics
HI 207 Organizational Dev’t,
Leadership & Management in
health informatics
HI 224 Health Informatics
Standards & Terminologies
HI 205
Consumer
Health
Informatics
HI 239
Primary
Healthcare
Informatics
HDS 200.3
Programming
for Data
Science
BMI 299
Research
Methods in
Biomedical
Informatics
HI 227 Clinical & Laboratory
Information Systems
HI 238 Application of Internet
Technologies in Healthcare
HI 228
Electronic
Health
Record
Laboratory
HDS 200.2
Statistical
concepts for
data science
HI 219 Data
Warehousing
in Healthcare

15. BMI 299 Research Methods in Biomedical Informatics

16. Myth 1: Relevant outcomes are not measured
• Assess changes affecting medical care utilization, costs, mortality
and morbidity
• Epidemiological research for chronic disease i.e. hypertension
• Longitudinal database to examine consequence of policy changes

17. Myth 2: Unreliable evidence
• Carefully design a study to address claims data’s inherent
limitations (ex. code precision, clerical errors and omission
of comorbidity codes)
• Define determinants of health, outcomes and other
measure of interest then carefully assess whether these
measures exist in claims data and how they are measured
• Can merge claims data with other sources such as the
electronic medical record to overcome limitations

18. Myth 3: Lacks insight into practice
• Administrative data can produce evidence that provides
meaningful insights into public health practice
• Offers advantages for researchers when randomize
controlled trials are not feasible or pose ethical concerns
BMI 299 Research Methods in Biomedical Informatics

19. CORE
courses
(5 units)
MAJOR courses
(13 units)
Electives
(6 units)
Clinical &
Consumer
Health
Informatics
Public Health
Informatics
Clinical
Research
Informatics
BMI 201
Introduction to
Biomedical
Informatics
HI 210 Systems Analysis &
Design
HI 216 Data modeling &
design for healthcare
HI 250
Business
Aspects of
Health
Informatics
HPAD 201
Principles of
Health
Administration
CE 223
Informatics
for Clinical
Decision
Making
BMI 271 Ethical
Legal & Social
Issues in
Biomedical
Informatics
HI 207 Organizational Dev’t,
Leadership & Management in
health informatics
HI 224 Health Informatics
Standards & Terminologies
HI 205
Consumer
Health
Informatics
HI 239
Primary
Healthcare
Informatics
HDS 200.3
Programming
for Data
Science
BMI 299
Research
Methods in
Biomedical
Informatics
HI 227 Clinical & Laboratory
Information Systems
HI 238 Application of Internet
Technologies in Healthcare
HI 228
Electronic
Health
Record
Laboratory
HDS 200.2
Statistical
concepts for
data science
HI 219 Data
Warehousing
in Healthcare

20. Photo by JESHOOTS.COM on Unsplash
Which course and how?
Prerequisites
Undergraduate vs
graduate?

21. openIMIS Manual (Philippines) Sept 2019
At the end of this course, students are expected to:
• Be adept with the use of OpenIMIS in terms of searching
for or adding a patient and documenting medical services
as rendered through simulated patient cases, (skills lab)
• To effectively navigate the process of Health Insurance from
enrollment, availing medical services and claims with
OpenIMIS, and;
• To uphold values of information accuracy, patient
confidentiality, and professional integrity in the field of
medical informatics.

22. Sept 2019

23. openIMIS Manual (Philippines) Jan 2020
At the end of this course, students are expected to:
• Describe health systems and its core components or building
blocks, and relate these building blocks to clinical practice;
• Use openIMIS to search or to add an insured family or patient
and to documenting medical services as rendered through
simulated patient cases;
• Effectively navigate the process of health insurance management
from registration, enrollment, and documentation of availment of
medical services and claims using openIMIS; and
• Uphold values of ethics, information accuracy, patient
confidentiality, and professional integrity in the field of health
informatics.

25. OpenIMIS Manual (Philippines) Jan 2020

26. OpenIMIS Manual (Philippines) Jan 2020

28. OpenIMIS Manual (Philippines) Jan 2020

29. 14. Individuals have the right to request for and be provided
with information about their data and its use as well as to
request corrections of mistakes or omissions. Health Databases
and Biobanks should adopt adequate measures to inform the
concerned individuals about their activities.
How can individuals request for their openIMIS data?

30. • Arrangements for protecting dignity, autonomy, privacy and
preventing discrimination;
• Criteria and procedures concerning the access to and the sharing
of the health data or biological material including the systematic use of
Material Transfer Agreement (MTA) when necessary;
• The person or persons who are responsible for the governance;
• The security measures to prevent unauthorized access or
inappropriate sharing;
• The procedures for re-contacting participants where relevant;
• The procedures for receiving and addressing enquiries and complaints
Governance arrangements must include the following elements -

32. Why are individuals enrolled as part of a group (Family)
in openIMIS? Is the same strategy used by the Philhealth?
What are the implications of such a strategy under the UHC law?

33. How can an individual be accurately identified in
openIMIS? What identifiers are required?

34. Under the UHC law, a Health Technology Assessment Council
was created. How can HTAC use openIMIS data to
inform its decisions on health technologies to be
financed by DOH and Philhealth?

35. In the UHC IRR it is stated that “Philhealth shall adopt any or a
combination of closed-end, prospective provider payment
mechanisms such as capitation, global budget, case-based
payment, per diem or daily charges, and other appropriate
mehanisms.” How are claims managed in openIMIS?
How can openIMIS data inform Philhealth decisions
about provider payments?

36. SUMMARY
To integrate openIMIS in the undergraduate and graduate
medical curriculum -
• Specify prerequisites
• Design training according to user roles or outcomes of
interest
• Do not solely focus on teaching how to navigate openIMIS
software
• Provide scenarios to discuss ethics, privacy, confidentiality and
security as they relate to openIMIS
• Use openIMIS processes/data to get students to ask questions or
think about issues not only in health financing but also public
health research

37. Iris Thiele Isip Tan MD, MSc
icisiptan@up.edu.ph
Photo by Nick Morrison on Unsplash
@endocrine_witch