This document provides an introduction to health informatics, including what the field is, its importance in healthcare, and current issues and opportunities in Thailand. It outlines key areas of health informatics like electronic health records and clinical decision support. It also discusses Thailand's current informatics workforce, educational opportunities, and need to establish national policies and strategies to advance informatics research and education.
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The scientific field that deals with the storage, retrieval, sharing, and optimal use of biomedical information, data, and knowledge for problem solving and decision making.
Medical informatics touches on all basic and applied fields in biomedical science and is closely tied to modern information technologies, notably in the areas of computing and communication
Theera-Ampornpunt N. The intersection of ICT and health informatics research. Presented at: Faculty of ICT, Mahidol University; 2012 Feb 24; Bangkok, Thailand.
Introduction to Health Informatics and Health IT in Clinical Settings (Part 1...Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 17, 2020
Presented at the 8th Healthcare CIO Certificate Program, Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 12, 2018
Defining Biomedical Informatics and its Relationship to Dental Research and P...sathish sak
The scientific field that deals with the storage, retrieval, sharing, and optimal use of biomedical information, data, and knowledge for problem solving and decision making.
Medical informatics touches on all basic and applied fields in biomedical science and is closely tied to modern information technologies, notably in the areas of computing and communication
Theera-Ampornpunt N. The intersection of ICT and health informatics research. Presented at: Faculty of ICT, Mahidol University; 2012 Feb 24; Bangkok, Thailand.
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Presented at the 8th Healthcare CIO Certificate Program, Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 12, 2018
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Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
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Theera-Ampornpunt N. Information and technology: emergency medical informatics. Presented at: The International Conference in Emergency Medicine: Challenges in Emergency Medicine: It’s Time for Change!; 2012 Feb 1; Bangkok, Thailand. Invited speaker.
Talk entitled "from the Virtual Human to a Digital Me" presented at the Virtual Physiological Human 2012 Conference held at IET Savoy, Savoy Place, London, 18-20 September 2012.
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Next Step of Health Informatics Education and Research in Thailand
1. Next Step of Health Informatics
Education and Research
Ed ti dR h
in Thailand
Nawanan Theera-Ampornpunt, MD, MS (Health Informatics)
Faculty of Medicine Ramathibodi Hospital
PhD Candidate in Health Informatics, Uni ersit of Minnesota
Informatics University
http://www.slideshare.net/nawanan
August 21, 2010
21
This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Thailand License. http://creativecommons.org/licenses/by-nc/3.0/th/
2. Session Outline
• Introduction about the field
• Thailand’s research in ICT in healthcare
Thailand s
• Thailand’s educational landscape in ICT
& health i f
h lth informatics
ti
• National policy a d st ateg es for ICT
at o a po cy and strategies o C
& informatics workforce development,
research,
research and education
2
4. What Is Informatics?
• The discipline focused on acquisition,
storage, and use of information in a
g ,
specific setting or domain (Hersh, 2009)
• Scientific study of information
( e s a e al, 0 0)
(Bernstam et a , 2010)
• How is it different from computer science?
p
4
5. What Is Informatics?
Knowledge
g
Knowledge
K l d management
Information Informatics
(Data + Meaning)
Computer
Data Science
5
6. What’s Health Informatics?
• Formerly known as “Medical Informatics”
(this term is being retired)
• Health Informatics = Biomedical Informatics
• Informatics in biomedicine and health
– Personal health and wellbeing
– Health care
– Public health (epidemiology, policy, environment)
– Biomedical research
– Education of health professionals
6
8. Informatics & Other Fields
Social Sciences
(Psychology, Statistics &
Sociology, Research
Linguistics, Law Methods
& Ethics)
Cognitive & Medical
Decision Sciences &
Science Public Health
Engineering Management
Computer & Biomedical/ Library Science,
Information Health Information
Science Retrieval, KM
Informatics
8
10. Why Health Informatics?
• Information is at the heart of biomedicine
p
• Health care is not simple
– People’s business
– Biological organisms vs. engineered machines
g g g
– Uncertainty in medicine
– Life and death
– Complex and heterogeneous nature of information &
knowledge
10
12. The Role of Informaticians
I want a system that helps me
make DDx, warns me when I’m
about to make a mistake, like
giving Aminoglycoside to a
patient with CRF, reminds me
when I forget to follow CPG for
DM patients, and most
importantly, don’t get between
me and my patients!
12
13. The Role of Informaticians
Not a problem, Doc! I will first need
to understand what DDx
DDx,
I want a system that helps me
Aminoglycoside, CRF, CPG, DM
make are, and then I’ll whenwriting UML
DDx, warns me start I’m
aboutandmake a mistake, like
to design the ER Diagram I’m
Diagram. I m
giving Aminoglycoside to a web app
thinking about using a
patient with CRF, remindswe’ll need to
with AJAX. I believe me
when I forgetfrom MySQL to for
migrate to follow CPG some other
DM patients, and most Linux web
DBMS, and ideally a
importantly, don’t get between
server. It will probably need SSL
me and my patients! think?
too. What do you
y
13
14. The Result
Washington Post (
g (March 21, 2005)
, 5)
“One of the most important lessons learned to date is that the complexity
of human change management may be easily underestimated”
Langberg ML (2003) in “Challenges to implementing CPOE: a case study of a work in progress at Cedars-Sinai”
14
15. The Role of Informaticians
Medical Technical
Language Language
Knowledge of Knowledge of Key
Clinical Reasoning &
g Technical Issues
Healthcare Processes Relevant to Health Care
15
17. Key Areas in Health Informatics
• Clinical applications
– Electronic Health Records (EHRs)
– Computerized Physician Order Entry (CPOE)
– Clinical Decision Support Systems (CDSSs)
– Personal Health Records (PHRs)
– Health Information Exchange (HIE)
• People & Organizational Issues in Informatics
• Standards
• Privacy & Security of Health Information
• Clinical Research I f
Cli i l R h Informatics
ti
17
18. Current Workforce
• ~10-15 clinicians with strong IT experience who
can be considered “thought leaders”
• 2 MD/PhD in Information Science/Informatics
• 2-3 PhD or Post-Doc in Health Informatics
23 Post Doc
• 3 MD & 1 Pharm + Masters in H/M Informatics
• Other clinicians with some IT/informatics training
(unknown #)
• IT management & staff (not trained in informatics)
(unknown #)
• Estimated needs: 1 per 50-60 staff (Hersh, 2008)
18
19. Educational Opportunities
• Certificates
g
• Undergraduate
– ICT/Engineering with health care focus
– MD with some informatics background
g
– Electives
• MS/PhD in Health Informatics
– Integrate students with health & IT backgrounds
• MD/MS & MD/PhD in Health Informatics
• Fellowship in Health Informatics?
19
20. Next?
• What are the active areas of research at the intersection
of ICT and healthcare?
– Success factors/issues?
• What are the landscape of currently available curricula in
ICT and informatics?
• How to establish a high-quality academic program in
health informatics in Thailand?
ea o a cs a a d
• Who sets the national policy in the area of ICT &
informatics?
• What should be the strategies for moving the country’s
informatics education & research forward?
20
21. References
• Bernstam EV S i h JW J h
B EV, Smith JW, Johnson TR Wh i bi
TR. What is biomedical
di l
informatics? J Biomed Inform. 2010 Feb;43(1):104-10.
• Friedman CP. A "fundamental theorem" of biomedical informatics.
J Am Med Inform Assoc. 2009 Apr;16(2):169-70.
• Hersh W. A stimulus to define informatics and health information
technology.
technology BMC Med Inform Decis Mak 2009;9:24
Mak. 2009;9:24.
• Hersh W. Health and biomedical informatics: opportunities and
challenges for a twenty-first century profession and its education.
Yearb Med Inform. 2008:157-64.
• Shortliffe EH. JBI status report. Journal of Biomedical Informatics.
2002 Oct;35(5-6):279-80
Oct;35(5 6):279 80.
21