The document provides an overview of health information technology (IT) and its application for clinical care improvement in Thailand. It discusses why healthcare is complex and error-prone, and how health IT such as electronic health records, computerized provider order entry, and clinical decision support systems can help address issues like medical errors, fragmented care, and inefficient processes. The document then summarizes Thailand's current eHealth situation, noting siloed systems, little integration and interoperability, and a lack of national leadership in eHealth. Survey results show adoption of basic electronic health records in around 50% of hospitals, but more limited adoption of comprehensive EHR systems.
The document provides an introduction to clinical decision support systems (CDS) given by Nawanan Theera-Ampornpunt. It begins with an outline of the topics to be covered, including healthcare and information technology, clinical decision making, types of CDS, and issues related to CDS implementation. Examples of CDS include alerts and reminders, reference information, and expert systems. The goal of CDS is to enhance health-related decisions and care through organized clinical knowledge and patient information.
This document discusses the roles of health information technology (IT) in healthcare. It begins by explaining how healthcare is complex with many stakeholders and evolving standards. Health IT can help address issues like medical errors, fragmented systems, and the large and growing body of clinical knowledge. The document then examines how various forms of health IT, like electronic health records and telemedicine, can support the goals of high quality healthcare by improving safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness. However, the document cautions that health IT should not be adopted just for its own sake, but to strategically improve care and outcomes.
Case Studies in Health IT Implementation & Sociotechnical Aspect of Health In...Nawanan Theera-Ampornpunt
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on September 15, 2016
Health information technology (HIT) aims to improve various dimensions of healthcare quality. HIT can help enhance safety through drug allergy checks, alerts, and prevention of medication errors. It allows for timeliness by providing timely access to patient information. Effectiveness may be increased through reminders for guidelines, order sets, and access to evidence. Efficiency could be gained through automation, lean processes, and reduction of redundant tests. Equity may be improved by reducing barriers to access. And patient-centeredness may be supported by engaging and empowering patients through access to their own information.
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.
The document provides an overview of biomedical informatics. It defines biomedical informatics as the interdisciplinary field that studies and pursues the effective uses of biomedical data, information, and knowledge for scientific inquiry, problem solving, and decision making, motivated by efforts to improve human health. It notes that biomedical informatics develops, studies and applies theories, methods and processes for the generation, storage, retrieval, use, and sharing of biomedical data, information, and knowledge. Biomedical informatics investigates and supports reasoning, modeling, simulation, experimentation and translation across the spectrum from molecules to populations.
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.
The document provides an overview of health information technology (IT) and its application for clinical care improvement in Thailand. It discusses why healthcare is complex and error-prone, and how health IT such as electronic health records, computerized provider order entry, and clinical decision support systems can help address issues like medical errors, fragmented care, and inefficient processes. The document then summarizes Thailand's current eHealth situation, noting siloed systems, little integration and interoperability, and a lack of national leadership in eHealth. Survey results show adoption of basic electronic health records in around 50% of hospitals, but more limited adoption of comprehensive EHR systems.
The document provides an introduction to clinical decision support systems (CDS) given by Nawanan Theera-Ampornpunt. It begins with an outline of the topics to be covered, including healthcare and information technology, clinical decision making, types of CDS, and issues related to CDS implementation. Examples of CDS include alerts and reminders, reference information, and expert systems. The goal of CDS is to enhance health-related decisions and care through organized clinical knowledge and patient information.
This document discusses the roles of health information technology (IT) in healthcare. It begins by explaining how healthcare is complex with many stakeholders and evolving standards. Health IT can help address issues like medical errors, fragmented systems, and the large and growing body of clinical knowledge. The document then examines how various forms of health IT, like electronic health records and telemedicine, can support the goals of high quality healthcare by improving safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness. However, the document cautions that health IT should not be adopted just for its own sake, but to strategically improve care and outcomes.
Case Studies in Health IT Implementation & Sociotechnical Aspect of Health In...Nawanan Theera-Ampornpunt
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on September 15, 2016
Health information technology (HIT) aims to improve various dimensions of healthcare quality. HIT can help enhance safety through drug allergy checks, alerts, and prevention of medication errors. It allows for timeliness by providing timely access to patient information. Effectiveness may be increased through reminders for guidelines, order sets, and access to evidence. Efficiency could be gained through automation, lean processes, and reduction of redundant tests. Equity may be improved by reducing barriers to access. And patient-centeredness may be supported by engaging and empowering patients through access to their own information.
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.
The document provides an overview of biomedical informatics. It defines biomedical informatics as the interdisciplinary field that studies and pursues the effective uses of biomedical data, information, and knowledge for scientific inquiry, problem solving, and decision making, motivated by efforts to improve human health. It notes that biomedical informatics develops, studies and applies theories, methods and processes for the generation, storage, retrieval, use, and sharing of biomedical data, information, and knowledge. Biomedical informatics investigates and supports reasoning, modeling, simulation, experimentation and translation across the spectrum from molecules to populations.
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.
Ethics, Security and Privacy Management of Hospital Data Part 2 (January 24, ...Nawanan Theera-Ampornpunt
Presented at the Hospital IT Quality Development to level 4, 5, 6 Workshop, Thai Medical Informatics Association, Bangkok, Thailand on January 24, 2020
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
22. 22
แนวทางด้าน Security
• User Account Security (Password)
• Mobile Security
• Online Security
• E-mail Security
• PC Security
23. 23
User Account Security
So, two informaticians
walk into a bar...
The bouncer says,
"What's the password."
One says, "Password?"
The bouncer lets them
in.
Credits: @RossMartin & AMIA (2012)
58. 58
หลักจริยธรรมที่เกี่ยวกับ Privacy
• Autonomy (หลักเอกสิทธิ์/ความเป็นอิสระของผู้ป่วย)
• Beneficence (หลักการรักษาประโยชน์สูงสุดของผู้ป่วย)
• Non-maleficence (หลักการไม่ทําอันตรายต่อผู้ป่วย)
“First, Do No Harm.”
59. 59
Hippocratic Oath
...
What I may see or hear in the course of
treatment or even outside of the treatment
in regard to the life of men, which on no
account one must spread abroad, I will keep
myself holding such things shameful to be
spoken about.
...
http://en.wikipedia.org/wiki/Hippocratic_Oath
68. 68
• ข้อความบน Social Network สามารถเข้าถึงได้โดยสาธารณะ
ผู้เผยแพร่ต้องรับผิดชอบ ทั้งทางสังคมและกฎหมาย และอาจ
ส่งผลกระทบต่อชื่อเสียง การทํางาน และวิชาชีพของตน
MU Social Media Policy
69. 69
• บุคลากรทางการแพทย์หรือผู้ให้บริการสุขภาพ
– ระวังการใช้ Social Network ในการปฏิสัมพันธ์กับผู้ป่วย
– ปฏิบัติตามจริยธรรมของวิชาชีพ
– ระวังเรื่องความเป็นส่วนตัว (Privacy) และความลับของข้อมูล
ผู้ป่วย
– การเผยแพร่ข้อมูล/ภาพผู้ป่วย เพื่อการศึกษา ต้องขออนุญาตผู้ป่วย
ก่อนเสมอ และลบข้อมูลที่เป็น identifiers ทั้งหมด (เช่น ชื่อ, HN,
ภาพใบหน้า หรือ ID อื่นๆ) ยกเว้นผู้ป่วยอนุญาต (รวมถึงกรณีการ
โพสต์ใน closed groups ด้วย)
• ตั้งค่า Privacy Settings ให้เหมาะสม
MU Social Media Policy
70. 70
Line เสี่ยงต่อการละเมิด Privacy ผู้ป่วยได้อย่างไร?
• ข้อมูลใน Line group มีคนเห็นหลายคน
• ข้อมูลถูก capture หรือ forward ไป share ต่อได้
• ข้อมูล cache ที่เก็บใน mobile device อาจถูกอ่านได้
(เช่น ทําอุปกรณ์หาย หรือเผลอวางเอาไว้)
• ข้อมูลที่ส่งผ่าน network ไม่ได้เข้ารหัส
• ข้อมูลที่เก็บใน server ของ Line ทางบริษัทเข้าถึงได้ และ
อาจถูก hack ได้
• มีคนเดา Password ได้
71. 71
ทางออกสําหรับการ Consult Case ผู้ป่วย
• ใช้ช่องทางอื่นที่ไม่มีการเก็บ record ข้อมูล ถ้าเหมาะสม
• หลีกเลี่ยงการระบุหรือ include ชื่อ, HN, เลขที่เตียง หรือ
ข้อมูลที่ระบุตัวตนผู้ป่วยได้ (รวมทั้งในภาพ image)
• ใช้ app ที่ปลอดภัยกว่า
• Limit คนที่เข้าถึง
(เช่น ไม่คุยผ่าน Line group)
• ใช้อย่างปลอดภัย (Password, ดูแลอุปกรณ์ไว้กับตัว,
เช็ค malware ฯลฯ)