Presented at the Navamindradhiraj University National Conference 2018 "Networking in the Smart City : Collaboration of Smart Health and Smart Community" on July 13, 2018
Digital health technologies like electronic health records (EHRs) aim to make healthcare delivery more efficient, timely and effective. However, simply implementing technology for its own sake is not enough - technology must be used to truly transform clinical processes and improve patient outcomes. A "smart hospital" focuses on using information and digital tools to enhance clinical decision-making and support high quality care, rather than just replacing paper records. Health IT should help humans perform better rather than replace them.
Presented at the Healthcare CEO50 Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
Presented at the 8th Healthcare CIO Certificate Program, Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 12, 2018
Building the Next Generation's Regional Health IT Workforce: Past Journeys an...Nawanan Theera-Ampornpunt
The document summarizes the past journeys and future directions of developing the regional health IT workforce. It begins with an overview of the author's personal journey in health informatics, including their education and current position. It then discusses various topics related to the informatics workforce, including defining the broad field of informatics, literature on characterizing the current informatics workforce and challenges, and examples of workforce development programs from the US and other countries. Specifically regarding Thailand, it outlines some of the problems with developing a professional informatics identity and workforce as voiced by practitioners in Thai hospitals, as well as some progress made through informatics education programs.
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.
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.
Presented at the Intermediate Certificate Courses - Good Governance for Medical Executives, King Prajadhipok's Institute and the Medical Council of Thailand, Bangkok, Thailand on March 13, 2021
Digital health technologies like electronic health records (EHRs) aim to make healthcare delivery more efficient, timely and effective. However, simply implementing technology for its own sake is not enough - technology must be used to truly transform clinical processes and improve patient outcomes. A "smart hospital" focuses on using information and digital tools to enhance clinical decision-making and support high quality care, rather than just replacing paper records. Health IT should help humans perform better rather than replace them.
Presented at the Healthcare CEO50 Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
Presented at the 8th Healthcare CIO Certificate Program, Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 12, 2018
Building the Next Generation's Regional Health IT Workforce: Past Journeys an...Nawanan Theera-Ampornpunt
The document summarizes the past journeys and future directions of developing the regional health IT workforce. It begins with an overview of the author's personal journey in health informatics, including their education and current position. It then discusses various topics related to the informatics workforce, including defining the broad field of informatics, literature on characterizing the current informatics workforce and challenges, and examples of workforce development programs from the US and other countries. Specifically regarding Thailand, it outlines some of the problems with developing a professional informatics identity and workforce as voiced by practitioners in Thai hospitals, as well as some progress made through informatics education programs.
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.
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.
Presented at the Intermediate Certificate Courses - Good Governance for Medical Executives, King Prajadhipok's Institute and the Medical Council of Thailand, Bangkok, Thailand on March 13, 2021
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 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.
This document discusses electronic health records (EHRs) and clinical decision support systems (CDS). It provides examples of different types of CDS, such as alerts and reminders, reference information, order sets, and diagnostic/treatment expert systems. The goal of health IT and CDS is to improve the quality of healthcare by making it safer, more timely, effective, efficient, patient-centered and equitable. However, human decisions are still necessary, so health IT should be designed to support, not replace, clinicians.
The document discusses the role and direction of mobile health (mHealth) in disease prevention and treatment. It provides an overview of mHealth concepts and adoption, and outlines a research agenda for mHealth and eHealth in areas such as leadership and governance, infrastructure, standards and interoperability, workforce development, and applications. Key issues discussed include the need for evaluation of mHealth implementations and national strategies to guide further development and implementation of eHealth initiatives in Thailand.
The document discusses health IT and smart hospitals. It provides biographical information about the speaker, including their medical education and research interests in health IT for quality of care, social media, IT management, security and privacy. The outline indicates the talk will cover the road to digitizing healthcare, what constitutes a "smart hospital", and moving toward a smart hospital.
Theera-Ampornpunt N. Informatics in emergency medicine: a brief introduction. In: The International Conference in Emergency Medicine: Challenges in Emergency Medicine: It’s Time for Change!; 2012 Jan 30 - Feb 1; Bangkok, Thailand. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2012 Feb.
This document summarizes key events and policies related to the meaningful use of electronic health records (EHRs) in the United States. It discusses landmark reports that highlighted issues with patient safety and quality of care. Major legislation like HIPAA, ARRA, and the HITECH Act provided funding and incentives to promote EHR adoption. The Office of the National Coordinator for Health IT established criteria for meaningful use in three stages to gradually increase EHR functionality and use. Regulations specify objectives and standards that providers must meet to receive incentive payments through Medicare and Medicaid.
Digital health for analog humans: Changing human roles and responsibilities in the digital transformation of health systems
This document discusses how digital transformation is changing the roles and responsibilities of various human actors in healthcare systems. It notes that while digital health technologies are becoming more prevalent, humans still play central roles. It explores new roles for patients and citizens who may generate and share their own health data, for healthcare professionals who must learn new digital skills, and for health informatics specialists. The document advocates that educators and researchers should help ensure digital transformation supports human needs and responsibilities.
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.
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
This document provides an overview of principles of health IT application in healthcare. It discusses how healthcare is different from other industries due to its life-or-death nature, many stakeholders, and fragmented systems. It then explains how health IT can help address issues like errors, lack of information access, and inefficient processes through functions like computerized provider order entry, electronic health records, and health information exchange. The document also reviews landmark reports on medical errors and the need for healthcare reform using health IT.
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.
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.
Importance of Patient voice helps healthcare providers and facilities offer better healthcare delivery. It helps them understand how their patients truly feel, their needs, expectations, and concerns during every point of the care journey. Analyzing voice of the patient data allows healthcare professionals to leverage the feedback data not only for better operational aspects but also for diagnostic needs. These insights thus gained can help shape strategic treatment plans, even as healthcare providers and decision makers use data-backed information to build the foundation of patient-centric healthcare.
This document summarizes Thailand's journey toward national electronic health (eHealth) and discusses the current state and future directions. Currently, Thailand lacks national eHealth leadership and governance. While hospital adoption of basic EHR is high, systems are siloed with little integration. Standards development is emerging but incomplete. Opportunities now exist to address these gaps through new supportive government leadership, workforce development, and recognition of the need for data integration and standards to reduce burden on clinicians. Overall progress has been made but continued work is needed to advance Thailand's eHealth system and realize the benefits of health information exchange.
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 October 7, 2020
This document provides an overview of health information technology (HIT). It discusses how HIT can help improve various dimensions of healthcare quality, including safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness. While studies have shown benefits of HIT such as improved guideline adherence and medication safety, the document cautions that implementing HIT will not automatically solve all healthcare issues and that its impact may vary by context. The ultimate goals of HIT are improving individuals' and populations' health while supporting healthcare organizations.
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
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 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 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.
This document discusses electronic health records (EHRs) and clinical decision support systems (CDS). It provides examples of different types of CDS, such as alerts and reminders, reference information, order sets, and diagnostic/treatment expert systems. The goal of health IT and CDS is to improve the quality of healthcare by making it safer, more timely, effective, efficient, patient-centered and equitable. However, human decisions are still necessary, so health IT should be designed to support, not replace, clinicians.
The document discusses the role and direction of mobile health (mHealth) in disease prevention and treatment. It provides an overview of mHealth concepts and adoption, and outlines a research agenda for mHealth and eHealth in areas such as leadership and governance, infrastructure, standards and interoperability, workforce development, and applications. Key issues discussed include the need for evaluation of mHealth implementations and national strategies to guide further development and implementation of eHealth initiatives in Thailand.
The document discusses health IT and smart hospitals. It provides biographical information about the speaker, including their medical education and research interests in health IT for quality of care, social media, IT management, security and privacy. The outline indicates the talk will cover the road to digitizing healthcare, what constitutes a "smart hospital", and moving toward a smart hospital.
Theera-Ampornpunt N. Informatics in emergency medicine: a brief introduction. In: The International Conference in Emergency Medicine: Challenges in Emergency Medicine: It’s Time for Change!; 2012 Jan 30 - Feb 1; Bangkok, Thailand. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2012 Feb.
This document summarizes key events and policies related to the meaningful use of electronic health records (EHRs) in the United States. It discusses landmark reports that highlighted issues with patient safety and quality of care. Major legislation like HIPAA, ARRA, and the HITECH Act provided funding and incentives to promote EHR adoption. The Office of the National Coordinator for Health IT established criteria for meaningful use in three stages to gradually increase EHR functionality and use. Regulations specify objectives and standards that providers must meet to receive incentive payments through Medicare and Medicaid.
Digital health for analog humans: Changing human roles and responsibilities in the digital transformation of health systems
This document discusses how digital transformation is changing the roles and responsibilities of various human actors in healthcare systems. It notes that while digital health technologies are becoming more prevalent, humans still play central roles. It explores new roles for patients and citizens who may generate and share their own health data, for healthcare professionals who must learn new digital skills, and for health informatics specialists. The document advocates that educators and researchers should help ensure digital transformation supports human needs and responsibilities.
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.
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
This document provides an overview of principles of health IT application in healthcare. It discusses how healthcare is different from other industries due to its life-or-death nature, many stakeholders, and fragmented systems. It then explains how health IT can help address issues like errors, lack of information access, and inefficient processes through functions like computerized provider order entry, electronic health records, and health information exchange. The document also reviews landmark reports on medical errors and the need for healthcare reform using health IT.
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.
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.
Importance of Patient voice helps healthcare providers and facilities offer better healthcare delivery. It helps them understand how their patients truly feel, their needs, expectations, and concerns during every point of the care journey. Analyzing voice of the patient data allows healthcare professionals to leverage the feedback data not only for better operational aspects but also for diagnostic needs. These insights thus gained can help shape strategic treatment plans, even as healthcare providers and decision makers use data-backed information to build the foundation of patient-centric healthcare.
This document summarizes Thailand's journey toward national electronic health (eHealth) and discusses the current state and future directions. Currently, Thailand lacks national eHealth leadership and governance. While hospital adoption of basic EHR is high, systems are siloed with little integration. Standards development is emerging but incomplete. Opportunities now exist to address these gaps through new supportive government leadership, workforce development, and recognition of the need for data integration and standards to reduce burden on clinicians. Overall progress has been made but continued work is needed to advance Thailand's eHealth system and realize the benefits of health information exchange.
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 October 7, 2020
This document provides an overview of health information technology (HIT). It discusses how HIT can help improve various dimensions of healthcare quality, including safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness. While studies have shown benefits of HIT such as improved guideline adherence and medication safety, the document cautions that implementing HIT will not automatically solve all healthcare issues and that its impact may vary by context. The ultimate goals of HIT are improving individuals' and populations' health while supporting healthcare organizations.
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
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.
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 discusses the use of future technologies by healthcare executives in the era of Industry 4.0. It begins with an introduction to healthcare information technology and data security. It then provides biographical information about the author, Dr. Nawanan Theera-Ampornpunt, including their educational background and interests. The rest of the document explores various topics related to digital health transformation, including the potential and limitations of technologies like artificial intelligence, and how to make effective use of technologies to improve healthcare quality and outcomes.
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 October 12, 2020
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 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
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 October 4, 2021
Introduction to Health Informatics and Health IT in Clinical Settings (Part 2...Nawanan Theera-Ampornpunt
1. Health IT has documented benefits including improved guideline adherence, better documentation, safer medication management through drug interaction/allergy checks, and cost savings.
2. However, implementing health IT does not automatically solve all problems and may introduce risks such as alert fatigue.
3. Health IT should focus on ultimately improving patient and population health, safety, timeliness, effectiveness, efficiency, equity and patient-centeredness of care. The next focus will be on how health IT can help in clinical settings.
Presented at the 32th Naval Medical Department Academic Conference: Medical Challenges in Disruptive Era, Naval Medical Department, Chonburi, Thailand on September 5, 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.
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.
The document discusses IT and decision support systems in hospital supply chains. It provides an overview of clinical decision making and clinical decision support systems (CDS), including definitions, types of CDS like alerts and reminders, expert systems, and references. It also discusses the roles of information technology in clinical decision making processes and how CDS can help reduce human errors.
Presented at "Hospital Management 2015" Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 18, 2015
Digital health care technology is transforming hospitals. While technology offers opportunities to improve quality, safety and efficiency, fully digitizing healthcare and replacing clinical judgement with algorithms is still a long way off. Hospitals need to focus on using technology to support, not replace, clinicians. Success requires balancing the needs of people, processes and technology, and managing risks from unintended consequences and legal compliance issues. The ultimate goal remains providing high quality, patient-centered care.
This document provides an overview of health information technology (IT) and electronic health (eHealth). It discusses how information is prevalent in healthcare and highlights several landmark reports from the Institute of Medicine calling for healthcare reform and emphasizing the role of health IT in improving patient safety. The document describes various forms of health IT including electronic health records, computerized provider order entry, clinical decision support systems, and health information exchange. It explains how health IT can help guide clinicians' decisions and reduce errors, while also noting potential risks such as alert fatigue and workarounds.
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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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.
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
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
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Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)
1. Smart Health & Medical
Innovations in Thailand 4.0
Session: “Toward High Impact Research and Medical Innovation 4.0”
Networking in the Smart City : Collaboration of Smart Health and Smart Community
Nawanan Theera-Ampornpunt
July 13, 2018
2. 2
2003 Doctor of Medicine (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,
IT Management, Security & Privacy
nawanan.the@mahidol.ac.th
SlideShare.net/Nawanan
Introduction
9. 9
• 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
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?
12. 12
• Large variations & contextual dependence
Input Process Output
Patient
Presentation
Decision-
Making
Biological
Responses
Standardizing Healthcare
15. 15
• “Don’t implement technology just for
technology’s sake.”
• “Don’t make use of excellent technology.
Make excellent use of technology.”
• “Health care IT is not a panacea for all that
ails medicine.” (Hersh, 2004)
Some “Smart” Quotes
23. 23
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?
24. 24
• 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
28. 28
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
30. 30
External Memory
Knowledge Data
Long Term Memory
Knowledge Data
Inference
DECISION
PATIENT
Perception
Attention
Working
Memory
CLINICIAN
Elson, Faughnan & Connelly (1997)
Clinical Decision Making
32. 32
Documented Values of Health IT
• Guideline adherence
• Better documentation
• Practitioner decision making or
process of care
• Medication safety
• Patient surveillance &
monitoring
• Patient education/reminder
35. 35
Hospital Information System (HIS) Computerized Physician Order Entry (CPOE)
Electronic
Health
Records
(EHRs)
Picture Archiving and
Communication System
(PACS)
Various Forms of Health IT
37. 37
Intra-institutional Health IT
• Hospital Information Systems
– Supporting Various Work Processes
• Electronic Health Records
– Clinical Documentation
• CPOE & Closed Loop Medication
– Medication Safety
• Telemedicine
38. 38
Extra-institutional Health IT
• Personal Health Records (PHRs)
– Patient-Centric Longitudinal Records With Patient as Primary Data User
• Patient/Consumer Wearable Devices/IoTs
• Health Information Exchange (HIE)
– Patient Information Exchange across Healthcare Organizations
• Disease Registries & Biosurveillance
• Health Management Information Systems (HMIS)
• Claims & Reimbursement Systems
• Healthcare Supply Chain & Logistics Management
46. 46
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