Health Management Information Systems What is Health Informatics

Health Management Information Systems What is Health Informatics? Lecture a This material Comp 6_Unit 1 was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU 24 OC 000024.

What is Health Informatics? Learning Objectives 1. Define information management, information system (technology) and informatics (Lecture a) 2. Explain the basic theoretical concept that underlies informatics practice (Lecture a) 3. Define the meaning of biomedical and health informatics as a field of study (Lecture a) Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 2

What is Health Informatics? Learning Objectives 4. Describe the biomedical informatics areas of applications (Lecture a) 5. Summarize the informatics drivers and trends (Lecture a) 6. State the professional roles and skills of health informaticians (Lecture b) 7. Identify how health informaticians process data into information and knowledge for health care tasks with the support of information technology to improve patient care (Lecture b) Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 3

Information Management • Data – Generate – Collect – Organize – Validate – Analyze – Store – Integrate Health IT Workforce Curriculum Version 3. 0/Spring 2012 • Information – Disseminate – Communicate – Present – Utilize – Transmit – Safeguard Health Management Information Systems What is Health Informatics? Lecture a 4

Information System (Technology) • Interchangeable terms – Information system – Information technology • Automated system – Computer hardware and software • Receives data • Processes data • Outputs data Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 5

Informatics • The science of information – Information = data with meaning • Definition based on – Data – Information – Knowledge Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 6

Data, Information, Knowledge, Wisdom Hierarchy • Data – Symbols, facts, measurements • Information – Data processed to be useful – Provides the “who, what, when, where” • Knowledge – Application of data and information – Provides the “how” • Wisdom – Evaluated understanding – Provides the “why” Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 7

Fundamental Theorem of Informatics Figure 1. 1 A “Fundamental Theorem” of Informatics: (Friedman, 2009). Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 8

Application Domains for Informatics • Any area of human endeavor supportable by information technology – Such as • • Entertainment Law and law enforcement Health care Other fields where computer technology interfaces with people Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 9

Biomedical Informatics • AMIA – “Biomedical informatics (BMI) is 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. ” • Shortliffe and Blois – “The scientific field that deals with biomedical information, data, and knowledge – their storage, retrieval, and optimal use for problem solving and decision making. ” Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 10

Health Informatics • Informatics applied to health care • Includes – Management and use of data and information in health care • Involves – Information technology • Requires – Standards Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 11

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 12

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 13

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 14

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 15

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 16

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 17

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 18

Biomedical Informatics Figure 1. 2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 19

Current Drivers • American Recovery and Reinvestment Act (ARRA) – Health Information Technology for Economic and Clinical Health (HITECH) Programs • Meaningful use of interoperable health information technology and qualified EHRs Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 20

Current Trends in Health Informatics • • e. Health Electronic medical records Electronic health records Health information exchange Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 21

e. Health • WHO’s definition – Use of information and communication technologies for health for different purposes • HIMSS’s definition – Application of the Internet/other technologies to health care for various goals and objectives Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 22

Electronic Medical Record (EMR) • Electronic record of health-related information on an individual – Within one health care organization Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 23

Electronic Health Record (EHR) • Electronic record of health-related information on an individual – Across more than one health care organization Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 24

Health Information Exchange (HIE) • Electronic movement of health-related information among organizations • Involves networks • Local, state, and national HIE initiatives Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 25

What is Health Informatics? Summary – Lecture a • Defined terms • Described theorem • Explained field of study related to biomedical and health informatics • Provided an overview of drivers and trends Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 26

What is Health Informatics? References – Lecture a References • Altman, R. B. , & Mooney, S. D. (2001). Bioinformatics. In Shortliffe. E. , & Cimino, J. J. (Eds. ), Biomedical informatics: Computer applications in health care and biomedicine (3 rd ed) (p. 763. New York, NY: Springer Science + Business Media. • American Health Information Management Association. (2012). Pocket glossary for health information management and technology (3 rd ed. ). Chicago, IL: Author. • AMIA. (2011). About AMIA. Retrieved from http: //www. amia. org/about-amia • AMIA's Academic Forum. (n. d. ). Definition of biomedical informatics. Retrieved from http: //www. amia. org/biomedical-informatics-core-competencies • Bernstam E. , Smith J. , & Johnson T. (2009, August). What is biomedical Informatics. Journal of Biomedical Informatics, 43(1). doi: 10. 1016/j. jbi. 2009. 08. 006 • Friedman, C. (2009). A "fundamental theorem" of biomedical informatics. Journal of the American Medical Informatics Association, 16(2), 169 -170. doi: 10. 1197/jamia. M 3092 • Healthcare Information and Management Systems Society. (2003, May 5). HIMSS E-Health SIG white paper. Retrieved from http: //www. himss. org/content/files/ehealth_whitepaper. pdf • Merriam-Webster Online. (2011). Retrieved from http: //www. merriam-webster. com/dictionary/theorem • Rowley, J. (2007, February). The wisdom hierarchy: Representations of the DIKW hierarchy. Journal of Information Science, 44. doi: 10. 1177/0165551506070706 Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 27

What is Health Informatics? References – Lecture a References • Shortliffe, E. , & Blois, M. (2006). The computer meets medicine and biology: Emergence of a discipline. In Shortliffe. E. , & Cimino, J. J. (Eds. ), Biomedical informatics: Computer applications in health care and biomedicine (3 rd ed) (pp. 3 -45). New York, NY: Springer Science + Business Media. • The National Alliance for Health Information Technology. (2008, April 28). Defining key health information technology terms. Retrieved from healthit. hhs. gov/portal/server. pt/gateway/PTARGS_0_10741_848133_0_0_18/10_2_hit_terms. pdf • UMDNJ-Robert Wood Johnson Medical School, UMDNJ-School of Health Related Professions Department of Health Informatics & New Jersey Institute of Technology. (n. d. ). MD/MS in Biomedical Informatics. [Brochure]. Retrieved from http: //rwjms. umdnj. edu/education/current_students/academics/mdms_biomedicalinformatics. pdf • U. S. Department of Health and Human Services, The Office of the National Coordinator for Health Information Technology. (2009, December 4). Health IT terms. Retrieved from http: //healthit. hhs. gov/portal/server. pt? open=512&mode=2&cached=true&obj. ID=1256&Page. ID=15726 • World Health Organization. (2011). e. Health. Retrieved from http: //www. who. int/topics/ehealth/en/ Charts, Tables, Figures 1. 1 Figure: Friedman, C. (2009). A "fundamental theorem" of biomedical informatics. Journal of the American Medical Informatics Association, 16(2), 169 -170. doi: 10. 1197/jamia. M 3092 1. 2 Figure: Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe, E. , & Blois, M. (2006). The computer meets medicine and biology: Emergence of a discipline. In Shortliffe. E. , & Cimino, J. J. (Eds. ), Biomedical informatics: Computer applications in health care and biomedicine (3 rd ed) (pp. 3 -45). New York, NY: Springer Science + Business Media. Health IT Workforce Curriculum Version 3. 0/Spring 2012 Health Management Information Systems What is Health Informatics? Lecture a 28