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Health Management Information Systems What is Health Informatics? Lecture a This material Comp6_Unit1 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 IU24OC000024.

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Page 1: Comp6 Unit1a Lecture Slides

Health Management Information Systems

What is Health Informatics?

Lecture aThis material Comp6_Unit1 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 IU24OC000024.

Page 2: Comp6 Unit1a Lecture Slides

What is Health Informatics?Learning Objectives

2

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

Page 3: Comp6 Unit1a Lecture Slides

What is Health Informatics?Learning Objectives

3

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

Page 4: Comp6 Unit1a Lecture Slides

Information Management

• Data– Generate– Collect– Organize– Validate– Analyze– Store– Integrate

• Information– Disseminate– Communicate– Present– Utilize– Transmit– Safeguard

4Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Page 5: Comp6 Unit1a Lecture Slides

Information System (Technology)

• Interchangeable terms– Information system – Information technology

• Automated system– Computer hardware and software

• Receives data• Processes data• Outputs data

5Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Page 6: Comp6 Unit1a Lecture Slides

Informatics

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Health Management Information Systems What is Health Informatics?

Lecture a

• The science of information– Information = data with meaning

• Definition based on– Data– Information– Knowledge

Page 7: Comp6 Unit1a Lecture Slides

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”

7Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Page 8: Comp6 Unit1a Lecture Slides

Fundamental Theorem of Informatics

8Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.1 A “Fundamental Theorem” of Informatics: (Friedman, 2009).

Page 9: Comp6 Unit1a Lecture Slides

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

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Health Management Information Systems What is Health Informatics?

Lecture a

Page 10: Comp6 Unit1a Lecture Slides

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.”

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Health Management Information Systems What is Health Informatics?

Lecture a

Page 11: Comp6 Unit1a Lecture Slides

Health Informatics• Informatics applied to health care• Includes

– Management and use of data and information in health care

• Involves– Information technology

• Requires– Standards

11Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Page 12: Comp6 Unit1a Lecture Slides

Biomedical Informatics

12Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 13: Comp6 Unit1a Lecture Slides

Biomedical Informatics

13Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 14: Comp6 Unit1a Lecture Slides

Biomedical Informatics

14Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 15: Comp6 Unit1a Lecture Slides

Biomedical Informatics

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Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 16: Comp6 Unit1a Lecture Slides

Biomedical Informatics

16Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 17: Comp6 Unit1a Lecture Slides

Biomedical Informatics

17Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 18: Comp6 Unit1a Lecture Slides

Biomedical Informatics

18Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 19: Comp6 Unit1a Lecture Slides

Biomedical Informatics

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Health Management Information Systems What is Health Informatics?

Lecture a

Figure 1.2 Biomedical Informatics: Modified by Dr. Jiajie Zhang, The University of Texas at Houston, School of Biomedical Informatics from Shortliffe & Blois, 2001

Page 20: Comp6 Unit1a Lecture Slides

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

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Health Management Information Systems What is Health Informatics?

Lecture a

Page 21: Comp6 Unit1a Lecture Slides

Current Trends in Health Informatics

• eHealth• Electronic medical records• Electronic health records• Health information exchange

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Health Management Information Systems What is Health Informatics?

Lecture a

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eHealth

• 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

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Lecture a

Page 23: Comp6 Unit1a Lecture Slides

Electronic Medical Record (EMR)

• Electronic record of health-related information on an individual– Within one health care organization

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Lecture a

Page 24: Comp6 Unit1a Lecture Slides

Electronic Health Record (EHR)

• Electronic record of health-related information on an individual– Across more than one health care

organization

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Lecture a

Page 25: Comp6 Unit1a Lecture Slides

Health Information Exchange (HIE)

• Electronic movement of health-related information among organizations

• Involves networks• Local, state, and national HIE initiatives

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Health Management Information Systems What is Health Informatics?

Lecture a

Page 26: Comp6 Unit1a Lecture Slides

What is Health Informatics?Summary – Lecture a

26

• 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

Page 27: Comp6 Unit1a Lecture Slides

What is Health Informatics?References – Lecture a

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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 (3rd ed) (p. 763. New York, NY: Springer Science + Business Media.

• American Health Information Management Association. (2012). Pocket glossary for health information management and technology (3rd 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.M3092• 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

Page 28: Comp6 Unit1a Lecture Slides

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 (3rd 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&objID=1256&PageID=15726

• World Health Organization. (2011). eHealth. Retrieved from http://www.who.int/topics/ehealth/en/

Charts, Tables, Figures1.1 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.M30921.2 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 (3rd ed) (pp. 3-45). New York, NY: Springer Science + Business Media.

28Health IT Workforce Curriculum Version 3.0/Spring 2012

Health Management Information Systems What is Health Informatics?

Lecture a