him and hi educational update
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HIM and HI Educational Update. D R . C A R L A T Y S O N - HOWA RD, HC C D R . S U S A N H . F E NTO N, U T S B M I. H O U S T O N A R E A H I M A. J U N E 27,201 4. American Education Network for Health Information Assurance and Security (AENHIAS). - PowerPoint PPT PresentationTRANSCRIPT
HIM and HI Educational UpdateD R . C A R L A T Y S O N -
HOWA RD, HC C D R . S U S A
N H . F E NTO N, U T S B M I
HO US TO N A REA HI M A
J U NE 27,2014
American Education Network for Health Information Assurance and Security (AENHIAS)T R A D E A DJ U S T M E NT A S S I S TA NC E CO M M U NI T Y CO L L EG E A N D C A RE E R TRA I N I N G ( TA AC C C T)
D E PA RTM E N T O F L A B O R ( D O L )
Cyber Security A cyber a. ttack on the healthcare system is
a real threat according to Rick Kam, president and cofounder of ID Experts. He states, “We’re anticipating that 2013 will be the year of a major breach in healthcare”.
AENHIAS Project HIM and HIT workers are needed as cyber security experts.
The AENHIAS Project will train professionals in cyber security of health information.
AENHIAS Project Lead: Sam Houston State University, Huntsville, Texas
Member Institutions: 6 Community Colleges and Universities nationwide (2 in Texas)
Business Partners:◦American Health Information Management Association (AHIMA)-non profit◦National Health Sharing and Analysis Center (NH-ISAC)- non-profit◦The Council for Adult and Experiential Learning (CAEL)◦Lone Star College
Community College Partners Houston Community College - Coleman College
Coppin State University
MidState College
Greenville Community College Hutchinson
Community College Santa Fe CollegeLone Star College (business partner)
Course Delivery Blended online and in-person courses.
Synchronous sessions (live in-person and remotetelepresence) and asynchronously via LMS with Cisco Show and Share.
Feedback using adaptive analytics developed by Carnegie Mellon University’s Open Learning Initiative.
Self-sustaining.
DR. SUSAN H. FEN TON
ASSISTANT DEAN FOR ACADEMIC AFFAIRS
Trends in Informatics
•BIG DATA• Mobile Health
Five Game Changers in the US
The average person today processes more data in a single day than a person in the 1500s in an entire lifetime.
Smolan & Erwitt: The Human Face of Big Data
92% of the world’s data was created in just the past two years.
Smolan & Erwitt: The Human Face of Big Data
What is 5 Exabytes of Data? ◦ 5x1018 bytes (5,000,000,000,000,000,000)
◦All data created by humankind from prehistory to 2003◦1 billion DVDs
◦ Stacked - distance between Houston and Orlando
Created in two days in 2011
Created in 10 minutes in 2013
The United States has
one-thirdof
the world’s data
“Today a street stall in Mumbai can access more information, maps, statistics, academic papers, price trends, futures markets, and data than a US President could only a few decades ago.”
—Juan Enriquez, Founding Director of the Harvard Business School Life Sciences Project
http://my.entertainment.yahoo.com/news/street-delights-delhi-mumbai-073216546.html http://newsifact.blogspot.com/2009/02/young-obama-and-jfk-in-oval-office.html
Social Media Call Detail Records (CDRs)Communication Events
Web Browsing and Search
Channel Click Information
Traffic Patterns
Weather Mainframe Logs Photography
Data Storage is Cheap$600 to buy a disk drive that would store all of the world’s music
http://www.howstuffworks.com/hard-disk.htm
http://www.maximumpc.com/article/howtos/how_to_stream_your_music_library_any_computer
Computing is Fast1975:
Cray CDC-7600
Fastest supercomputer
$5m ($32m in 2013 dollar)
From McKinsey MGI 2013 reporthttp://en.wikipedia.org/wiki/File:CDC_7600.jc.jpg
2012:iPhone 4 Same speed$400
Google Computer Servers
Electricity consumption in 2011 was sufficient to power 200,000 homes.
http://www.brandpowder.com/2012/10/27/1871/
What can BIG DATA do for Healthcare?
Value of Big Data to HealthcareReducing Healthcare Costs by 7.6%
The Magnitude of Healthcare Data
Healthcare Data in the US in 2012
◦150 million terabytes or 150 exabytes (1.5x1020)
◦30 times the data created by humankind up to 2003
◦43,000 times the data in the Library of Congress
◦DVDs stacked together -> distance around earth
The Size of the Human Genome
200 copies of White Pages
9.5 years to read out loud
3 Gigabytes (1 DVD) (Houston to Tokyo for world population)
Human Genome3 billion bases
$1000 Genome is coming
$100, 1 hour, next decade
Sequencing an Entire Human Genome
= The Price of a Dental CrownCost of Human Genome Project: $2.7 billion, over 13 years
Roles of BIG DATA in Healthcare
Comparative effectiveness Clinical
decision support Remote patient
monitoring
Quality and performance measures
Biomedical discovery
Personalized medicine
PharmacovigilancePublic health surveillance and response
2016: Dr. Patrick Sonty at UTP•Dan Roe, an Alzheimer’s patient, suffered a stroke•Suspicious of Alzheirax
2017: FDA•Pull Alzheirax out of the market?
2017: SBMI•Dr. Zheng discovered 5 gene segments for the adverse events
2018: SBMI
2016: SBMI•Dr. Bernstam built a big data warehouse• Dr. Xu searched 9 million
records; found 136 cases (65 deaths)
• Dr. Cohen searched 2.5 million literature, found 93 studies of relevant factors of Alzheirax
2016: Dr. Patrick Sonty at UTP•Called SBMI for help
• Dr. Summer developed a Gene Editing procedure for the mutation
2015: Nockin, Inc. (fictitious)• Alzheirax was approved by FDA;• $1 billion, 13 years• Alzheimer's disease
Nockin, Inc.
Nockin Centerfor Informatic Therapeutics
at UT School of Biomedical Informatics at Houston
- Funded with a $15 Million Gift from Nockin, Inc.
http://www.nature.com/scitable/blog/theprometheancell/gene_editing_for_a_better
Mobile Health In 2012…
◦6.3 billion mobile phones
◦1.5 billion smart phones
◦7.2 billion world population
◦5 times data as voice traffic
Mobile Internet
Health Data from Body Sensors
Imec: Human+++: body networks http://www.imec.be/ScientificReport/SR2008/HTML/1225020.html
Ingestible Sensors (Proteus Digital)
Sleep Pattern Monitor
Wireless Trackers
·.:.
.:·:
•••
AriaT"' Wi-Fi Smart Scale
Fertility
Thermometer
The Future of Informatics
2 million data workers are needed by 2018.(McKinsey & Company)
• Only program in Texas• Only free-standing school in the
US• One of the largest in the nation
SBMI
School of Biomedical Informatics
Mission Educate and train future scientists and professionals in biomedical informatics and health information technology
Conduct informatics research to improve healthcare and advance biomedical discovery
Develop and use advanced informatics tools to solve practical problems in healthcare
Population
↑ Individual
↑ Organ
↑ Tissue
↑ Cell↑
Sub-cellular
↑ Protein↑ Gene
↑ Molecul
e
Public Health Informatics
Clinical Informatics (Medical, Nursing,
Dental)
Imaging Informatics
Bioinformatics
(genomics, proteomics)
Biomedical Informatics
UTHealth Informatics Consortium
Schools Clinical Partners
SPH
SPH
UTP
Levels of Biological Systems
Sub-Areas of Informatics
Education Research
SBMI
SODSONMS
MS
MS
MHHS HCHD
MDACC St Luke
Education Research
Service Operations
UTHealth Informatics Consortium
Established
Planned
Health
Academic
UT System-Wide Informatics Initiative
•Led by SBMI•Reach out to
other UT Components
•Academic•Research•Applications
Academic Programs
Applied (15 SCH) Applied MS (39 SCH)
Traditional (15 SCH)
Traditional MS (39 SCH)
Public Health (15 SCH)
International Collaborations: Brazil, Mexico, Colombia, Panama, Japan, China, India
Continuing Education: short courses on selected informatics topics
Doctoral (93 SCH)
Certificate Master’s
PhD
Where are SBMI Graduates Employed?PhD graduates (24 since 2003)◦12 obtained faculty positions (3 at Duke, 3 at UTH)◦Assistant VP at St. Luke’s
MS graduates (215 since 2000)◦Faculty positions◦CMIO, CNIO, Informatics Director◦Various positions in hospitals (e.g., TMC institutions)◦Various positions in industry (e.g., Microsoft)◦Entrepreneurial positions
Certificate graduates (140)
Tripled in 3 years
26% annual growth
US Recession
Health IT Online Job Postings Before and After the HITECH Act
QUESTIONS