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Understanding Health Informatics

Health informatics is concerned with the systematic processing of data, information and knowledge in medicine and healthcare. It covers computational and informational aspects of processes and structures applicable to clinical and managerial disciplines. There are three key domains - information management and technology, clinical practice, and healthcare organization - that must have an effective fit. Past failures to implement health informatics initiatives effectively relate to not understanding clinical practices and organizational culture, choosing technologies that don't meet needs, and not involving stakeholders in design and implementation. Successful implementation requires assessing needs, selecting appropriate technologies, planning change, preparing stakeholders, and evaluating impact.

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100% found this document useful (1 vote)
893 views30 pages

Understanding Health Informatics

Health informatics is concerned with the systematic processing of data, information and knowledge in medicine and healthcare. It covers computational and informational aspects of processes and structures applicable to clinical and managerial disciplines. There are three key domains - information management and technology, clinical practice, and healthcare organization - that must have an effective fit. Past failures to implement health informatics initiatives effectively relate to not understanding clinical practices and organizational culture, choosing technologies that don't meet needs, and not involving stakeholders in design and implementation. Successful implementation requires assessing needs, selecting appropriate technologies, planning change, preparing stakeholders, and evaluating impact.

Uploaded by

Kenn Isaac Dizon
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
  • Introduction to Health Informatics
  • Definitions and Overviews
  • Medical and Nursing Informatics
  • Health Informatics Application
  • Educational Perspectives in Health Informatics
  • Bodies of Knowledge
  • Learning Areas
  • Healthcare Organizational Learning
  • Practical Frameworks in Health Informatics
  • Role of Informatics Managers

Health Informatics

Imagination is more important than knowledge" Albert Einstein

Enricos view
If physiology literally means 'the logic of life', and pathology is 'the logic of disease', then medical informatics is the logic of healthcare. It is the rational study of the way we think about patients, and the way that treatments are defined, selected and evolved. It is the study of how medical knowledge is created, shaped, shared and applied Enrico Coiera 1997

Health Informatics
Health Informatics is having a mid-life crisis, it is a 45 year old profession wandering around the desert to find itself
Yuval Shahar (2001) IMIA Invited Satellite Working Conference Challenges in Medical Informatics successes and failures , Madrid March 2001

1. Definitions
Informatics Medical Informatics Nursing Informatics Clinical Informatics Health Informatics

Informatics
the application of information
technologies to optimize the information management function within an organization

Informatics
information management information technology

Information management
assuring that the right information is
available to the right people, within and without an organization, at the right time and place, and for the right price

Information technology
any technology which processes and
communicates data, includes:
computers, voice, data and image sensing and communications devices, graphics devices, multi-media storage, etc. pen, paper, telephones and fax machines

Health or Medical Informatics


The terms 'medical informatics' and 'health informatics' have been variously defined, but can be best understood as the understanding, skills and tools that enable the sharing and use of information to deliver healthcare and promote health. 'Health informatics' is now tending to replace the previously commoner term 'medical informatics', reflecting a widespread concern to define an information agenda for health services which recognises the role of citizens as agents in their own care, as well as the major information-handling roles of the non-medical healthcare professions.
BMIS (2002)

Medical Informatics
"the science of analysis, documentation, steering, control and synthesis of information processes within the health care delivery system, especially in the classical environment and medical practice".
Recihertz P Protokoll der Klausurtagung Ausbildungsziele, Inhalte und Methoden in der Medizinischen Informatik Ulm: Reisenberg/b. 1973

Nursing Informatics
"A combination of computer science, information science and nursing science designed to assist in the management and processing of nursing data and the delivery of nursing care".
Graves JR, Cocoran S The Study of Nursing Informatics Image: Journal of Nursing Scholarship Vol. 21, p. 227, 1989

Nursing Informatics
"Integration of nursing, its information and information management with information processing and communications technology to support world health".
IMIA Nursing Informatics 6th International Congress Stockholm, October 1997

Health Informatics
"The study of nature and principles of information and its applications within all aspects of health care delivery and promotion".
Protti DJ A New Undergraduate Program in Health/Medical Informatics AMIA Proceedings Masson Publishing, 1982

Health Informatics
Health informatics is seen as to be
concerned with the individual and group behaviour of health care personnel in their interaction with information and information technologies. Medical informatics is seen to be rooted in medicine and computer science the social, organizational, and policy

aspects of information technology are not usually taken into consideration

International view
Health informatics is concerned with the systematic processing of data, information and knowledge in medicine and healthcare. The domain covers computational and informational aspects of processes and structures, applicable to any clinical or managerial discipline within the health sector whether on a tele (remote) basis or not. Health informatics is delivered by operational health practitioners, academic researchers and educators, scientists and technologists in operational, commercial and academic domains Jean Roberts Medinfo2001

Bodies of knowledge
hard sciences
biology and clinical chemistry computer science engineering mathematics and physics soft sciences economics information science management science psychology sociology medicine and other health care professions

Areas of instruction and learning


A. Information 1. Management 2. Technology B. Healthcare Organizations 1. Clinical (Delivery) 2. Management

A. Information 1. Management
Data - Information - Wisdom Spectrum Power and value of information Data modeling and data standards Coding, classification, nomenclature Data analysis & statistical methods Systems analysis and design Information sources (local, national, international) Managing information resources

A. Information 2. Technology
Hardware processing and storage technologies Computer languages Software: operating systems, databases,
application Communications technologies Local Area Networks Intranets and the Internet Telematicss/telemedicine Infusion/diffusion theories Effectiveness metrics Security and Confidentiality

B. Healthcare Organizations 1. Clinical (Delivery)



History and culture of clinicians Clinical practice content and process Clinical practice guidelines and protocols Evidence-based decision making Decision support and expert systems Health outcomes and health status Epidemiology Population health

B. Healthcare Organizations 2. Management



organization theory and models communications theories management process and practice organizational development and change management health economics and fiscal management resource allocation models individual and group decision support systems ethics and legislation

Clinical Work

Information and Communication technologies

Organisation of medicine and health care (system)

Three Domains Needing an Effective Fit

Context: Health Care System

Organising and managing Clinical practice Learning from sets of patients Diagnosing and treating a patient

The three levels of clinical activity which should be the focus of information technology in a health care system

Failure to: understand the nature of different clinical practices and its

consequence for the use of technology; understand the nature of the relationship between clinical staff and management which might predispose clinical staff to oppose introduction of a clinical information system; recognise wider imperatives and set ill-conceived targets; choose robust, transferable, extendable and proven technologies which, for example, do not inhibit future developments; take into account research and evaluation of informational developments such as terming and classification systems; relate the technologies to the imperatives; recognise the clinical imperative need to treat more patients at least as well in less time using new systems;

Failure to: create an affordable and practical technology financial


plan from a high level strategy; involve the future users in such a way that their input is meaningful to determine system requirements and to gain their subsequent ownership prepare and develop individuals and the organisation to make effective use of information technologies; implement in an orderly and timely way; actually check whether the technologies are meeting expectations and requirements, whether the system is highly valued and to react accordingly

2.

Selects and prioritises opportunities, problems, imperatives and requirements for change

Assesses and understands the context & identifies consequences for clinical work and imperatives for change R espond
R espond Identify impact

Identify impac t

Health care Clinical


Organisation of clinic al work Sets ofpatients Single patient

Obs erve & enquire T ell

1. Assesses and understands what [and for what key reasons] activities occur at each level

3.
Knows of appropriate technological developm ents & relates them to inform ation requirem ents: knows of opportunities and imperatives for change

T ell

7.
Obs erve & enquire T ell

Obs erve & enquire

Work System
T ell R elate & check R elate & Chec k

Evaluates, reviews and assesses the impact and values it

T ell

R espond & Implement

4. Creates an information and technology strategy and financial plan

5. Involves, informs persuades, prepares for these technologies and other changes

R ealise

6. Plans and introduces new technologies with other changes

Stages of the model 1 to 4


Assesses and understands what and for what
reasons things happen Assesses and understands the context and identifies consequences for clinical work and imperatives for change Selects and prioritises opportunities, problems, imperatives and requirements for change Knows of appropriate technological developments and relates them to information requirements; knows of opportunities and imperatives for change

Stages of the model 5 to 8


Creates an information and technology and

strategy plan Involves, informs, persuades, prepares for these technologies and other changes Plans and introduces new technologies and other changes Evaluates, reviews and assesses the impact and values it

hybrid managers-informaticians
select the appropriate information and
communication technologies, involve perceived beneficiaries, identify the prospective benefits, successfully plan, implement and evaluate the impact of change

Common questions

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Nursing informatics transforms the nursing profession by integrating computer, information, and nursing sciences, which aids in managing nursing data and improving patient care. This field enhances the effectiveness of nursing practices by optimizing information processing and communication, facilitating more precise and efficient patient data management, and supporting decision-making processes, ultimately contributing to better patient outcomes .

Technological innovations like Telematics and Telemedicine play a pivotal role in modern health informatics by expanding the reach of healthcare services beyond traditional settings. These technologies facilitate remote consultations, monitoring, and management, especially beneficial for patients in inaccessible or underserved areas. They contribute to improved patient care continuity and management efficiency, though they also demand robust systems for security, data management, and patient privacy to ensure effective and secure healthcare delivery .

The 'Data - Information - Wisdom Spectrum' is a critical framework in health informatics that underscores the progression from raw data to actionable insights. Understanding this spectrum enables healthcare professionals to transform collected data into meaningful information, which can then be synthesized into knowledge and applied as wisdom to improve patient outcomes and inform strategic decision-making. This model highlights the importance of not only collecting data but also processing and using it effectively within a healthcare setting .

The shift from 'medical informatics' to 'health informatics' mirrors a societal change toward a more inclusive view of healthcare that emphasizes not only medical professionals but also the roles of non-medical personnel and patients themselves. This transition acknowledges the broader spectrum of health services, including preventive care and public health, as well as the growing importance of patients as active participants in their own care, thus promoting a more comprehensive information agenda for health services .

Health informatics is crucial in enhancing healthcare delivery by providing the tools and processes needed to effectively manage and use information. It affects the dynamics among healthcare personnel by facilitating better communication and collaboration through information technologies, which are particularly essential for decision-making and patient management. By streamlining operations and improving access to information, health informatics promotes a more collective approach, enabling healthcare professionals to work more efficiently and integrate patient information into the planning and delivery of care .

Yuval Shahar identifies the primary challenges in health informatics as its struggle to define a clear identity and purpose, which he metaphorically describes as a 'mid-life crisis.' Addressing these challenges requires clearer delineation of the field's objectives, perhaps broader education and training for practitioners, and efforts to integrate disparate elements of informatics to create a cohesive, functional applied science within healthcare .

A lack of understanding of clinical practices can significantly hinder the successful implementation of health informatics systems. It may result in systems that do not align with clinical workflows, leading to resistance from clinical staff, inefficient operations, and potential compromises in patient care. A deep engagement with clinical practices ensures systems meet the practical needs and objectives of healthcare professionals, thereby promoting user acceptance and improving patient outcomes .

Health informatics supports epidemiology and population health by providing robust data collection and analysis frameworks. It enables the tracking of disease patterns, identification of health trends, and management of large epidemiological datasets, facilitating timely interventions and resource allocation. By enhancing information access and processing capabilities, informatics helps identify at-risk populations and measure the effectiveness of public health strategies, thereby playing a critical role in disease prevention and control .

The integration of soft sciences like sociology and management with hard sciences such as computer science and engineering enriches health informatics by providing a comprehensive perspective on healthcare challenges. This interdisciplinary approach allows more holistic solutions be developed, reflecting both the technical requirements and human factors encountered in healthcare settings, ultimately resulting in technologies and systems that are both effective and user-friendly .

Key strategies in preparing an organization for the effective use of health informatics technologies include developing a comprehensive information and technology strategy, involving end-users in system design to ensure relevance and compliance, providing necessary training and development, and fostering a culture of continuous evaluation to adapt to technological advancements and meet evolving healthcare demands .

Health Informatics
Imagination is more important than 
knowledge" –  
 
Albert Einstein
Enrico’s view 
If physiology literally means 'the logic of life', and 
pathology is 'the logic of disease', then medical 
inf
Health Informatics  Health Informatics is having a mid-life crisis, it is a 45 year old profession wandering around the deser
1. Definitions •Informatics •Medical Informatics •Nursing Informatics •Clinical Informatics •Health Informatics 
• Informatic
Informatics •the application of information technologies to optimize the information management function within an organizati
Informatics •information management •information technology 
• information management 
• information technology
Information management  •assuring that the right information is available to the right people, within and without an organiza
Information technology  •any technology which processes and communicates data, includes: –computers, voice, data and image se
Health or Medical Informatics 
The terms 'medical informatics' and 'health informatics' 
have been variously defined, but can

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