ATM in Healthcare: Legal & Ethical Issues in Health Information Exchange การประชุมวิชาการของโรงเรียนพยาบาลรามาธิบดี เรื่อง Legal & Ethical Issues in Nursing: Update Situations in Digital Era? www.SlideShare.net/Nawanan นพ.นวนรรน ธีระอัมพรพันธุ์ 18 กรกฎาคม 2561
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ATM in Healthcare: Legal & Ethical Issues in Health ......4 •Safe •Timely •Effective •Patient-Centered •Efficient •Equitable Institute of Medicine, Committee on Quality
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ATM in Healthcare: Legal & Ethical Issues in Health Information Exchangeการประชมวชาการของโรงเรยนพยาบาลรามาธบด เรอง Legal & Ethical Issues in Nursing:
What Is Health IT & Health Information Exchange (HIE)
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Health
Information
Technology
Goal
Value-Add
Tools
Health IT: What’s in a Word?
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• 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
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TEDxMahidolU Talk by Nawanan: “ATM in Healthcare”
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Connecting People to a Healthy Future With Personalized Care – Kaiser Permanente
https://www.youtube.com/watch?v=gxz9ZVvduGc
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ความฝนอนสงสด...
My Life-Long Dream...
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Hospital A Hospital B
Clinic D
Policymakers
Patient
at Home
Hospital C
HIE Broker
Health Information Exchange (HIE)
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Health Information Exchange
The National Alliance for Health Information Technology(Report to ONC in 2008)
• HIE: “The electronic movement of health-related information among organizations according to nationally recognized standards”
Hersh (2009)
• HIE: “The exchange of health information for patient care across traditional business boundaries in health care”
Emphasis in the definitions added by the presenter.
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Electronic Health Records (EHRs) &
Electronic Medical Records (EMRs)
Hersh (2009)
• EMRs: “Computerized health records of an individual”
• EHRs: “Longitudinal collection of computerized health information about a patient”
Emphasis in the definitions added by the presenter.
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Electronic Health Records (EHRs) &
Electronic Medical Records (EMRs)
The National Alliance for Health Information Technology (Report to ONC in 2008)
• EMR: “An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization”
Emphasis in the definitions added by the presenter.
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Electronic Health Records (EHRs) &
Electronic Medical Records (EMRs)
The National Alliance for Health Information Technology (Report to ONC in 2008)• EHR: “An electronic record of health-related
information on an individual that conforms to nationally recognized interoperability standards and that can be created, gathered, managed, and consulted by authorized clinicians and staff across more than one health care organization”
Emphasis in the definitions added by the presenter.
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Personal Health Records (PHRs)
The National Alliance for Health Information Technology (Report to ONC in 2008)
• PHR: “An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual”
Emphasis in the definitions added by the presenter.
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Personal Health Records (PHRs)
Hersh (2009)• PHR: “Patient-controlled aspect of the health record, which
may or may not be tethered to one or more EHRs from health care delivery organizations”
Markle Foundation’s Connecting for Health (2003)• PHR: “An electronic application through which individuals
can access, manage and share their health information, and that of others for whom they are authorized, in a private, secure, and confidential environment”
Emphasis in the definitions added by the presenter.
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Personal Health Records (PHRs)
Tang et al. (2006)
• PHR: “A PHR includes health information managed by the individual”
• “...Contrasted with the clinician’s record of patient encounter-related information (a paperchart or EHR...), which is managed by the clinician and/or health care institution”
Emphasis in the definitions added by the presenter.
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Personal Health Records (PHRs)
Kaelber et al. (2008)
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ความหมายของค าตางๆ (โดย นพ.นวนรรน)
Electronic Health Records (EHRs) (ระเบยนสขภาพอเลกทรอนกส)Electronic Medical Records (EMRs) (เวชระเบยนอเลกทรอนกส)
The bouncer lets them in. Credits: @RossMartin & AMIA (2012)
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User Security
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Legal Issues in HIE & Health Information
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Hippocratic Oath
“...What I may see or hear in the course of treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep myself holding such things shameful to be spoken about...”
Rama IT Enthusiasts(Open to all Ramathibodi Personnel)
Community & Awareness Building
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Security Awareness Training
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Health Sector Security Awareness
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Situational Awareness: ระเบยบ สธ.
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References
• Connecting for Health. The personal health working group final report [Internet]. New York: The Markle Foundation; 2003 Jul 1 [cited 2016 Mar 6]. 58 p. Available from: http://www.markle.org/sites/default/files/final_phwg_report1.pdf
• Hersh W. A stimulus to define informatics and health information technology. BMC Med Inform Decis Mak. 2009 May 15;9:24.
• Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for personal health records (PHRs). J Am Med Inform Assoc. 2008 Nov-Dec;15(6):729-36.
• Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med Inform Assoc. 2006 Mar-Apr;13(2):121-6.
• The National Alliance for Health Information Technology report to the Office of the National Coordinator for Health Information Technology on defining key health information technology terms [Internet]. Bethesda (MD): The National Alliance for Health Information Technology; 2008 Apr 28 [cited 2016 Mar 6]. 40 p. Available from: https://www.nachc.com/client/Key%20HIT%20Terms%20Definitions%20Final_April_2008.pdf