BY BHAVITHA PULAPARTHI 15PIM2246 CLINICAL INFORMATICS
BY BHAVITHA PULAPARTHI
15PIM2246
CLINICAL INFORMATICS
Clinical informatics is the study of information technology and how it can be applied to the healthcare field and provide treatments to the patients (an information-based approach)
Introduction
Health care
Information &communication
technology
The health system
Clinical informatics
CI has it’s own origin in the 1960’s and 1970’s with the concept of ‘medical information system’
In 2011 The American Medical Informatics Association (AMIA was established in 1989 at Bethesda) achieved one of its goals (i.e; American Board of Medical Specialists recognized clinical informatics as a sub-specialty)
The first board certifications were awarded late in 2013
Clinical care (i.e., clinical services to an individual patient)
The health system (i.e., in addition to clinical care this includes major health domains such as public health, personal health, health professional education, and clinical research)
Information and communications technology (i.e., the tools that enable the efficient capture, delivery, transmission, and use of data, information, and knowledge and the knowledge of how to apply those tools effectively)
Domains of clinical informatics
Clinical informaticians use their knowledge of patient care combined with the informatics concepts, methods, and tools to:
Assess information and knowledge needs of health care professionals and patients
Characterize, evaluate, and refine clinical processes Develop, implement, and refine clinical decision support
systems Lead or participate in the procurement, customization,
development, implementation, management, evaluation, and continuous improvement of clinical information systems such as electronic health records and order-entry systems
What does clinical informaticians do? Transform health care by analyzing, designing, implementing,
evaluating information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship
Applications: Electronic Health Record (EHR) and Clinical Decision
Support Systems(CDSS’s) are the important central applications in CI
Nursing informatics In India it has major importance in clinical trails
A systematic collection of electronic health information about an individual patient or population of patients
It allows practitioners to record and share data EHR means a repository of patient data in digital form,
stored and exchanged securely, and accessible by multiple authorized users
It contains retrospective, concurrent, and prospective information and its primary purpose is to support continuing, efficient and quality integrated health care
Electronic Health Record’s (HER’s)
EHR
Personal health record
Electronic medical record
Electronic patient record
Computerized patient
recordElectronic
health care record
Computerized
medical records
Digital medical record
Clinical data
repository
Types of EHR Departmental EMR
Inter dept EMR
Hospital EMR
Inter hospital EMR
The success of EHRs depends on the quality of the information available to health care professionals in making decisions about patient care and in the communication between health care professionals during patient care
Good quality of documentation improves the quality of patient care. It is important therefore to assess the quality of information entered in electronic systems by different health care professionals. Decision-making tools can be integrated in EHRs
If the data are inaccurate or incomplete, they will have no worth for decision-making and research
Importance of EHR
EMR EHRIt contains the medical and treatment history of the patients in one practice
It focus on the total health of the patient and general condition of the body
EMR mostly used by clinicians for diagnosis and treatment
EHRs contain information from all the clinicians involved in a patient’s care to provide care to that patient
Differences between EHR & EMR
Benefits: Eliminates paper recordsDecrease handwriting errorsAllows for implementation of error-reducing technology Drawbacks: Additional privacy securityCostSoftware and quality of care concernsPossibility for unintended consequences and changes to workflows communication, and data entry demands.
Patient + (Physician + Information Technology ){The Patient/Physician Relationship} + {Value Added}
(Patient + Information Technology) + Physician {The Patient/Physician Relationship} + {Value Added}
Relationship between patient , physician , and information technology
Inpatient & Outpatient unitsNon-Clinical StudiesMedical Specialists
Clinical TrialsLaboratoryPharmacy
Where can be used?
Patient care Practice Management Health System Management Public Health Management Research Management
Benefits of A Clinical Informatics
Clinical Application Analyst: Participation in all phases of the system development life
cycle including development of use cases and evaluation of software solutions
Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software
Investigate end user‘s preferences and analyze business operations while making decisions
Prioritize and implement requested changes to the system Participate in training and troubleshooting problems for end
users
Careers
EHR Systems Trainer
Use of Health Information Technology(HIT) in producing quality outcomes
This position is key to ensuring clinical user’s readiness and confidence when using the EHR and other HIT systems.
Responsible for maintaining in-depth knowledge of the EHR and other HIT’s and training staff members on the use of these technologies
Collaborate with the Director of Informatics, and responsible for the development of related training materials
This position requires the ability to explain technology to diverse customers and ensure they are able to use applications and functionality effectively
Participates in system review, design, development, and testing
Develops protocols, policies, procedures, and quality metrics to support the implementation of new technologies, integration with devices, and the EMR.
Researches, analyzes, and makes recommendations for application workflow improvements based on a deep understanding of the clinical workflow in relation to device integration technologies
Participates in the Shared Decision Making councils for the purpose of building clinical informatics systems and workflow analysis
Clinical Informaticist
"Clinical informatics is still in its infancy" "It is a tool that when properly implemented can
increase options for treatments, reduce risks, improve processes, help with financial management, and ultimately improve patient care.
It requires having the people, data, technologies and processes necessary to mine and act upon the information.“
Clinical informatics can be used across the broad spectrum of healthcare and "It is a very broad field, but it is also a very complex field."
Conclusion