Nutr 564: Information Management Nutr 564: Management Barbara Bruemmer Ph.D., R.D. UW Nutritional Sciences Summer 2002.

Nutr 564: Information ManagementNutr 564: Information Management

Nutr 564: ManagementNutr 564: Management

Barbara Bruemmer Ph.D., R.D. Barbara Bruemmer Ph.D., R.D.

UW Nutritional SciencesUW Nutritional Sciences

Summer 2002Summer 2002

Objectives:Objectives: Define key terms in information managementDefine key terms in information management Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition

informationinformation

Information ManagementInformation Management

List common types of information for List common types of information for assimilation and storage:assimilation and storage:

Identify types of information in the field Identify types of information in the field of nutrition and dietetics:of nutrition and dietetics:

– patient care patient care – food compositionfood composition– public policy / regulationspublic policy / regulations– food servicefood service– Medical researchMedical research– public healthpublic health





Information Management:Information Management:““the effective production, storage, retrieval, and dissemination of the effective production, storage, retrieval, and dissemination of

information in any format and on any medium” Hudsoninformation in any format and on any medium” Hudson

Strategic Information Management:Strategic Information Management:Business plans that support the formulation of information strategyBusiness plans that support the formulation of information strategy

Information Technology:Information Technology:The use of computer technology in managing, processing, and The use of computer technology in managing, processing, and

accessing information.accessing information.


Archive:Archive:Stored information Stored information

Confirm retrievalConfirm retrieval

InterfaceInterfaceConnection that allows communication and interaction Connection that allows communication and interaction between two software systemsbetween two software systems

Patient Information SystemsPatient Information SystemsThe management information system that is used for the The management information system that is used for the processing of patient information (patient records, medical processing of patient information (patient records, medical histories, and billing and financial information) in health histories, and billing and financial information) in health care facilities.care facilities.


Paperless Medical RecordPaperless Medical RecordComputer-based electronic data processing and storage of Computer-based electronic data processing and storage of medical records that eliminates the need for hard copies of medical records that eliminates the need for hard copies of these documents.these documents.

Research Records / FDA formsResearch Records / FDA forms


Paperless Medical RecordPaperless Medical RecordComputer-based electronic data processing and storage of Computer-based electronic data processing and storage of medical records that eliminates the need for hard copies of medical records that eliminates the need for hard copies of these documents.these documents.


Medical Informatics:Medical Informatics:““Simplistic definition:Simplistic definition: Computer applications in medical care”Computer applications in medical care”

““Complicated definition:Complicated definition: Biomedical Informatics is an Biomedical Informatics is an emerging discipline that has been defined as the study, emerging discipline that has been defined as the study, invention, and implementation of structures and algorithms invention, and implementation of structures and algorithms to improve communication, understanding and management to improve communication, understanding and management of medical information. The end objective of biomedical of medical information. The end objective of biomedical informatics is the coalescing of data, knowledge, and the informatics is the coalescing of data, knowledge, and the tools necessary to apply that data and knowledge in the tools necessary to apply that data and knowledge in the decision-making process, at the time and place that a decision-making process, at the time and place that a decision needs to be made. The focus on the structures and decision needs to be made. The focus on the structures and algorithms necessary to manipulate the information algorithms necessary to manipulate the information separates Biomedical Informatics from other medical separates Biomedical Informatics from other medical disciplines where information content is the focus.”disciplines where information content is the focus.”

Aamir Zakaria, M.D.; Vanderbilt Univ. http://www.faqs.org/faqs/medical-informatics-faq/


Medical Informatics:Medical Informatics:'Health informatics''Health informatics' is now tending to replace the is now tending to replace the previously commoner term 'medical informatics', previously commoner term 'medical informatics', reflecting a widespread concern to define an reflecting a widespread concern to define an information agenda for health services which information agenda for health services which recognizes the role of citizens as agents in their own recognizes the role of citizens as agents in their own care, as well as the major information-handling roles care, as well as the major information-handling roles of the non-medical healthcare professions. of the non-medical healthcare professions.

British Medical Informatics Society; http://www.cs.man.ac.uk/mig/links/what.medinfo.html


Information and communicationInformation and communication““Open the application”Open the application”





Types of InfoTypes of Info FilesFiles ExamplesExamples

DocumentsDocuments Consistency in storage form Consistency in storage form WordWord

Consistency in titleConsistency in title Web/htmlWeb/html

Acrobat (read only)Acrobat (read only)

TextText Consistency in storage formConsistency in storage form WordWord

Consistency in titleConsistency in title AccessAccess

Specialized programSpecialized program

NumericalNumerical zerozero ExcelExcel

Missing valuesMissing values AccessAccess



DataData Input filesInput files Statistical Statistical ProgramsPrograms

Output filesOutput files SPSSSPSS

TablesTables StataStata

GraphicsGraphics SASSAS

Data-mixed typeData-mixed type

TextText ExcelExcel

NumericalNumerical AccessAccess

FormulasFormulas Specialized Specialized programprogram



CalendarsCalendars OutlookOutlook

Hand-held devicesHand-held devices

Specialized Specialized programprogram

Address booksAddress books WordWord

AccessAccess

OutlookOutlook

Handheld devicesHandheld devices



Web PagesWeb Pages Web pagesWeb pages Front PageFront Page

with linkswith links Netscape Netscape Composer Composer

ImagesImages PhotosPhotos Photo EditorPhoto Editor

ProjectsProjects TimelinesTimelines Microsoft Microsoft ProjectProject

GraphicsGraphics

Audio & Audio & Media PlayerMedia Player

Mixed MediaMixed Media


Specialty Issues:Specialty Issues:

Research references:Research references:

AuthorAuthor Other authorsOther authors

TitleTitle Journal / book Journal / book titletitle

VolumeVolume YearYear

PagePage KeywordsKeywords

Toggle Toggle CommentComment

Programs:Programs:

Ref Man Ref Man

Consider compatibility with MedlineConsider compatibility with Medline

Consider flexibilityConsider flexibility


Specialty Issues:Specialty Issues:

Data entry: Data entry: Data entry options for handheld devices, e.g. PalmData entry options for handheld devices, e.g. Palm


Problems/ LimitationsProblems/ Limitations

1. What is the ‘life’ of the program?1. What is the ‘life’ of the program?

2.2. What if the program is discontinued?What if the program is discontinued?

3.3. Can you transfer the information to another Can you transfer the information to another program?program?

4.4. Can you interface with another program?Can you interface with another program?

5.5. How flexible is the program?How flexible is the program?

6.6. What limit is there for memory, fields, etc.?What limit is there for memory, fields, etc.?


Objectives:Objectives: Define key terms in information Define key terms in information

managementmanagement Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition



Characteristics of a quality programCharacteristics of a quality program – Cost / Expense to maintain and renew licenseCost / Expense to maintain and renew license– StableStable– SecureSecure– User-friendlyUser-friendly– Timely and compatible updatesTimely and compatible updates– FlexibleFlexible– Input and output of equal qualityInput and output of equal quality– Memory reasonableMemory reasonable– Good interfaceGood interface– Other features available as necessary, e.g. sorting, Other features available as necessary, e.g. sorting,

merging, etc.merging, etc.

InformationInformation ManagementManagement

StandardizationStandardization– LAN compatible systems (PCs)LAN compatible systems (PCs)– Definitions/ criteriaDefinitions/ criteria– Data processing systemsData processing systems

• Efficient - duplication wastes resources, timeEfficient - duplication wastes resources, time– decrease the risk of errorsdecrease the risk of errors– decrease the likelihood of retrieving bad decrease the likelihood of retrieving bad

informationinformation• How many different variables do you track? How many different variables do you track?

Keywords?Keywords?


StandardizationStandardization– Institutional policyInstitutional policy

• Programs should be consistentPrograms should be consistent

– Naming of files / storageNaming of files / storage– Backups, who is responsibleBackups, who is responsible– What maintenance is availableWhat maintenance is available– Importance of policies and proceduresImportance of policies and procedures


Information flowInformation flow– MultidirectionalMultidirectional

Types of institutional informationTypes of institutional information– InternalInternal– External External – ConfidentialConfidential– LegalLegal


Information ProductionInformation Production

ProductionProduction– IntrinsicIntrinsic

• BasicBasic– data that is produced, does not need data that is produced, does not need

manipulationmanipulation– ““Raw” dataRaw” data

• ProcessedProcessed– Greater controlGreater control– Greater accuracy (if QA in place)Greater accuracy (if QA in place)

• Must conduct auditsMust conduct audits– Increased speedIncreased speed– Increased volumeIncreased volume


ProductionProduction– ExtrinsicExtrinsic

• Program Program

““The set of instructions that a computer The set of instructions that a computer follows when processing information. A follows when processing information. A program utilizes information from a program utilizes information from a database to transform input into outputdatabase to transform input into output


ProductionProduction– ExtrinsicExtrinsic

• Database Database

““a set of related information that is a set of related information that is organized and stored in a computer for organized and stored in a computer for access and is usually associated with access and is usually associated with software applications” Hudson software applications” Hudson

• SpreadsheetSpreadsheet

““A tool that allows input of numerical data A tool that allows input of numerical data into rows and columns for computation into rows and columns for computation and analysisand analysis

AccessAccess

ExcelExcel

Information Management -Information Management - DiscussionDiscussion

Strengths and Weaknesses of software Strengths and Weaknesses of software programsprograms

Information ManagementInformation Management - - DiscussionDiscussion

Use the correct program for your needsUse the correct program for your needs

Test compatibility Test compatibility

Test outputTest output

StorageStorage– High tech optionsHigh tech options– Programs, compatible, widely available, Programs, compatible, widely available,

training is offeredtraining is offered– Systems, capacity for storageSystems, capacity for storage


RetrievalRetrieval

Only as good as the person who Only as good as the person who understands what they want to understands what they want to retrieve and what they expect to do retrieve and what they expect to do with what they retrievewith what they retrieve

Garbage in = Garbage out


RetrievalRetrieval– Organization SystemOrganization System– Search engineSearch engine

• Directory/ site mapDirectory/ site map• Basic search/ advanced - word searchBasic search/ advanced - word search

– Google, Yahoo, MSN, Lycos, Web crawlerGoogle, Yahoo, MSN, Lycos, Web crawler– Evidence Based MedicineEvidence Based Medicine

• Multiple search engines, nonspecific keywords, Multiple search engines, nonspecific keywords, level of evidence, etc.level of evidence, etc.

Read only restrictionsRead only restrictions Password protectionPassword protection


Objectives:Objectives: Define key terms in information Define key terms in information

managementmanagement Review types of informationReview types of information Discuss information management systemsDiscuss information management systems Develop strategies to manage nutrition Develop strategies to manage nutrition



““Managers must find ways to utilize the Managers must find ways to utilize the information that they have without either information that they have without either becoming overburdened by too much data or becoming overburdened by too much data or settling for less data than is needed.”settling for less data than is needed.”

HudsonHudson


Consider information management an area for Consider information management an area for professionals. Conduct a thorough review of professionals. Conduct a thorough review of your needs prior to selecting an IM system and your needs prior to selecting an IM system and software.software.

Examples:Examples:

Budget programsBudget programs

BillingBilling

SchedulingScheduling

Forecasting, purchasing, orderingForecasting, purchasing, ordering

Quality AssuranceQuality Assurance


Patient Care:Patient Care:

Quality information management systems Quality information management systems should:should:

• Support quality careSupport quality care• Assure confidentialityAssure confidentiality• Facilitate communicationFacilitate communication• Streamline business practicesStreamline business practices

– Billing, Billing, – Scheduling, Scheduling, – Appointment remindersAppointment reminders– Lab resultsLab results

• Support Patient safety initiativesSupport Patient safety initiatives


Information as an asset: Information as an asset:

Leverage information for maximum effectiveness Leverage information for maximum effectiveness throughout the organizationthroughout the organization

Protect information from a variety of threats and Protect information from a variety of threats and for a variety of purposesfor a variety of purposes

Monitor the use of information to ensure Monitor the use of information to ensure consistency in information practicesconsistency in information practices

www.arma.org/sim.index.cfmwww.arma.org/sim.index.cfm


Information as an asset: Information as an asset:

Quantify the value of informationQuantify the value of information

Forecast information that will be needed in order Forecast information that will be needed in order to make business units successfulto make business units successful

Maintain information for legal compliance and Maintain information for legal compliance and long-term access.long-term access.

www.arma.org/sim.index.cfmwww.arma.org/sim.index.cfm


Nutr 564: Information Management Nutr 564: Management Barbara Bruemmer Ph.D., R.D. UW Nutritional Sciences Summer 2002.

Documents

information management

information management

stored information

financial information

dissemination of information

information content

management information

management barbara bruemmer