Send the link below via email or IMCopy
Present to your audienceStart remote presentation
- Invited audience members will follow you as you navigate and present
- People invited to a presentation do not need a Prezi account
- This link expires 10 minutes after you close the presentation
- A maximum of 30 users can follow your presentation
- Learn more about this feature in our knowledge base article
Do you really want to delete this prezi?
Neither you, nor the coeditors you shared it with will be able to recover it again.
Make your likes visible on Facebook?
Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.
History of Informatics
Transcript of History of Informatics
While we’re learning, have some fun
Take a brief look at the history healthcare informatics
Sometimes, things change for the better
A brief history of
healthcare informatics informatics
Why bother with history in technical fields?
'Those who cannot remember the past are condemned to repeat it.'
Historical note about
Created in the Age of Minicomputers
Octo Barnett MD, internist, MGH, late 1960s
Created a programming language designed for medicine, tailored to minicomputers 8Kb RAM (…eek!)
Integrated DB language into programming language (first and only so far as I know...)
Historical note about
Hierarchical database, reflecting medical hierarchies
Very efficient, B-trees database
Simple commands, one data type: text
Only the third computer language standard by ANSI after FORTRAN & COBOL
Core of the VA CPRS system, EPIC
(in short, it won)
Our historical themes
Information: how clinicians/librarians find
what they need
Hardware: the computing platforms in use
Software: the programming platforms in use
Communication: how clinicians/librarians communicate with information systems
Healthcare informatics is littered with good ideas badly implemented <repeat…as needed>
A reminder about names
aka Healthcare Informatics
aka Medical Informatics
Informatics supporting clinicians and patients in care process
Biomedical Informatics ~ Big Umbrella
Biomolecular informatics coupling w/ math working in biology
Public/Population Health Informatics
Informatics applied to populations
Informatics to speed research to bedside
Clinical Research Informatics
Informatics supporting researchers
in the research process
The Vendor Space
First dominated by big companies: IBM, SMS (mainframes) --> good start/flopped
Then by smaller companies with niche products, like RIS, LIS, ADT (mini-computers) and by home-grown (some say "home-groan") systems --> good start/many flopped, some didn't
Best of Breed (DoD)
Today, there are hundreds of vendors, even "cloud based" systems (Internet)
Some acronyms you'll hear a lot:
EHR: electronic health record
aka electronic medical record (EMR)
CPOE: computerized provider order entry
HIE: health information exchange
RHIO: regional health info organization
Bad implementation often arises from faulty system evaluation and human factors, which we will cover in fture lectures.