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Introduction to Health Informatics

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Beth Breeden

on 21 August 2018

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Transcript of Introduction to Health Informatics

This course is coordinated Dr. Beth Breeden and Dr. Kevin Clauson.

The expectation for student pharmacists in this course is excellence and the success that yields.

Hebrews 12:11 New International Version (NIV) - No discipline seems pleasant at the time, but painful. Later on, however, it produces a harvest of righteousness and peace for those who have been trained by it.

Let's Get Started!
Blackboard review
HI Articles and Resources
Course Logistics

Class meetings will include content from lectures, readings, powerpoint, prezi, etc.
There are great speakers scheduled for this semester. Each will present information regarding their daily roles and how informatics impacts their efforts.
You should read information regarding each of these speakers before class and have thoughtful questions ready when they present.
These speakers are also preceptors who work with our students in IPPE/APPE rotations, residencies, etc.
Recognize content included in the ‘five W’s’ of Health Informatics.
Discuss the historical perspective for the development of informatics.

Pharmacy Informatics is foundational to any career in pharmacy.
PHPR 2422 - Introduction to Health Informatics - Fall 2018
Elizabeth Breeden, DPh, MS

Recognize elements of the informatics hierarchy and their definition.

Discuss the need for informatics in the health care sector and what prompted its development.
List opportunities for advanced education and training in pharmacy informatics at LUCOP.
Recognize advanced informatics offerings available in the delivery of healthcare.
Discuss future developments in the HI sector and how these are being guided by current events today.

Five W’s of Health Informatics
What is it?
When did it begin?
Why are we teaching it at LUCOP?
Where will I use it?
Who is interested in it and practicing in it currently?

Informatics - What
- the 'use of computers to manage data and information.’’

Building Core Competencies in Pharmacy Informatics, 2010.
AMIA Glossary http://www.amia.org/glossary
Am J Health-Syst Pharm 2007;64(2):200-203.
Am J Pharm Educ 2008;72(4):89
A hitchhikers Guide to Bioinformatics. http://www.slideshare.net/JTADrexel/bioinformatics-2512758
ASHP Statement on the Pharmacist's Role in Clinical Informatics. http://tinyurl.com/zq5sj38

Biomedical Informatics
- The science that develops methods, techniques, and theories regarding how to use data, information, and knowledge to improve biomedical research, human health, and the delivery of healthcare services’.

Health Informatics
- ‘the fields of clinical informatics and public health informatics, including both applied research and practice’.

Pharmacy Informatics
- 'the effective management and delivery of medication related data, information, and knowledge across systems that support the medication-use process.'

Informatics Hierarchy
HI History
Informatics possesses a robust history over the last half century.

In 1955, early articles are published on the electronic digital computer and health.

Soon thereafter, Informatique medicale (medical informatics) was coined in France and subsequently adopted broadly.

In 1974, Anderson et al published one of the first guides for teaching medical informatics, Education in Informatics of Health Personnel.

The Case for Informatics - Why
Medical errors lead to thousands of deaths each year in
hospitalized patients according to the Institute of Medicine (IOM) report
To Err is Human
Estimates range from 44,000 to 98,000 annually.

The issue originates largely with the systems of care which lead to the errors.
Health care professionals face many challenges in their practice (overworked, changing workflows, new technology implementations, etc).

A health care system that is segmented, leading to poor communication and continuity of care.
An inability to efficiently and appropriately use the growing scientific knowledge base
Inadequate involvement of the patient as a decision maker in the patient’s care.
An impending workforce shortage and discontentment among current health care workers.

Federal mandates require that we use information technology in the delivery of healthcare and that we use it meaningfully.
Health Care Reform Act of 2009
American Recovery and Reinvestment Act (ARRA)
Health Information Technology Economic and Clinical Health (HITECH)
Meaningful Use Criteria (MU)

More of the 'Why'
Accreditation Council for Pharmacy Education (ACPE) – 2016 Standards Foundation

IOM reports: Best practices to improve medication safety and patient outcomes
5 areas of emphasis
Provide patient-centered care
Work in interprofessional teams
Employ evidence-based practice
Apply quality improvement
Utilize Informatics

Accreditation Council for Pharmacy Education (ACPE) – 2016 Standards Foundation
CAPE 2013 Outcomes
(Center for the Advancement of Pharmacy Education)
CAPE 2.2: Medication Use Systems
Technology and systems emphasized

ACPE Standard 2: Essentials for Practice and Care
2.2 Medication use systems management:
The graduate is able to manage patient healthcare needs using human, financial, technological, and physical resources to optimize the safety and efficacy of medication use systems.

What Positions Are Available in Pharmacy Informatics?

Chief Informatics Officer (You!)
Director, Pharmacy Revenue Optomization (Dr Drew Lewis)
Clinical Informatics Pharmacist (Dr. Jay Dorris, Dr. Michael McGuire)
Corporate Pharmacy Director (Dr. Will Walker)
Health Outcomes Analytics (Dr Cameron James)
Pharmacist Informatics Specialist (Dr. Stacey Lynn English)
Director of Hospital Pharmacy (Dr. Brad Cagle)
Clinical Informatics Pharmacist (Dr Savannah Clary)
Pharmacy Information Systems Specialist (Dr. David Trinh)
PGY1 / PGY2 Pharmacy Resident (Dr Bridget Lynch; Dr. Ben Moore)
(See LinkedIn for more information in the 'Jobs' section)
Summer Informatics Internship
8 weeks in the Health IT @ VUMC
New ones developing almost daily (blockchain and corporate pharmacy)
PGY2 Pharmacy Informatics Residency
PGY1-2 Pharmacy Informatics Residency
Master of Science in Health Care Informatics (MHCI)
Certificate in Health Care Informatics
Dual degree (PharmD-MHCI) and degree certificate (PharmD-Certificate in HCI)

Informatics Offerings at LUCOP
LUCOP is the second college of pharmacy in the nation to formally announce this dual offering.
Informatics Utilized in the Delivery of Healthcare
What are recent developments in the health informatics sector?
To Err is Human - Building a Safer Health System.
Institute of Medicine. 1999. http://tinyurl.com/ho5cyhn
Entrustable Professional Activities (EPAs)

Analyze information to determine the effects of medication therapy, identify med-related problems, and prioritize health related needs.
Amazon - Berkshire Hathaway - JP Morgan Chase health collaboration
Amazon buys PillPack
Full transcript