HIS: Lesson 4 (Overview on Health Informatics)

false

(T/F) As information systems become closer to the source of collection, it should become sustainable and overburden the health delivery staff or be too expensive to run.

true

(T/F) Eliminating these gaps between data sources and connecting networks that relate to the patient outcomes are the goals of interoperability.

false

(T/F) Health informatics in the Philippines has been loosely practiced since 1990s.

Office of the National Coordinator (ONC)

certifies approved IT technology use under the federal reimbursement program and MACRA; a US insurance for the retired people or those who cannot afford healthcare.

IBM

compatible machines used word processors to store patient information

education and research

conduct tests based on patient's records (universities and labs)

- potential risks to personal information - cloud setup seems cumbersome

disadvantages of cloud technology

companies

include large corporates, and startups & SMEs

third sector

includes charities and associations

Digital Opportunity Center

meaning of ADOC

Asia Pacific Economic Cooperation

meaning of APEC

Community Health Information Tracking System

meaning of CHITS

Health Insurance Portability and Accountability Act

meaning of HIPAA

International Business Machine Corporation

meaning of IBM

Centers for Medicare and Medical Services Health Insurance Plan Reauthorization Act

meaning of MACRA

National Telehealth Service Program

meaning of NTSP

office of the national coordinator

meaning of ONC

picture archiving and communication systems

meaning of PACS

vendor neutral archive

meaning of VNA

health and social care

use medical records and data, to get treatment and help the patients (providers and professionals)

1998

This is the year when National Telehealth Center was born with the objective of developing cost-effective tools and innovations in the realm of Information and Communications Technology (ICT) for improving health care.

RxBox

This is used in an expert-advise, by using this, patients in rural areas can consult to specialists even without going to big cities.

Stockholm Challenge 2006

This is where CHITS was named as a finalist

University of the Philippines - Manila

This is where the health informatics in the PH was pioneered

Medical Informatics Unit (MIU)

This was established together with UPM

CHITS

an Electronic Medical Record (EMR) utilized by government facilities

covered entities

anyone providing treatment, payment, operations in healthcare (doctors)

business associates

anyone who has access to patient information and provides support in treatment, payment or operations (subcontractors or any other related business associates)

Electronic Medical Record (EMR)

Other term for EHR

CHITS

A Linux, Apache, MySQL, PHP-based system released under the General Public License (GPL).

health interoperability ecosystem

A composition of individuals, systems, and processes, that share, exchange, and access all forms of health information, including discrete, narrative, and multimedia.

MACRA

A law on value-based reimbursement system passed by the US Congress in 2015. Through this law, it makes the HIS in the US more progressive.

health information management

A system in which the health information (all patients' data and record) is processed and analyzed.

VNA

Application that stores medical images in a standard format or interface, therefore images stored in here can be accessed to any workstation in respective of the vendor.

health information technology

Area of IT involving the design, development, creation, use, and maintenance of information systems for the health care industry.

health informatics specialist

They make sure that the data is organize and can easily be translated.

United States

This country mandated HIPAA

Asia Pacific Economic Cooperation (APEC)

CHITS was one of top three e- government projects in the Philippines made by

National Telehealth Service Program (NTSP)

Consults between primary care physicians in rural areas and clinical specialists of the PGH using a mobile and internet-based interface and triaging system

VNA

Created with the aim of solving problems created by vendor specific PACS (it typically dissociates to all vendors of medical imaging equipment).

Digital Opportunity Center (ADOC)

This is a branch of APEC

PACS

Focused on improving the workflow with emphasis on storage and retrieval.

Health Information Exchange (HIE)

Health care organization with interoperability pact to share data among their health information technology systems.

a) Lack of Standardization b) System Architecture

Interoperability is so challenging because of

PACS

It allows both storage and access to medical images (such as CT scans, MRI scans, ultrasounds, and standard digital X-rays).

health informatics

It comprises both the technology and the system.

Personal Health Record (PHR)

It is a self-maintained health record.

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

It is the federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.

HIPAA security rule

It protects a subset of information covered by the privacy rule.

health information management

It refers to any system that captures, stores, and manages information related to the health of an individual or activities on an organization that work within the health preceptor.

National Telehealth Service Program (NTSP)

Joint project of the DOH and the National Telehealth Center, aimed at expanding Telemedicine to Municipalities nationwide.

VNA

Mostly focused on providing back-up and archiving that will survive the long-haul, even if the vendor changes.

Electronic Health Record (EHR)

Official health record in digital form.

RxBox

Telemedicine device capable of capturing medical signals through built-in medical sensors, storing data in an electronic medical record and transmitting health information via internet to a clinical specialist in the Philippine General Hospital.

consent

The phrase "use your data" means it has to have your _____. You have the right to protect your data.

2005

The year when Master of Science and Health Informatics in UP Manila is developed and formally started

a) Lack of interest in the field b) Benefits of information technology do not seem apparent to many decision- makers in the health sector c) Large initial expenditure

These are various issues that hampers progress:

1. Picture archiving and communication systems (PACS) 2. Vendor Neutral Archives (VNA)

These two are widely used types of health information technology that help manage and store patient's medical images.

83%

Whta is the percent of the current healthcare organizations that are making use of cloud-based application, changing the landscape of whole healthcare systems and health informatic?

master of science and health informatics

With the aim of generating new blood in health informatics and formulating structured learning programs in health informatics, _____ in UP Manila is developed in which it was formally started last 2005 with its first batch

- integrated and efficient patient care - better management of data

advantages of cloud technology

policy makers

patient records are important for the government to know what laws that they should make and improve for the people (governments and local authorities)

patients/citizens

serve as the source of the data

cloud technology

storage of data such as google drives and iclouds

Funders

the information here are used for insurance and invest advertisement regarding the health (insurers and investors)

HIPAA privacy rule

to implement the requirements of HIPAA