Data informatics in healthcare - Part 3
Carly Noel, DO, MPH Clinical Informatics Fellow
Start
Disclosure
Dr. Noel is the President of the AMIA Clinical Informatics Fellows under the American Medical Informatics Association
How can we make sure that Sasha's health information gets back to her pediatrician?
Healthcare Data and Exchange standards
REFERENCES
Promotes consistent naming of individuals, events, diagnoses, treatments, and everything else in healthcare.
These standards allow for the fundamentals of informatics to be carried out! Such as information exchange, research, public health and technology advancements.
Allows for better use of data in patient care.
Healthcare Data and Exchange Standards
Imaging Standards
Patient Identifiers
- Digital Imaging and Communications (DICOM) is intended for the transport of images
- SSN? MRN? Lots of controversy in the United States!
Message Exchange Standards
Prescribing Standards
- HL7 is widely used throughout healthcare
- HL7 is a syntax, meaning that the sender and receiver must understand the meaning of the messages
- HL7 also sets a standard for Clinical Documentation Architecture (CDA)
- National Council for Prescription Drug Programs developed SCRIPT as the communication standard between prescriber and pharmacy
Healthcare Data and Exchange Standards
- International Classification of Diseases (ICD)
- Standard to help classify and code diseases, injuries, and health conditions
- Take a look at the different ways and complexities that we can code for Sasha’s upper extremity fracture.
- Let’s say she was visiting her grandparents in Florida when this happened. How can her pediatrician see information from this encounter?
Information Technology Systems
Info
Flip each card for the definition of the term
Health Information Systems (HIS)
Data Warehouses
Health Information Exchange (HIE)
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Sharing of this information across health systems (hospitals, physician practices, laboratories, pharmacies, nursing homes etc.)
The clinical systems used to retrieve patient data for review by their providers, for example, the electronic health record
Can be used for quality improvement, public health reporting, research, clinical trials etc (Epic Caboodle)
Title
Health Information Systems (HIS)
Title
Data Warehouses
Title
Health Information Exchange (HIE)
Write a brief description here
Write a brief description here
Write a brief description here
InteroperabilityDefined
- HIE and Interoperability are different
- HIE refers to the act of sharing information about a patient or population
- Interoperability is a technical capability that allows information to be electronically exchanged
- Both HIE and Interoperability are crucial for population health
Hover above the + sign for the definition!
Interoperability
HIE and Interoperability Networks
REFERENCES
Click on the icons below for more info
State Government- Facilitated HIE
Community-Based HIE
Vendor-Facilitated HIE
National Networks
Barriers for the HIE and interoperabiliy
REFERENCES
Financial Barriers
Technical Barriers
- Takes time and money to adjust current EHR infrastructure
- EHR vendors sometimes make it hard to exchange information
- Institutions have significant customization
- Different workflows
- Different programming languages (getting better!)
- HL7 is now a standard as Fast Healthcare Interoperability Resource (FHIR)
FHIR
FHIR
Fast Healthcare Interoperability Resources is a standard developed by Health Level Seven (HL7) International to facilitate the exchange of healthcare information between different healthcare systems
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
API-based (application programming interfaces) communication to ensure efficient data exchange between systems
Sasha’s mom will be able to share the encounter on MyChart
FHIR is an open-sourced standard, meaning it is freely available for use by anyone -> reduces cost
FHIR provides rules for a common/standard data format so that systems can better understand data
SMART on FHIR is an application programming interface for medical apps
Title
Write a brief description here
Swipe through the cards to learn more about FHIR
Clinical Informatics Research
- Clinical informaticians use health data to improve decisions, care, and delivery.
- Growing healthcare data creates endless opportunities.
- Epic COSMOS enables large-scale health research and innovation.
- Especially useful for rare disease studies.
Key Research Areas
System Development Cycle
Info
Click to read more about leadership and change management
Planning
Analysis
Maintenance
Implementation
Testing
Design
Development
Artificial Intelligence (AI) & Machine Learning (ML)
REFERENCES
Natural Language Processing
Generative AI
Machine Learning
Why does it matter?- Healthcare is experiencing a data explosion between exponentially increasing electronic health record data, wearable devices, and integrated apps
Applications of AI in Healthcare
Diagnostics
Predictive Modeling
Personalized Treatment
Virtual Assistants
Examples of AI
1) The study used AI to analyze the structure and features of brain tissue
2) “The deep learning approach was applied to the prediction of cognitive impairment, a challenging problem for which no current human-performed histopathologic diagnostic tool exists”
Additional Topics to Explore
Where to Learn More
- Visit: www.connect.AMIA.org
- Podcasts
- ACIF Go-Live
- Produced by the AMIA clinical informatics fellows with expert interviews
- For Your Informatics (FYI)
- Explores the limitless world of medical informatics, showcases individuals at all career stages. Led by Women in AMIA.
Thank you!
Carly Noel
Carly.Noel@CCHMC.org
State Government-Facilitated HIE
- HITECH Act provided eligible U.S. hospitals and providers with incentives for adapting EHR systems and funding for the Office of the National Coordinator for Health Information Technology (ONC) to stimulate HIE
- ONC invested over $500 million in state-based HIE programs
- Example: Michigan created the Michigan Health Information Network (MiHIN)
Applications of AI in healthcare
Predictive Modeling
- Machine learning can predict disease risk and progression using constantly updating models
Consider:
Does this make it easier to see Sasha’s encounter from across state lines?
Applications of AI in healthcare
Diagnostics
- AI has been shown to be able to analyze imaging (such as chest x-rays) and provide timely results
- Is it possible in the future AI will be able to read Sasha’s upper extremity x-ray correctly before a physician?
- Yes! https://www.sciencedirect.com/science/article/pii/S2666639125000392
Applications of AI in healthcare
Personalized Treatment
- Tailoring therapy based on current diagnosis and past medical history
Applications of AI in healthcare
Virtual Assistants
- Chat bots providing triage or other health support
Natural language processing is a form of AI that enables computers to interpret and use human language
Generative AI is a machine learning technology that can create new content from the data it has been trained on
Correct!
HIE and Interoperability both share health information, improve access to patient care, and send secure data. HIE is the ACT of sending information while Interoperability is the technical ABILITY to send the information.
Leadership & Change Management in Clinical Informatics
- Leadership is needed to ensure that new technologies and workflows are successfully adapted and used.
- Typically as a physician, this is a Chief Medical Information Officer, Chief Technology Officer, Physician Builder, Physician Champion
- Using the System Development Life Cycle is helpful with implementation
Machine learning is a key component of AI, which works by processing a vast amount of clinical data and uses algorithms to identify patterns and predict medical outcomes
Data informatics in healthcare - Part 3
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Transcript
Data informatics in healthcare - Part 3
Carly Noel, DO, MPH Clinical Informatics Fellow
Start
Disclosure
Dr. Noel is the President of the AMIA Clinical Informatics Fellows under the American Medical Informatics Association
How can we make sure that Sasha's health information gets back to her pediatrician?
Healthcare Data and Exchange standards
REFERENCES
Promotes consistent naming of individuals, events, diagnoses, treatments, and everything else in healthcare.
These standards allow for the fundamentals of informatics to be carried out! Such as information exchange, research, public health and technology advancements.
Allows for better use of data in patient care.
Healthcare Data and Exchange Standards
Imaging Standards
Patient Identifiers
Message Exchange Standards
Prescribing Standards
Healthcare Data and Exchange Standards
Information Technology Systems
Info
Flip each card for the definition of the term
Health Information Systems (HIS)
Data Warehouses
Health Information Exchange (HIE)
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Sharing of this information across health systems (hospitals, physician practices, laboratories, pharmacies, nursing homes etc.)
The clinical systems used to retrieve patient data for review by their providers, for example, the electronic health record
Can be used for quality improvement, public health reporting, research, clinical trials etc (Epic Caboodle)
Title
Health Information Systems (HIS)
Title
Data Warehouses
Title
Health Information Exchange (HIE)
Write a brief description here
Write a brief description here
Write a brief description here
InteroperabilityDefined
Hover above the + sign for the definition!
Interoperability
HIE and Interoperability Networks
REFERENCES
Click on the icons below for more info
State Government- Facilitated HIE
Community-Based HIE
Vendor-Facilitated HIE
National Networks
Barriers for the HIE and interoperabiliy
REFERENCES
Financial Barriers
Technical Barriers
FHIR
FHIR
Fast Healthcare Interoperability Resources is a standard developed by Health Level Seven (HL7) International to facilitate the exchange of healthcare information between different healthcare systems
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
Use this side of the card to provide more information about a topic. Focus on one concept. Make learning and communication more efficient.
API-based (application programming interfaces) communication to ensure efficient data exchange between systems
Sasha’s mom will be able to share the encounter on MyChart
FHIR is an open-sourced standard, meaning it is freely available for use by anyone -> reduces cost
FHIR provides rules for a common/standard data format so that systems can better understand data
SMART on FHIR is an application programming interface for medical apps
Title
Write a brief description here
Swipe through the cards to learn more about FHIR
Clinical Informatics Research
Key Research Areas
System Development Cycle
Info
Click to read more about leadership and change management
Planning
Analysis
Maintenance
Implementation
Testing
Design
Development
Artificial Intelligence (AI) & Machine Learning (ML)
REFERENCES
Natural Language Processing
Generative AI
Machine Learning
Why does it matter?- Healthcare is experiencing a data explosion between exponentially increasing electronic health record data, wearable devices, and integrated apps
Applications of AI in Healthcare
Diagnostics
Predictive Modeling
Personalized Treatment
Virtual Assistants
Examples of AI
1) The study used AI to analyze the structure and features of brain tissue
2) “The deep learning approach was applied to the prediction of cognitive impairment, a challenging problem for which no current human-performed histopathologic diagnostic tool exists”
Additional Topics to Explore
Where to Learn More
Thank you!
Carly Noel Carly.Noel@CCHMC.org
State Government-Facilitated HIE
Applications of AI in healthcare
Predictive Modeling
Consider:
Does this make it easier to see Sasha’s encounter from across state lines?
Applications of AI in healthcare
Diagnostics
Applications of AI in healthcare
Personalized Treatment
Applications of AI in healthcare
Virtual Assistants
Natural language processing is a form of AI that enables computers to interpret and use human language
Generative AI is a machine learning technology that can create new content from the data it has been trained on
Correct!
HIE and Interoperability both share health information, improve access to patient care, and send secure data. HIE is the ACT of sending information while Interoperability is the technical ABILITY to send the information.
Leadership & Change Management in Clinical Informatics
Machine learning is a key component of AI, which works by processing a vast amount of clinical data and uses algorithms to identify patterns and predict medical outcomes