3. Informatics Year in Review
âĒ Origin: American Medical Informatics
Association (AMIA) Annual Symposium
âĒ Born: October, 2005
âĒ Father: Daniel R. Masys, MD
Formerly at Vanderbilt University
Now at University of Washington
âĒ Modeled on: American College of Physicians
âUpdateâ sessions
3
4. Informatics Year in Review
âĒ Session at every AMIA
Annual Symposium since
2005
âĒ To review notable
publications and events in
informatics in the past year
4
AMIA 2011
Flickr: AMIAInformatix
6. Informatics Year in Review: Format
âĒ Selected publications in the previous year in
âŦ Clinical Informatics
ï Clinical Decision Support
ï Telemedicine & mHealth
ï The Practice of Informatics
âŦ Bioinformatics
âĒ Notable events in the previous year
6
7. Informatics Year in Review: Sources
âĒ Literature review of Randomized Controlled
Trials (RCTs) indexed in PubMed
âŦ Timeframe: in previous year
âŦ Method: RCTs & other criteria
âĒ Suggestions & polls of American College of
Medical Informatics (ACMI) Fellows
âĒ Other notable publications suggested by ACMI
Fellows
7
8. Informatics Year in Review: Expansion
âĒ Original âInformatics Year in Reviewâ in its 9th year
at AMIA 2013
âĒ AMIA Clinical Research Informatics
(CRI) Year in Review, since 2012 (Dr. Peter Embi)
âĒ HIMSS Nursing Informatics Year in Review, since
2012
âĒ AMIA Public & Global Health Informatics
Year in Review, since 2012
âĒ AMIA Informatics Year in the Media,
since 2013 (Dr. Danny Sands)
http://yir.drdannysands.com/
8
10. Purpose
âĒ To review & feature noteworthy informaticsrelated topics, issues, events, progress updates
that happened in Thailand & elsewhere in the
past year
âĒ More like Dr. Danny Sandsâ âInformatics Year in
the Mediaâ than Dr. Dan Masysâs original
âInformatics Year in Reviewâ
10
11. Guiding Principles
âĒ Use existing frameworks to guide coverage
âĒ More focus on public policy and societal
progress, less on academic progress
âĒ Value-driven, high emphasis on large-scale
impact
âĒ Highlight updates noteworthy for historical
documentation
11
12. 2012 Format & Sources
âĒ Selected updates, progress, events in
informatics
âŦ Domestic updates
âŦ International updates
âĒ Given Thailandâs limited online
informatics materials, contents are
presentersâ discretion, not relying on
extensive search strategies
âĒ Opinions of presenters, may be biased
and different from audienceâs
12
15. Disclaimers
âĒ All views, opinions & comments are
the presentersâ own and do not
represent those of Thai Medical
Informatics Association, employers
or affiliated organizations
15
17. Thailandâs eHealth: 2010
17
eHealth in Thailand: The current status. Stud Health Technol Inform
2010;160:376â80, Presented at MedInfo2010 South Africa
35. Governance &
Policy engagement
Clearing House
(Preliminary
hypothesized model)
Data standards
System development
āļŦāļāđāļ§āļĒ
āļāļĢāļīāļāļēāļĢ
(Service
unit)
Claim
data
Data
checking & verification
Case-mix processing
Requirements
Processed
claim data
āļŦāļāđāļ§āļĒāļāļēāļ
āļŦāļĨāļąāļāļāļĢāļ°āļāļąāļ
āļŠāļļāļāļ āļēāļ
(Purchaser)
Requested
information
āļŦāļāđāļ§āļĒāļāļēāļ
āļĢāļēāļāļāļēāļĢ
āļāļĩāđāļāļĩāļĒāļ§āļ āđāļāļ
āđ āđ
Data warehouse
Feedback MIS
Utilization review data
System MIS
45. Level of Interoperability
Semantic
Interoperability
âĒ is realised through invocation of
services accessed via standardised
interfaces. Here, common business
models are needed.
âĒ harmonised information models based
on common references and agreed,
ontology-based terminology
Syntactic
Interoperability
âĒ harmonised messaging and document
exchange
Structure
Interoperability
âĒ is based on the exchange of agreed
data.
Technical
Interoperability
âĒ establishes harmonisation at the plug
and play, signal and protocol level
Process/Service
Interoperability
Benson T: Principles of Health Interoperability HL7 and SNOMED. 2nd ed. 2012. Springer; 2012.
Bobel B: Making Hospital IT Interoperable Hospital Information Technology Europe 2008
46. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
Landscape āļāļāļāļĄāļēāļāļĢāļāļēāļāļāđāļāļĄāļđāļĨāļŠāļļāļāļ āļēāļ
From: Standards â Yesterday, Today and Tomorrow: Integrating the StandardsÂ
for Healthcare presentation , Ken Lunn,  17 October 2011
47. Standards & Interoperability
Thai Health Information Standards
Standards
National
1. Core data set standards
12 & 18 files standards
2. Semantic standards
Personal ID, Provider ID
ICD 10 TM, ICD 9 CM
X
3. Syntactic standards
4. Security and privacy standards
47
X
48. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
Thai Health Data Standards: Developing
Standards
1. Core data set standards
National
Referral, Chronic Diseases
2. Semantic standards
Drug Terminology (TMT), SNOMED-CT
Lab. Code (LOINC)
Providers IDs
3. Syntactic standards
HL7 messaging, CDA
4. Security and privacy standards
X
51. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
SUBS
Substance
Dosage
Form
Thai Medicines Terminology
(TMT) Data Model
VTM
Virtual
Therapeutic
Moiety
GP
Generic
Product
TP
Trade
Product
Unit of
Uses
GPU
Generic
Product Use
TPU
Trade
Product Use
Pack
content
GPP
Generic
Product
Pack
TPP
Trade
Product
Pack
Strength
Manufactur
er
52. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
TMT an Example
52
63. Current Laws Related to ICT & eHealth
âĒ Official Information Act, B.E. 2540
âŦ āļāļĢāļ.āļāđāļāļĄāļđāļĨāļāđāļēāļ§āļŠāļēāļĢāļāļāļāļĢāļēāļāļāļēāļĢ āļ.āļĻ. 2540
âĒ The Sanatorium Act, B.E. 2541
âŦ āļāļĢāļ.āļŠāļāļēāļāļāļĒāļēāļāļēāļĨ āļ.āļĻ. 2541
âĒ Electronic Transactions Act, B.E. 2544
âŦ āļāļĢāļ.āļāļļāļĢāļāļĢāļĢāļĄāļāļēāļāļāļīāđāļĨāđāļāļāļĢāļāļāļīāļāļŠāđ āļ.āļĻ. 2544
âĒ Computer-Related Crimes Act, B.E. 2550
âŦ āļāļĢāļ.āļ§āđāļēāļāđāļ§āļĒāļāļēāļĢāļāļĢāļ°āļāđāļēāļāļ§āļēāļĄāļāļīāļāđāļāļĩāđāļĒāļ§āļāļąāļāļāļāļĄāļāļīāļ§āđāļāļāļĢāđ āļ.āļĻ. 2550
âĒ National Health Act, B.E. 2550
âŦ āļāļĢāļ.āļŠāļļāļāļ āļēāļāđāļŦāđāļāļāļēāļāļī āļ.āļĻ. 2550
63
64. Current Laws Related to ICT & eHealth
âĒ Royal Decree Establishing Electronic Transactions
Development Agency (Public Organization), B.E.
2554
âŦ āļāļĢāļ.āļāļąāļāļāļąāđāļāļŠāđāļēāļāļąāļāļāļēāļāļāļąāļāļāļēāļāļļāļĢāļāļĢāļĢāļĄāļāļēāļāļāļīāđāļĨāđāļāļāļĢāļāļāļīāļāļŠāđ
(āļāļāļāđāļāļēāļĢāļĄāļŦāļēāļāļ) āļ.āļĻ. 2554
âĒ Royal Decree Establishing Electronic Government
Agency (Public Organization), B.E. 2554
âŦ āļāļĢāļ.āļāļąāļāļāļąāđāļāļŠāđāļēāļāļąāļāļāļēāļāļĢāļąāļāļāļēāļĨāļāļīāđāļĨāđāļāļāļĢāļāļāļīāļāļŠāđ (āļāļāļāđāļāļēāļĢāļĄāļŦāļēāļāļ)
āļ.āļĻ. 2554
64
70. āļĄāļēāļāļĢāļāļēāļ Security āļāļēāļĄāļ§āļīāļāļĩāļāļēāļĢāđāļāļāļāļĨāļāļāļ āļąāļĒ
āđāļāđāļāđāļāđāļ 11 āļŦāļĄāļ§āļ (Domains)
âĒ Security policy
âĒ Organization of information security
âĒ Asset management
âĒ Human resources security
âĒ Physical and environmental security
âĒ Communications and operations management
âĒ Access control
âĒ Information systems acquisition, development and
maintenance
âĒ Information security incident management
âĒ Business continuity management
âĒ Regulatory compliance
71. National Cyber Security Committee
71
http://www.thaigov.go.th/th/governmental/item/77821-āļĢāļĄāļ§āļāļāđāļāļĒāļāļāļ°āļāļĢāļĢāļĄāļāļēāļĢāļāļ§āļēāļĄāļĄāļąāđāļāļāļ
āļāļĨāļāļāļ āļąāļĒāđāļāđāļāļāļĢāđāļŊ-āđāļŦāđāļāļāļāļāļĢāđāļēāļāļāļĢāļāļāļāđāļĒāļāļēāļĒāļāļ§āļēāļĄāļĄāļąāđāļāļāļāļāļĨāļāļāļ āļąāļĒāđāļāđāļāļāļĢāđāđāļŦāđāļāļāļēāļāļī.html
73. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
Current Knowledge about eHealth Workforce
ï§ Increase recognition that a competent and
well-trained workforce is required for
successful implementation of eHealth
ï§ Very little is known about how eHealth
workforce are organized in different
healthcare settings
ï§ A few studies in developed countries
ï§ No in developing countries
From : Hersh W. : The health information technology workforce: Estimations ofÂ
demands and a framework for requirements. Appl Clin Inf 2010; 1: 197â212
73
74. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
Who & Roles
ï§ Englandâs NHS Study
ï§ Information and communication
technology staff (37%)
ï§ Health records staff (26%),
ï§ Information management staff (18%)
ï§ Knowledge management staff (9%),
ï§ Senior managers (7%),
ï§ Clinical informatics staff (3%)
74
75. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
Who & Roles
ï§ Canadaâs Study
ï§ Information Technology
ï§ Health Information Management
ï§ Project Management
ï§ Organizational and Behavioral
Management
ï§ Analysis and Evaluation
ï§ Clinical Informatics
75
76. T h a i H e a l t h I n f o r m a t ion S t a n d a r d D e v e l o p m e n t C e n t e r ( T H I S )
Thai Health Informatics Academy
Who & Roles
ï§ US Studies
ï§ ICT personnel eg. programmers, IT
network staffs, database administrators
etc.
ï§ Health Information Management e.g.
Medical coders, medical record
managers etc.
ï§ Health Informaticians e.g. Clinical
Informatics, Public Health Informatics
76
77. How Many?
Country
English NHS
Australia
US (Garner report)
US (HIMSS)
Developing Countries
English NHS 25,000 FTE
Canada
32,450 FTE
Australia
12,000 FTE
IT: Non-IT Ratio
1: 52
1:50
1:40
1:60
?
(Pop. 50 M)
(Pop. 30+ M)
(Pop. 22 M)
77
85. MU Faculty of Tropical Medicine
Class of 2013
85
Faculty of Tropical Medicine, Mahidol University
86. Informatics Education SIG
âĒ In January 2013, TMI approved establishment of
the âBiomedical and Health Informatics
Education Special Interest Groupâ within TMI
(BHI-ED-SIG)
âĒ Executive Committee
1. āļāļ.āļāļēāļ§āļĪāļāļĐāđ āļŠāļīāļāļāļļāļ§āļāļīāļāļĒāđ āļāļĩāđāļāļĢāļķāļāļĐāļē
2. āļāļĢ.āļāļ.āļāļļāļāļāļąāļĒ āļāļīāļāļŠāļāļēāđāļĒāļāļīāļ āļāļĢāļ°āļāļēāļ (Chair)
3. āļāļĢ.āļāļ.āļāļ§āļāļĢāļĢāļ āļāļĩāļĢāļ°āļāļąāļĄāļāļĢāļāļąāļāļāļļāđ āļĢāļāļāļāļĢāļ°āļāļēāļ (Vice Chair)
4. āļĢāļĻ.āļāļ.āļāļĢ.āļĻāļīāļĢāļīāļ§āļĢāļĢāļ āļŠāļ·āļāļāļļāļāļēāļĢāļāđ āļāļĢāļĢāļĄāļāļēāļĢ
5. āļāļĻ.āļ āļ.āļāļĢ.āļāļāļļāļāļąāļĒ āļāļĩāļĢāļ°āđāļĢāļ·āļāļāđāļāļĒāļĻāļĢāļĩ āļāļĢāļĢāļĄāļāļēāļĢ
6. āļāļĢ.āļāļ.āļāļāļīāļāļāļĢāđ āļāļĢāļąāļāļĒāđāļŠāļĄāļāļđāļĢāļāđ āļāļĢāļĢāļĄāļāļēāļĢ
86
87. TMI HITQIF Quality Framework
Field Studies & Site Visits
âĒ HITQIF quality framework development
âĒ Pilot testing by field trips to volunteered
hospitals
âĒ Awareness building & training of framework
âĒ Heavy coverage in TMI 2013
âĒ Next steps:
âŦ Evaluation/Revision of framework after pilot
âŦ More training programs over the next years
âŦ Collaboration with HA & other agencies
87
88. TMI HITQIF Quality Framework
Field Studies & Site Visits
âĒ āļĢāļ.āļāđāļēāļāļāļēāļ
88
94. Asia eHealth Information Network
(AeHIN) 2013 General Meeting
94
http://www.aehin.org/Meetings/2013AeHINGeneralMeeting.aspx
95. AMIA 2013 Annual Symposium
Thai informatics community represented by Dr. Nawanan TheeraAmpornpunt, with funding support from the Faculty of Medicine Ramathibodi
Hospital, Mahidol University
95
Image Source: AMIA
98. eHealth Standardization and
Interoperability :
WHA Resolution WHA66.24 May 2013
Dr Margaret Chan, Director-General of WHO
āļāļĢāļ°āļāļļāđāļāđāļĨāļ°āđāļŠāļāļāđāļŦāđāļāļļāļāļāļĢāļ°āđāļāļĻāļŠāļĄāļēāļāļīāļāļāļāļāļāļāļāđāļāļēāļĢāļāļāļēāļĄāļąāļĒāđāļĨāļāļāđāļēāđāļāļīāļāļāļēāļĢ
ï§ āļ§āļēāļ Roadmap āļāļēāļĢāļāđāļēāđāļāļīāļāļāļēāļĢāđāļŦāđāđāļāļīāļāļĢāļ°āļāļāļāđāļāļĄāļđāļĨāļŠāļļāļāļ āļēāļ
āļāļīāđāļĨāđāļāļāļĢāļāļāļīāļāļŠāđāđāļĨāļ°āļĄāļēāļāļĢāļāļēāļāļāđāļāļĄāļđāļĨāļŠāļļāļāļ āļēāļāļāļąāđāļāđāļāļĢāļ°āļāļąāļāļāļĢāļ°āđāļāļĻāđāļĨāļ°āđāļ
āļĢāļ°āļāļąāļāļāđāļāļāļāļīāđāļ
ï§ āļāļąāļāļāļēāļāļĨāđāļāļāļąāđāļāļāđāļēāļāļāđāļĒāļāļēāļĒāđāļĨāļ°āļāļāļŦāļĄāļēāļĒāļāļĩāđāļāļ°āļŠāļāļąāļāļŠāļāļļāļāļāļēāļĢāļāļąāļāļāļē
āļĢāļ°āļāļāļāđāļāļĄāļđāļĨāļŠāļļāļāļ āļēāļāļāļīāđāļĨāđāļāļāļĢāļāļāļīāļāļŠāđāđāļĨāļ°āļĄāļēāļāļĢāļāļēāļāļāđāļāļĄāļđāļĨāļŠāļļāļāļ āļēāļ āļĢāđāļ§āļĄāļāļķāļ
āļŠāļāļąāļāļŠāļāļļāļāđāļŦāđāđāļāļīāļāļāļēāļĢāđāļāđāļāļēāļāđāļĨāļ°āļāļāļīāļāļąāļāļīāļāļēāļĄāļĄāļēāļāļĢāļāļēāļāđāļĨāļ°āđāļŦāđāđāļāļīāļāļāļēāļĢ
āđāļĨāļāđāļāļĨāļĩāđāļĒāļāļāđāļāļĄāļđāļĨāļāļąāļāļāļąāđāļāđāļāļŠāđāļ§āļāļāļāļāļĢāļąāļāđāļĨāļ°āđāļāļāļāļ āļāļąāđāļāļāļĩāđāļāđāļāļāļāđāļēāļāļķāļāļāļķāļāļāļēāļĢ
āļĢāļąāļāļĐāļēāļāļ§āļēāļĄāđāļāđāļāļŠāđāļ§āļāļāļąāļ§āļāđāļāļĄāļđāļĨāļāļēāļāļāļĨāļīāļāļīāļ
http://apps.who.int/gb/ebwha/pdf_files/WHA66/A66_R2
99. WHO SEAR Regional high level meeting
on e/mHealth strategy
âĒ Regional high level meeting on eHealth and
mHealth āļāļāļ WHO SEARO āļāļąāļāļāļĢāļ°āđāļāļĻāļŠāļĄāļēāļāļīāļ SEARO
8 āļāļĢāļ°āđāļāļĻ
âĒ āļĄāļĩāļāļēāļĢāļāļĢāļ°āļāļēāļĻ Regional Strategy for
Strengthening e/mHealth in the South East
Asia Region, WHO (2014 â 2020) & Bangkok
Declaration signed āđāļāļĒ Health Minister āđāļĨāļ°āļāļąāļ§āđāļāļ
āļāļĢāļ°āđāļāļĻ āļāļĩāđ Plaza Athenee Hotel Bangkok, Thailand
on 17-19 November 2013.
99
100. AMIAâs 2013 Top 10 Events
10 987-
NY Times: "Search of DNA Sequences Reveals Full Identitiesâ
SNOMED CT and LOINC to be linked
Supreme Court rules genes cannot be patented
NIH funds consortium for genome variants of clinical
significance
6 - White House tells federal agencies: research data
needs to be shared
5 - EHR adoption by hospitals nearly 70% in US.
4 - Court: providers do not necessarily liable to patients
when medical records are stolen.
3 - Clinical informatics exam given for the first time,
2 - Morris Collen (âFather of Medical Informaticsâ) turns 100
1 - Healthcare.gov inadvertently shows the societal power of the
web
Dan Masysâs Informatics Year in Review at AMIA 2013
101. Adapted from Dan Masysâs Informatics Year in Review at AMIA 2013
110. Papers in TMI-NCMedInfo2013
Decision Support Models & Data Analytics
âĒ āļāļēāļĢāļāļĒāļēāļāļĢāļāđāļāļēāļĢāđāļāļīāļāļ āļēāļ§āļ°āļāļĨāļ·āđāļāđāļŠāđāļāļēāđāļāļĩāļĒāļāļŦāļĨāļąāļāļāđāļēāļāļąāļ āđāļāļĒāđāļāļāļāļīāļāđāļŦāļĄāļ·āļāļāļāđāļāļĄāļđāļĨ
âŦ Rangsan Malajumpee & Jiratta Phuboonob
âĒ āļāļēāļĢāļĻāļķāļāļĐāļēāļāļēāļĢāđāļāđāļāļĪāļĐāļāļĩ Fuzzy Signature āđāļāļ·āļāļ§āļīāđāļāļĢāļēāļ°āļŦāđāļāļēāļāļāļēāļĢāļāđāļāļēāļĢāđāļāļīāļāđāļĢāļāđāļāđāļāļāļđāļāļ§āļĒ
āđ
āđ āđ
âŦ āļāļąāļĄāļāļĨ āļŦāļĨāđāļēāđāļāđāļāļŠāđāļ°, āļāļļāļĨāļāļĢ āđāļāļĐāļĄāļŠāļąāļāļāđ, āļāļĻāļāļąāļĒ āļāļļāļĄāļ§āļąāļāļāļ°
āđ
âĒ āļāļēāļĢāļāļĢāļ°āļĒāļļāļāļāđāđāļāđāđāļāļāļāļīāļāđāļŦāļĄāļ·āļāļāļāđāļāļĄāļđāļĨāđāļāļāļēāļĢāļāđāļēāđāļāļāļāđāļēāļ§āļīāļāļīāļāļāļąāļĒāđāļāļ·āļāļŦāļēāļĢāļŦāļąāļŠ ICD-10
āđ
âŦ āļĻāļĻāļīāļĄāļē āļĄāļāļāļēāļŠāļļāļ§āļĢāļĢāļ, āļāļēāļāđāļ āļāļēāļĢāļāļąāļĻāļāļ§āļāļĻāđ
âĒ GPSS: Health Information System for Genetic Prognosis Support
âŦ Adison Wichiencharoen, Boonsit Yimwadsana, Charnyot Pleumpitiwiriyawej & Apirak
Hoonlor
110
111. Papers in TMI-NCMedInfo2013
Consumer Health Informatics
âĒ Development of a short messaging reminder system for patients
with Parkinsonâs Disease
âŦ Lalita Kaewwilai, Tassanee Rawiworrakul, Chaweewon Boonshuyar,
Dechavudh Nityasuddhi & Pannawish Wongwiwattananon
111
114. Acknowledgments
âĒ TMI Executive Board & Scientific Program
Committee for approval of this session &
operational support
âĒ Dr. Dan Masys, presenter of AMIAâs original
âInformatics Year in Reviewâ for support and
input
114
115. Thai Informatics
Year in Review 2013
Thai Medical Informatics Association
115
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