The document discusses the transition from medicine as an art to medicine as a science. It notes that medicine was previously limited due to a shortage of skilled practitioners and unequal access to resources. However, advances in technology now allow high quality care to be available worldwide through telemedicine networks. The complexity of modern medicine exceeds what the unaided human mind can manage. The future involves computational predictive modeling of individual health and using molecular level data rather than just organ-level data. The optimal outcome is achieving "meaningful use" of health information to improve lives.

1. Processing Human Data – from the
Art of Medicine to the Science of Health
Anette Asher
October 2011

2. Art of Medicine to the Science of Health
The Art of Medicine and Today’s Vision
The Tipping Point … and it’s getting personal
The Issues: Trusted Information and More Useful Information
Moves us to the Sciences of Health
The Pace of Health Information to Sciences of Health
The Future That Will Get Us To Meaningful Use–
Computational Individual Predictive Modeling
The Optimal Outcome is Meaningful Use
Anette Asher September 11

3. The Century Old
Medical Development Cycle
The complexity of modern
medicine exceeds the
inherent limitations of the
unaided human mind.
David M. Eddy (1990)
Anette Asher September 11

4. The Global Health Care Vision
Vision without execution is a day
dream —
Execution without Vision is a
nightmare…
Japanese proverb
Anette Asher September 11

5. Medicine as an Art
! Medicine is limited by a shortage of artists
and widespread profiteering
! High quality medicine is limited by masters of
the art
! A person’s medical & Rx history is usually,
inaccurate and incomplete
! Accuracy of Dx is frequently false ±
! The majority of health is managed at the
organ level
! Treatments are based upon the artist’s
experiences & resources
! Medical diagnostic & therapeutic resources
are poorly distributed
! The minority of the world’s people are
provided the majority of proper health care
Anette Asher September 11

6. Health as a Science
! Knowledge of Medicine is widely available via
telemedicine ATM global health network
! High quality and accurate medical care via
ATM global health network
! A person’s medical & Rx history is accurate
and complete @ PoC
! Dx is accurate via protein disease biomarker
signatures
! Health, Dx & Rx are managed at the personal
cellular & molecular level
! Treatments are based upon the ATM global
health network resources @ PoC
! Medical diagnostic & therapeutic resources
Trusted ICT Convergence into Healthcare are widely distributed
! The world’s majority are provided proper
health care
Anette Asher September 11

7. Moving Human Data to Wisdom
Data
Information
Knowledge
Wisdom
From Data to Information to Knowledge to the
Anette Asher Wisdom of Life September 11

8. From the Art of Medicine to the
Science of Health…
2010 the Tipping Point
Art of Science of
Medicine Health
2000 2020
at the at the
organ level molecular level
2010
Data Information Knowledge Wisdom
Anette Asher September 11

9. The Building Blocks of Life
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Building Blocks of Life Wiring Diagrams of Life
Genetic Chemical Genetic Chemical
Materials Materials Networks Networks
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Anette Asher September 11

10. Knowledge of Disease
from the Organ to the Cell
! The Life Sciences Research Community
! Doubles its Data Every 3 Months
! Growing Data from Terabytes to Petabytes
! Developing Knowledge of Disease at the Cellular Level
! Advancing Knowledge of Disease to the Molecular Level
! Accelerating the Convergence with Visualization
Anette Asher Disease from the Organ to the Cell September 11

11. Trusted Healthcare ICT
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Anette Asher September 11
Healthinformatics and Trusting Health IT

12. The ICT Governance of Human
Data
September 11

13. A Reference Body
LSIT References IT Standards & Best Practices
http://www.himss.org/asp/topics_FocusDynamic.asp?faid=440 September 11

14. GIP Guidance
Institutional Ecosystem
GIP Encompasses
Regulated Institutional Governance
GIP Guidance @ the Core
September 11

15. Trusting Healthcare ICT
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Good Informatics Practice
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E xecutive Summary !
A framewor k for trusted information systems
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Ford Winslow, A nette Asher, Steven Fouskarinis, Gabor
F ulop, Damian Gomez, Oscar G hopeh, A ndrew Jacobson,
John K im, L inda Speake, M ar k V ilicich, Howard Asher
F ebruary 2011
© H ealthcare I nformation and M anagement Systems !"#$%%&
http://www.himss.org/content/files/LSITOverviewCh1forwebsite270111.pdf September 11

16. Global Health First…
Healthcare can achieve Global Equality
Unhealthy people do not remain isolated!
Anette Asher September 11

17. Personalized Medicine D-Rx
• Each Person is Different
• Each Person with the Same Disease is Different
• Each Person Responds to the Same Prescription (Rx)
Medication Differently THE REIMBURSEMENT LANDSCAPE FOR
• One Rx Does Not Fit ALL Novel Diagnostics
! C U R R E N T L I M I TAT I O N S
• By matching your Genotype/Phenotype & Biomarker ! R E A L - W O R L D I M PA C T
! PROPOSED SOLUTIONS
with the Rx Most Compatible with Exact Disease &
Genomic Type—Treat the illness, with little or no side
effects.
• Your Personal Genome will become a part of Your
Medical Record and Pharmacokinetics @ PoC
Anette Asher September 11
http://www.bio.org/content/reimbursement-landscape-novel-diagnostics-current-limitations

18. The Nomic-Sciences of Medicines
Personalized
Anette Asher Disease from the Organ to YOUR Cell September 11

19. Let’s get Personal Health Records
ATM Health Link-for-Life™ Global PHR
Anette Asher September 11

20. Institutional Centric
Electronic Medical Record
Institutional Centric EMRs
! Manage the institutional resources for
different patient medical needs.
! Each institution must have EMRs
aligned to their specific clinical work
flows & resources to be useful.
! Each patient’s needs are different and
the EMR needs to align to different
clinical, medical specialty, surgical,
laboratory, Rx, radiologic, and billing
needs for each specific patient.
! EMRs must be institutional centric to
be successful.
Anette Asher September 11

21. Individual Centric
Personal Health Records
Individual Centric Private PHRs
! Manage the private and personal medical
history and health records belonging to each
individual for their specific medical needs.
! Each individual must have their PHRs
aligned to their specific medical needs to be
useful.
! Each patient’s needs are different and the
PHR needs to align to different clinical,
medical specialty, surgical, laboratory, Rx,
radiologic, and billing needs for each specific
individual.
! PHRs must be 24/7 available to the
individual accurate, complete, health
records, anywhere, anytime they need
Automatically Align to the Credential of Caregiver @ PoC.
health care. At point-of-care PoC.
! PHRs must be individual centric to be
successful.
Anette Asher September 11

22. Institutional Electronic Medical Record
Individual Private & Personal Health Records
Mirrored
@ PoC
True
EMR
Anette Asher September 11

23. ATM White Paper
Link-for-Life™— a Global Public Health Solutions
for we the people.
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September 11

24. Trusted Health Clouds
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http://www.himss.org/ASP/ContentRedirector.asp?ContentID=76169
September 11

25. The Role of Healthinformatics
in Health Sciences & Patient Outcomes
Healthonomics drives Health Care Informatics
Improved Patient Care & Clinical Outcomes
Patient’s Health Services Approvals & Reimbursements
Genetic, Dx,
Medical & Rx Healthinformatics
Records Clinical, Urgent, Emergency, Surgical, Critical, Recovery,
Clinical
Labs Optimal Clinical Management
Rehabilitation, Follow-up, Referral Services, Outpatient Care
Personalized Personalized Disease &
Optimal Clinical Medicines Dx – Rx Disorder Medical Devices,
Biomarkers PD – Regression Supplies & Services
Clinical Imaging PK & PV Progression
Protocol
Telediagnostic • Telemedicine • Telesurgical • Teleimaging • Remote Care
PD: Pharmacodynamics (what the drug does to the body)
PK: Pharmacokinetics (what the body does to the drug) Healthonomics
PV: Pharmacovigilance (is the pharmacological science relating to the detection, assessment, understanding and prevention of adverse effects)
Anette Asher September 11

26. The Sciences of Health
X-informatics Modeling
! Computational Predictive Modeling of Disease
Prevention, Intervention & Elimination
! Genetic Remodeling to Optimize Health
! Managing Epidemic & Preventing Pandemic
! Cloud ATM Computing Medical & Health Records
! Translational Evidence-based Health Sciences
! Modeling the Gene/Phenotype of Disease
! Modeling Rx Intervention of Disease
From Data to Information to Knowledge to the
Wisdom of Life
Anette Asher September 11

27. The Global Business of Life
Art of Medicine to the Science of Health
Anette Asher
AnetteAsher@me.com