38th Gabriel A. Bernardo memorial lecture. UP Main Library, Diliman. 14 March 2017.

1. THE LIBRARIAN RELOADED
EVOLVING ROLES IN HEALTH INFORMATICS
Iris Thiele C. Isip Tan MD, MSc
Director, UP Manila Interactive Learning Center
Chief, UP Medical Informatics Unit
Professor, UP College of Medicine

2. HEALTH INFORMATICS
A field of information science concerned with the management of
all aspects of health data and information through the application
of computers and computer technology.
Fenton & Biedermann, 2014

3. “Listen to your
patient, he is telling
you the diagnosis.
- Sir William Osler

4. “Good information is
the best medicine.
- Dr. Michael Debakey

5. At least 44,000 people and perhaps as
many as 98,000 people, die in hospitals
each year as a result of medical errors
that could have been prevented…
“
To Err is Human: Building a Safer Health System
Institute of Medicine report (2000)

6. Central to many information technology applications is
the automation of patient-specific clinical information.
Crossing the Quality Chasm: A New Health System
Institute of Medicine report (2001)

7. Getting the right information to the
right person at the right time

8. Convergence of biomedical
informatics & library &
information science
Evolving roles of the
health sciences librarian
Health informatics in the
Philippines and opportunities
for collaboration

9. HEALTH INFORMATICS
The interdisciplinary field that studies and pursues the effective
uses of biomedical data, information and knowledge for scientific
inquiry, problem solving and decision making, driven by efforts to
improve human health.
Kulikowski et al, 2012
American Medical Informatics Association

10. Fig 1. Biomedical informatics and its areas of application and
practice (Kulikoswki et al, 2012)

11. Fig 2. Component sciences and disciplines upon which
biomedical informatics depends and to which it contributes
(Kulikoswki et al, 2012)

12. “… it was librarians who initially dealt with the
challenge of information explosion.”
Murphy, 2010

13. Medical librarianship included clinical records
administration at the start of the 20th century.
Photo by Alex Gorzen
Murphy, 2010

14. Health science librarians led first user studies on
information needs and information-seeking behavior.
Murphy, 2010

15. Health science librarians helped advance
evidence-based medicine.
Murphy, 2010

16. Health science librarians inititated training
courses in information retrieval, critical
appraisal and systematic reviews.
Murphy, 2010

17. The “heart” of informatics training is the librarian.“ King & Macdonald, 2004

18. Medical librarians are positioned by both training and
professional mission to be an integral part of the health
informatics environment. Cleveland & Cleveland, 2009
“

20. Figure 3. The Sheffield model of blended information professionals
(Corrall, 2010)

21. Convergence of biomedical
informatics & library &
information science
Evolving roles of the
health sciences librarian
Health informatics in the
Philippines and opportunities
for collaboration

22. At any rate, no matter what the
world calls me, my domain is
information. In everything
that I do, I work from that premise.
“
Ana D. Cleveland, 2011

23. Volume
Big data in healthcare
Variety
Velocity

24. Analysis of big data from electronic medical records
can greatly expand the capacity to generate new knowledge.
Murdoch and Detsky (2013)

25. Librarians can make big datasets useful by creating taxonomies,
designing metadata schemes and systematizing retrieval.
Bieraguel, n.d.
BIG DATA Manager

26. Diagram modified from https://www.axian.com/2016/08/30/the-data-lifecycle-enabling-business-growth/
CREATION
CAPTURE
SYNTHESIS
AGGREGATION
STORAGE
SECURITY
ACCESS
ANALYZE
ARCHIVE
PURGE
SHARE
DATA LIFE CYCLE

27. RESEARCH DATA MANAGER

28. LITERATURE SEARCH EXPERT

29. Many nonlibrarian searchers are impatient and want to
find information fast. They are more intent on
finding than on searching.
Rosalind et al, 2011
“

30. LIBRARIAN
VS
CONTENT EXPERT
Found articles with a
greater number of citations
Selected more
current articles
Whipple et al, 2009

31. Just In Time
Librarian
Consultation Service
Answer primary
care clinical
questions in less
than 20 minutes McGowan et al 2009

32. ELECTRONIC HEALTH
RECORD IMPLEMENTER

33. Literature Attached To Chart
Albert, 2008

34. Deliver information
directly via the
electronic health record
Bushhousen, 2013

35. Clinical decision support tool
that uses information about the clinical
context in which an information need
arises to provide direct access to
relevant information from knowledge
resources
Cimino et al, 2012
INFOBUTTON

36. How can evidence be logically integrated into the
EHR so it is part of the treatment-and-care process?
Garrity (2010)“

37. Include an information statement in the EHR to
provide patients with access to reliable health websites
while admitted and after discharge.
Jones et al, 2010

38. Computerized
Provider Order Entry
Librarians can also build a knowledge management
system to track approvals and changes for all order sets.
Miles, 2015

39. Health sciences librarians can develop electronic
health record modules for medical students.
Gomes, 2013

40. Librarians can teach students to understand, research,
and utilize information beyond specific technologies.
- King and MacDonald, 2004
“
INFORMATICS EDUCATOR

41. Librarians can maintain a virtual collaborative
workspace by organizing useful information.
Shumaker and Tyler, 2007

42. ASK A LIBRARIAN
link in learning management
systems for distance learning
Stewart, 2007

43. Librarian on teaching team of graduate level health
informatics course in research methodology
locating, retrieving and evaluating information
assist in use of information management tools
Kumar et al, 2014

44. CONTENT MANAGER
Use blogs, Twitter, intranet
etc to share results of
literature searches
Tan and Maggio, 2013

45. PATIENT ADVOCATE
A librarian can link patients to their personal
health data and contextual health information.
Tarver et al, 2013

46. Convergence of biomedical
informatics & library &
information science
Evolving roles of the
health sciences librarian
Health informatics in the
Philippines and opportunities
for collaboration

47. Building a Health
Information Infrastructure
Why electronic health records? by
InfowayInfoRoute https://youtu.be/Lo_3qOejQzI

48. National eHealth Vision Philippines
Photo by Doun, https://flic.kr/p/b5WFRK
By 2020, eHealth will enable widespread access to health care services,
health information and securely share and exchange patient information in
support of safer, quality health care, more equitable and responsive health
system for all the Filipino people by transforming the way information is used to
plan, manage, deliver and monitor health services.

49. IT-enabled
health services
By 2020
Philippine Health Information Exchange
(PHIE) implementation
EMR certification
IT in all public
health facilities
National eHealth Vision

52. http://www.nationalgeographic.org/encyclopedia/geographic-information-system-gis/

53. https://www1.udel.edu/johnmack/frec682/cholera/

54. Philippine Health Atlas
healthmaps.doh.gov.ph
Health Facilities
GIS librarian

55. Just In Time
Librarian
Consultation Service
McGowan et al 2009

56. https://lhncbc.nlm.nih.gov/publication/lhncbc-2012-052
How can we bring library services to rural health
physicians in remote areas?

57. How can librarians help at the point-of-care?
https://lhncbc.nlm.nih.gov/publication/lhncbc-2012-055

58. http://ebm.bmj.com/content/18/2/48.full
All three researches in collaboration with Dr. Paul Fontelo of
the National Library of Medicine in Bethesda, Maryland, USA

60. www.facebook.com/EndocrineWitch

61. Iris Thiele C. Isip Tan MD, MSc
Director, UP Manila Interactive Learning Center
Chief, UP Medical Informatics Unit
Professor, UP College of Medicine
@endocrine_witch