Building Informatics Capacity: Latin-American Experience in the AMIA 10x10 Program

1. The AMIA 10x10 Program: An International Approach to Building Informatics Capacity Latin-American experience…not Lost in Translation Paula Otero, MD Department of Health Informatics - HIBA IMIA WG on Health and Medical Informatics Education paula.otero@hospitalitaliano.org.ar

2. Capacity Building Detmer. Yearb Med Inform 2010:101-5

3. Hospital Italiano de Buenos Aires

4. Hospital Italiano de Buenos Aires • Academic tertiary care center founded in 1853 • University (School of Medicine /nursing) • 2 Hospitals • 23 outpatient clinics • 300 affiliated private practices • 800 beds (200 ICU) • 40 OR • 600 homecare beds • 3.000.000 outpatient visits/year • 50.000 inpatient admissions/year • 2500 births/year • 300 transplants/year • 7.200 people • 2.700 physicians • 2.700 allied healthcare staff • 1.800 administrative staff

5. Department of HealthInformatics (36) (32) (6) (6) (30) (9)

6. Capacity Building Posgraduate (Future informaticians) Undergraduate (Futures IT users) User IT (Training & Support)

7. Capacity Building Posgraduate (Msc, Speciality & 10x10 programme, HL7, PMI, Epidemiology, Management ) Undergraduate (Medicine, Nursing, Pharmacy, Biochemestry) IT Users Help desk 24x7 & E-learning courses (EHR, IR, IT skills)

8. Core Content for Clinical Informatics Clinical Care Healthcare System IT knowledge and skills IC Gardner. JAMIA 2009;16:153–157

9. Education in Clinical Informatics Clinical Informatics Ciencias Relacionadas

10. Objectives of Education in Clinical Informatics Understand the process by which information is captured Understand the methods for classifying and computerize the data Methods for archiving and storing The best way to recover ensuring continuity of care through continuity of information (standards) How to care for the Security, Privacy and Confidentiality of Information Understanding the culture of care (doctors and nurses) and human adaptation to changes Bring appropriate knowledge at the point of care Research and asses health information system

11. Postgraduate, Introductory level: 10x10 • Introduction to Health Informatics (10x10) • MOU between IUEMHI - AMIA - OHSU • 16 weeks with 5 modules • Distance learning modality through virtual campus HIBA • Lectures, reading material, activities and interaction with tutors • More than 1000 students (2006 – actual)

12. Students’ nationality 23 countries n 1020

13. 10x10 Spanish course - Current contents • Health System Information Systems (4 weeks) • Introduction to healthcare systems (characteristics and problems) • Role of Health Information Systems (HIS) and the Health Informatics discipline. • Legacy Systems Integration (3 weeks) • Implementing clinical layer (or care) and its integration with the administrative layer • Concept of interoperability and standards. • Clinical Information Systems (6 weeks) • Electronic Health Records with focus on how they need to be scalable and interoperable in order to provide support systems for decision-making • Security, privacy and confidentiality of health information. • Clinical Data Management (2 weeks) • Impact of clinical information systems in decision making for the management of organizations promoting healthcare, education and research. • Management of Change (1 week) • Change management challenges that must accompany the transformation of information systems.

14. 10x10 course topics • Characteristics of Healthcare Systems; • Health informatics: the development of a new discipline; • Anatomy of Health Information Systems. Components; • Interoperability and Standards; • Introduction to Biomedical Computing; • Privacy, Confidentiality and Data Security; • Structure of Administrative Systems. Standards in Healthcare: an strategic need; • Knowledge Representation and Coding Systems; • The Heart of a Health Information System: The Electronic Health Record; • Without frontiers: Personal Health Records; • The “Reason of Being”: Clinical Decision Support Systems. Examples of Applications; • Images, Signals and Reports in Simultaneous; • Organizational Aspects and Project Management: Strategies to Accompany Change, Evaluation and Certification of Health Information Systems; • A general view of other Disciplines in Health Informatics: Nursing Informatics, Telemedicine and Bioinformatics; • A different point of view: Healthcare from Individuals to Populations. Chronic Disease Management.

15. Teaching modality • Activities • Movie that shows the current situation of healthcare systems • The death of Mr. Lazarescu • Do people resist change? • Syncrhronous meeting • Aims to review the core concepts of the modules addressed, and clear the doubts, whether conceptual or the activities to be undertaken • Adobe Connect recorded for later vieweing of for those who could not attend • Self-assessment • Self testing of the concepts acquired in the reading material (mandatory) • Supplementary Material • Journal articles, book chapters, multimedia

16. Activities • Movie • Movie that shows the current situation of healthcare systems • The death of Mr. Lazarescu • Problems encountered in the care of the patient • Possible interventions from the perspective of the HIS • Why? • For what?

17. Activities • Movie • Recognize the factors that predispose or not people to change. • Identify appropriate strategies for change management.

18. CME – Continuing Medical Education • Journal Club • 300 papers • Eachweek • Integrationwithstudents • Differentcountries • Differentspecialities • Webinars • Topics for professional development in Health Informatics • Each month http://www.hospitalitaliano.org.ar/infomed

20. ThankyouTakGracias Paula Otero, MD Department of Health Informatics - HIBA IMIA WG on Health and Medical Informatics Education paula.otero@hospitalitaliano.org.ar