Impact of the Informatics on Epidemiology and Health Care Management

1. Impact of the Informatics on Epidemiology and Health Care Management Orlando Carnota Lauzán, PhD

2. Orlando Carnota Lauzán, PhD Degree on Economics, University of Havana, Cuba. PhD in Informatics and Management, Caroline University of Prague, Czech Republic. Professor and researcher at Havana University and at Cuban National School of Public Health

3. Learning objectives • To understand the concept of networking • To introduce the concept of medical informatics • To understand the impact of informatics to health systems Aprendiendo Internet Learning Internet

4. Perfomance objetives • Establish the impacts of informatics on specific situations • Evaluate proposals for the introduction of medical informatics • Promote the introduction of medical informatics on Epidemiology and Health Care Management.

5. From white coat informatics and window opened only from 2pm to 4pm,to a distributed, democratic and demythologized informatics Computer *Centre* Information Technology Overall transformation

6. Informatics and Health Care Services Health services are making important progress on the introduction of Informatics to the clinic and management operations, trying to improve the quality of services, to reduce costs and to promote interconsult to a worldwide scale.

7. Immediate effect Worldwide Scale Real time Accessibility Great storing power Customized Interactivity Multimedia Networking and Informatics

8. Medical Informatics Medical Databases Electronic Medical Records On-Line Clinical Information Internal and Extended Integration Medical Informatics Societies New Users for Health Information

9. Medical Data Bases General purpose Significant Evidence-based medicine Sanitary Evaluation Guidelines Competitive intelligence

10. Medical Informatics Societies

11. Electronic Medical Records On-line data and imagery Permanent actualization Simplified processes Multiple accesses Epidemiological approach Evidence-based medicine

12. Electronical Medical Record On-line Data and Imagery Id:34081216 Name: Luis Bu Perez Image: Larynx Order Data Write Exit Size More

13. Up to date Electronic Medical Permanent actualization

14. Start Start End End End Simplified processes

15. Multiple accesses

16. Epidemiological Approach Health Statistics Emergency Health Services On-line Interconsult Pharmacoepidemiology International Scientific Interchange Health Surveillance

17. Evidence-based Medicine Its combines the personal mastery with the best available external evidences, in order to be applied to the health care of individual patients

18. Integrated Delivery Systems (IDSS) It integrates different types of care providers, looking for cost savings, improvement in the quality of services, better opportunities when buying and expansions of market share They are based on integrated information networks

19. Managed Care Programs (HMOs) They are also integrated health care systems, but medical care is provided to groups and individuals for a set monthly premium They are based on integrated information networks

20. New Users for Health Information Medical material suppliers Medical equipment suppliers Pharmaceutical producers Insurance companies

21. Doctor-Patient Relationship Selection of the care provider Patient Education Doctor-Patient Roles

22. The Impact and Its Consequences Higher patient choice Losing Control Risks Changing of roles Modification of Physician Practices New Ways of Promoting Health

23. Epidemiological and Management Impact New Health Statistics Telemedicine Reengineering of processes Interinstitucionality Cost-Effectiveness-Quality Relieving Third Level Congestion