Concepts in Health Informatics Victoria Aceti, MA

1. Concepts in Health InformaticsVictoria Aceti, MA Introduction Tues. Jan. 10 Concepts in Health Informatics

2. Agenda • Syllabus review • Lecture expectations • Assignment overview • Academic resources • Blog information • Lecture & Discussion Concepts in Health Informatics

3. Syllabus Review Lecture Expectations Assignment Overview Late policy Academic Fraud Citing in APA or ASA is a requirement for the course. Grades will be posted on your CMS. • Be respectful. • Be prepared. • Be here. • Ask questions. • Use technology. • Where are my slides? Concepts in Health Informatics

4. Academic Resources • Whetton: Course text • Course readings at Wishart Library Concepts in Health Informatics

5. EduBlog information http://healthinformatics.edublogs.org/ • Major part of the course • 10% of mark is based on posting and commenting on the blog • Announced in lecture as well as posted on the site after lecture • Read each assignment carefully, it will either be a post or a comment • You will also be asked to comment on each other’s posts Concepts in Health Informatics

6. Lecture 1 Tues. Jan. 10 Overview of health InformaticsRequired Reading: Whetton, Chapter 2 Concepts in Health Informatics

7. Lecture Outline • Definition of health informatics • Current status • Canada • Canada VS The World • Main challenges • Theoretical lens • Discussion • Final thoughts Concepts in Health Informatics

8. What is health informatics? “Health Informatics is the effective management and use of information, in partnership with healthcare providers and patients, to support the provision of quality health care & to sustain health” (Shaw, 2011). “With such a pivotal role, it is likely that in the next century, the study of informatics will become as fundamental to the practice of medicine as anatomy has been to the last” (Coiera, xxi, 2004). Concepts in Health Informatics

9. Informatics Skills Based on Coiera (2004) “Informatics Skills” Concepts in Health Informatics

10. Health informatics in Canada NOW FUTURE BEFORE Data Processing Information Management Information Exchange 2012 1967 1974 1980 1991 2013+ 1997 2001 Office of the Health Information Highway CIHI Opens Focus on HIE Emergence of Patient Records Canada Health Infoway Opens Billions invested into eHealth Computer Department for Health Sciences opens at uManitoba Medical School 37% EMR adoption in Canada 1st World Congress of Medical Informatics Clinical systems used in hospitals Sourced from Protti, D. (2011) Keynote at ITCH 2011 10

11. Key Organizations in Canada Concepts in Health Informatics

12. Challenge of Health Informatics • Fuzzy knowledge (logic) • Standards of data • Privacy • Specialized clinical environments and professions • Usability • Workflow • Lack of a workforce • Lack of a common theory Concepts in Health Informatics

13. Theoretical lens • Sociotechnology is about looking the cultural and organizational aspects of information management (Whetton). • Berg, Arts & van der Lei (2003) state that we must look at the interrelation between the technology and the organization to be able to understand the system. • Early theories focused on a technocentric approach which emphasized the importance of technology. • If a system succeeded or failed, the technology was the sole reason. • Manytechnologies were succeeding in some areas and failing in others, thus it caused a switch in perspective. “…the ultimate usefulness of a system is determined by how well it fits the whole organizational structure and workflow, not just the specific tasks for which it was designed” (Coiera, 2004, pp.131). Concepts in Health Informatics

14. Sociotechnology in Health • *There is no ONE Sociotechnical approach • It is about a balance between the social and the technology and is thus different for each organization • Sociotechnology looks at the influence of: power, organization, culture, workflow, design and change management • Views information technology in health care as a social process and thus affects the process of health care • Generally takes the actor view of technology • Berg, Aarts & van der Lei (2003) state that “systems fail because they are build upon the wrong assumptions” (p.300). Concepts in Health Informatics

15. Sociotechnology • Power • Organization • Culture • Workflow • Design • Change management Sociotechnical Influences on Health Informatics Concepts in Health Informatics

16. Discussion Concepts in Health Informatics

17. Final Notes Take Home Messages • Health informatics is a discipline and profession in its infancy. • Due to the infancy of the discipline there are still many challenges in effectively integrating health informatics. • Sociotechnology is a balance between the social & technical environments. Blog Assignment • Email me your preferred email address. • Comment underneath the online posting titled “Concepts in Health Informatics” on what surprised you the most about what we discussed in lecture today. Why did this surprise you? Concepts in Health Informatics

18. **Don’t forget that next class is cancelled! Concepts in Health Informatics