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AMIA and Informatics

AMIA and Informatics. AMIA and Informatics: Assessing Their Present, Anticipating Their Future. Edward H. Shortliffe, MD, PhD President and CEO American Medical Informatics Association Bethesda, MD. AMIA2009 Fall Symposium – Session S11 San Francisco, California November 16, 2009.

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AMIA and Informatics

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  1. AMIA and Informatics

  2. AMIA and Informatics: Assessing Their Present, Anticipating Their Future Edward H. Shortliffe, MD, PhD President and CEO American Medical Informatics Association Bethesda, MD AMIA2009 Fall Symposium – Session S11 San Francisco, California November 16, 2009

  3. Outline • How did we get here? • Biomedical Informatics over 60 years • AMIA over 60 years • EHS over 60 years Disclaimer

  4. 1950’s and 1960’s

  5. 1950’s

  6. 1950’s and 1960’s

  7. 1970’s and 1980’s

  8. Computer-Based Medical Consultations: MYCINNew York: American Elsevier1976

  9. 1970’s and 1980’s

  10. Evolution of Professional Societies Society for Advanced Medical Systems (SAMS) American Association for Medical Systems and Informatics (AAMSI)  1970s  Society for Computer Medicine (SCM)  1980s 

  11. 1970’s and 1980’s

  12. Readings in Medical Artificial Intelligence: The First DecadeReading, MA: Addison-Wesley1984

  13. Rule-Based Expert Systems: The MYCIN Experiments of the Stanford Heuristic Programming ProjectReading, MA: Addison-Wesley1984

  14. 1970’s and 1980’s

  15. Creation of the American College of Medical Informatics (ACMI) 1984

  16. Creation of AMIA American Association of Medical Systems and Informatics American Medical Informatics Association Symposium on Computer Applications in Medical Care 1988-1990 American College of Medical Informatics

  17. The Journals 1960’s • Methods of Information in Medicine (MIM) • Computers and Biomedical Research (now JBI = Journal of Biomedical Informatics) 1970’s • Computer Programs in Biomedicine (now CMPB = Computer Methods and Programs in Biomedicine) • International Journal of Biomedical Computing (now IJMI = International Journal of Medical Informatics) 1980’s • Medical Decision Making • Artificial Intelligence in Medicine 1990’s • JAMIA • Bioinformatics

  18. 1990’s and 2000’s

  19. Medical Informatics: Computer Applications in Health CareReading, MA: Addison-Wesley1990

  20. 1990’s and 2000’s

  21. Institute of Medicine 256 pages Revised edition (October 1997) Originally published in 1991

  22. Institute of Medicine 272 pages (April 1994)

  23. National Research Council 288 pages (July 1997)

  24. National Research Council 200 pages (June 12, 2000)

  25. 1990’s and 2000’s

  26. Medical Informatics Textbook(2nd edition) Springer Verlag - 2000

  27. Biomedical Informatics Textbook (3rd edition) Bio Springer Verlag - 2006

  28. 1990’s and 2000’s

  29. Institute of Medicine 287 pages (April 15, 2000)

  30. Institute of Medicine 364 pages (July 2001)

  31. Assessing BiomedicalInformatics Today

  32. Terminology Matters • What we call things affects perceptions and determines whether people can embrace an association with the item or concept in question • We need consistency in how those in the field describe and name key concepts – including the name of the discipline itself

  33. Imaging Informatics Clinical Informatics Public Health Informatics Bioinformatics Applied Research (Nursing Informatics, Dental Informatics, Clinical Medicine Informatics) (Also often called Structural Informatics) Biomedical Informatics in Perspective Biomedical Informatics Methods, Techniques, and Theories Basic Research Biomedical Informatics ≠ Bioinformatics

  34. Applied Research Molecular and Cellular Processes Tissues and Organs Individuals (Patients) Populations And Society Biomedical Informatics in Perspective Biomedical Informatics Methods, Techniques, and Theories Basic Research Biomedical Informatics ≠ Health Informatics Health Informatics Imaging Informatics Clinical Informatics Public Health Informatics Bioinformatics

  35. Applied Research Biomedical Informatics in Perspective Biomedical Informatics Methods, Techniques, and Theories Basic Research Natural Language Processing Database Theory Cognitive Science Statistics Math Modeling Data Mining Imaging Informatics Clinical Informatics Public Health Informatics Bioinformatics Molecular and Cellular Processes Tissues and Organs Individuals (Patients) Populations And Society

  36. BMI Cores for CTSA Grants Pharmaco-genomics Biomolecular Imaging Applied Research Biomedical Informatics in Perspective Biomedical Informatics Methods, Techniques, and Theories Basic Research Imaging Informatics Clinical Informatics Public Health Informatics Bioinformatics Continuum with “Fuzzy” Boundaries Molecular and Cellular Processes Tissues and Organs Individuals (Patients) Populations And Society

  37. Decision Support Lies at theHeart of All Informatics Applications • Essentially all clinical applications of computing are intended to provide decision support • Biomedical informatics is inherently aimed at enhancing the quality of decisions made by health professionals and patients • Many of the legal and ethical issues that arise in the context of biomedical informatics are linked to the influence that informatics systems can have on decisions made regarding patients and their care

  38. So what is “biomedical informatics”? How to explain to your mother what you do ….. while traveling 10 floors in an elevator

  39. Academic Forum Committee on Core Competencies for BMI Graduate Education Meeting on November 12-13, 2009: • Jack Smith (chair) • Todd Johnson • Mark Musen • Casimir Kulikowski • Peter Tarczy-Hornoch • Jeff Williamson • Ted Shortliffe

  40. Definition of Biomedical Informatics Biomedical informatics (BMI) is the interdisciplinary, scientific field that studies and pursues the effective uses of biomedical data, information, and knowledge for scientific inquiry, problem solving, and decision making, motivated by efforts to improve human health.

  41. Providing Further Detail - 1 • BMI develops, studies and applies theories, methods and processes for the generation, storage, retrieval, and sharing of biomedical data, information, and knowledge. • BMI builds on computing, communication and information sciences and technologies and their application in biomedicine.

  42. Providing Further Detail - 2 • BMI investigates reasoning, modeling, and experimentation across multiple levels (molecules to populations), dealing with a variety of biological systems, bridging basic and clinical research and the healthcare enterprise. • BMI, recognizing that people are the ultimate users of biomedical information, draws upon the social and behavioral sciences to inform the design and evaluation of technical solutions and the evolution of complex economic, ethical, social, educational, and organizational systems.

  43. AMIA Today

  44. AMIA Membership

  45. AMIA – Advisory Role in Informatics Its 4000 members work throughout biomedicine and the health system in various academic, clinical care, commercial, government, policy, and research organizations • 74% clinical health care informatics & clinical research informatics • 16% public health/population • 10% translational bioinformatics

  46. AMIA Assets

  47. AMIA Revenue vs. Expense

  48. AMIA Non-traditional Revenue(grants and contracts)

  49. The official journal of AMIA Consistently ranked as among the top two journals in biomedical informatics from among a list of 19 Peer-reviewed papers about the science of informatics; ~30% acceptance rate State of the art reviews, discussion forums, policy position papers, & invited editorials

  50. Present Introduction to Biomedical & Health Informatics (3 in US, one international) Research Informatics (1) Translational Bioinformatics (1) Public Health Informatics (1, begins this year) Nursing Informatics (new) Coming soon Consumer/Personal Health Informatics Others international topics and sites Exploring new topics and programs -- proposals and suggestions are welcome

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