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PubMed1998

Setting a national informatics agenda for nursing education and practice to prepare nurses to develop and use information technology.

Efforts to build a telecommunications infrastructure that will link people nationally and internationally includes a focus on health care. A telecommunications infrastructure will add value to providers and consumers of health care only if they are able to use it to access and share information. Nurses often have information technology available to them, but are inadequately prepared to use it. Under the direction of the National Advisory Council for Nursing Education and Practice (NACNEP), the Division of Nursing convened a panel of experts in nursing informatics to recommend an informatics agenda. Using a nominal group technique the informatics experts identified informatics needs and recommended initiatives that would better prepare nurses to use and develop information technology. Their recommendations were reviewed by NACNEP resulting in a national informatics agenda for nursing education and practice.

Computer User Training↗

PubMed1998

People and organizational aspects of medical informatics.

Positive outcomes come to health care organizations that are doing the right things well, that is, their organizational strategies are aligned with their environments and they are executing those strategies well. Likewise, the informatics strategies must also be aligned with the organization's strategies. Without this congruence, informatics does not have the potential to have a substantial positive impact on the overall organizational outcomes. The execution of the informatics strategies must also be exemplary; however, the change processes required for achieving the desired informatics and organizational outcome goals are demanding and complicated. Implementing them in extremely complex organizations that operate on a 7-day by 24 hour basis is not easy. However, we are constantly learning more about complex change processes and the ways we can better manage them to improve our needed informatics outcomes. The challenge is to build upon the existing research base to more us even further ahead.

Humans↗

PubMedDate not supplied

Show me the money: funding informatics research.

About 60% of medical informatics papers published in the proceedings of recent AMIA Fall symposia acknowledge receiving some support from American sources for the work. Two-thirds of those citing support include NLM as one of the donors. Papers in JAMIA have even higher funding rates. Funding rates for published informatics papers compare well with papers in a number of other fields. Although medical informatics receives support from a wide variety of sources, the federal government, through the various organizations within DHSS, is clearly the major source of grant and contract support for this field. Within DHSS, NLM is the most frequently cited donor by a large margin. Yet to be determined are the relative dollar values of the support provided by the various donors cited, the difficulty of obtaining funding for informatics projects, the means by which unfunded projects are sustained, and the variation, if any, in the funding success rates of the subfields of informatics.

Abstracting and Indexing↗

PubMed2000

Switzerland: new medical informatics curriculum.

Swiss Society for Medical Informatics (SSMI) started to build a postgraduate curriculum in medical informatics a year ago. The aim is to build a curriculum with different modules allowing the healthcare professionals to follow individual path in order to fulfill their objectives. The professionals who could benefit from the curriculum are physicians, nurses, medical assistants, computer specialists in the healthcare domain. Different levels of certificates or diplomas will be given depending on the number of modules taken and the professional background. Modules can be taken in different ways: universities, hospitals, distance learning.... The kickoff meeting for the leading group of this curriculum chaired by Dr Denz from Zurich was held on June 5 and 6 1998 was Swiss Nursing informatics group is active in this field. Working Group 5 (WG5) "Nursing Informatics in Europe" is supporting countries efforts in building nursing informatics curriculum. Promoting links between specialists in this domain in different countries. Selecting relevant Websites to be used. Disseminating information to country members of WG5.

Curriculum↗

PubMed2001

Proofs of the necessity of medical informatics for the physicians in Bulgaria.

It is obvious that medical practice needs to sustain a radical quality change due the fast penetration of information technologies in medicine and healthcare. One of the major problems of this change is the adequate education of the medical specialists to use these information and communication technologies, including Hospital information systems and electronic medical records. A study has been carried out among the physicians in Bulgaria. The aim of the study was to check weather the Bulgarian physicians are ready to face the challenges of modern information technologies in their daily medical practice. The results show that although 97.5% of the Bulgarian physicians have a positive attitude to information technologies and 86.7% recognise the need of using computers in medicine, 84.1% of them do not have the necessary skills and knowledge to use computers in their daily medical practice. They are absolutely unaware what the electronic medical record might contribute to their practice. Their knowledge of the subject, principles and methods of medical informatics tends to nil. The study was the first of the kind carried out in Bulgaria. It proved our initial hypothesis that Bulgarian physicians need to be educated not only how to use computers, they are in badly need of education in medical informatics. The study proved that the adequate education in medical informatics is one of the most important parameters for the implementation of information technologies, especially electronic medical records in medical practice. Its result may form the background for the preparation of the strategy of teaching medical informatics in Bulgaria. The first step of the implementation of this strategy is to include medical informatics in the regular curriculum of students of medicine.

Attitude to Computers↗

PubMed2002

A UML-based meta-framework for system design in public health informatics.

UNLABELLED: The National Agenda for Public Health Informatics calls for standards in data and knowledge representation within public health, which requires a multi-level framework that links all aspects of public health. METHOD: The literature of public health informatics and public health informatics application were reviewed. A UML-based systems analysis was performed. Face validity of results was evaluated in analyzing the public health domain of lead poisoning. RESULTS: The core class of the UML-based system of public health is the Public Health Domain, which is associated with multiple Problems, for which Actors provide Perspectives. Actors take Actions that define, generate, utilize and/or evaluate Data Sources. The life cycle of the domain is a sequence of activities attributed to its problems that spirals through multiple iterations and realizations within a domain. CONCLUSION: The proposed Public Health Informatics Meta-Framework broadens efforts in applying informatics principles to the field of public health

Computer Systems↗

PubMed2003

Hypertension and medical informatics.

BACKGROUND: Only about 27% of Americans with hypertension have their disease under control. Hypertension in the African-American population has a higher prevalence (32%) and is less likely to be treated or controlled compared with that in the caucasian population. Hypertension places a significant burden on patients and health care systems. Applications of medical informatics can facilitate the management of hypertension. Examples that illustrate the utility, status, and future potential of medical informatics applications in the treatment of hypertension are presented. METHODS: Relevant studies and review articles were accessed through a PubMed search of the English-language literature and for current Internet-based information for the time period of 1993-2002. Search terms included, but were not limited to, hypertension, medical informatics, medical information science, electronic medical records, Internet, and managed care. RESULTS: There is evidence that medical informatics has a favorable impact on health care issues as it relates to patients and physicians. Although the use of computers to assist in managing hypertension is in its infancy, there are examples where informatics applications have a demonstrated clinical value. CONCLUSIONS: Management of hypertension needs much improvement. The use of computers and the Internet in health care is expanding and expected to have a positive impact on the management of chronic diseases, such as hypertension.

Black People↗

PubMed2004

Medical informatics between technology, philosophy and science.

Medical (health) informatics occupies the central place in all the segments of modern medicine in the past thirty years--in practical work, education and scientific research. In all that, computers have taken over the most important role and are used intensively for the development of the health information systems. Following activities develop within the area of health informatics: health-documentation, health-statistics, health-informatics and biomedical scientific and professional information. The medical informatics as the separate medical discipline very quickly gets developed, both in Bosnia and Herzegovina. In our country, the medical informatics is a separate subject for the last ten years, regarding to the Medical curriculum at the biomedical faculties in Bosnia and Herzegovina is in accordance with the project of the education related to Bologna declaration and the project EURO MEDICINA.

Bosnia and Herzegovina↗

PubMed2004

[Medical informatics education at the Medical School in Tuzla].

Medical informatics is a specific and interdisciplinary science which involves many participants of the health system like: patients, physicians, nurses, managers, administrators, computer experts, students, with the different level of education and understanding, different approaches and expectations. Education of medical informatics requests organization solutions of high quality and necessary equipment for its realization. Educational programs are also limited by student's basic knowledge of informatics from secondary schools. For assessment of this knowledge we have conducted special designed questionnaire at the first year of undergraduate study which results confirm our thesis that great number of students entered the faculty with the lack of basic knowledge from informatics area. In this paper was presented level of organization and education of medical informatics at the Medical faculty and University Clinical Center of Tuzla, with its characteristics through which this system has been passed since 1990.

Bosnia and Herzegovina↗

PubMed2004

The International Partnership in Health Informatics Education.

The International Partnership for Health Informatics Education (IPHIE) seeks to promote education through international collaboration of graduate and undergraduate training programs in Medical and Health Informatics. In 1998 an International Partnership of Health Informatics Education was established at six universities: The University of Amsterdam, the Universities of Heidelberg and Heilbronn, the University of Health Informatics and Technology Tyrol at Innsbruck, the University of Minnesota and the University of Utah. The overall goal of this cooperation was to form a network for training and educating medical informatics faculty and students in order to prepare them for leading international positions in medical information and communication technology. In this paper we describe the current state of affairs of IPhiE: the activities undertaken, our experiences, the lessons we have learned over these past five years. In addition we outline our plans for the future.

International Cooperation↗

PubMed2004

Preparing student nurses, faculty and clinicians for 21st century informatics practice: findings from a national survey of nursing education programs in the United States.

Because healthcare delivery increasingly mandates data-driven decision-making, it is imperative that informatics knowledge and skills are integrated into nursing education curricula for all future nurse clinicians and educators. A national online survey of deans/directors of 266 baccalaureate and higher nursing education programs in the U.S. identified perceived informatics competencies and knowledge of under-graduate and graduate nursing students; determined the preparedness of nurse faculty to teach and use informatics tools; and elicited perceptions of informatics requirements of local practicing nurses. Frequency data and qualitative responses were analyzed. Approximately half of the programs reported requiring word processing and email skills upon entry into the nursing major. The use of standardized languages and the nurse's role in the life cycle of an information system were the least visible informatics content at all levels. Half of program faculty, rated as "novice" or "advanced beginners", are teaching information literacy skills. Findings have major implications for nurse educators, staff developers, and program administrators who are planning faculty/staff development opportunities and designing nursing education curricula that prepare nurses for professional practice.

Curriculum↗

PubMed2004

Registration and regulation of health informatics professionals in the UK National Health Service.

Whilst good health informatics can contribute directly to the delivery of effective patient care, bad informatics can kill. The UK is establishing a regulatory body to register health informatics specialists who can demonstrate that they meet agreed standards of professional practice: the UK Council for Health Informatics Professions (UKCHIP). UKCHIP will also manage the introduction of a Code of Conduct (based on the IMIA Code) and processes for continuous professional development, appeals, and removal from the Register. The challenge has been to design a process that provides a suitable structure for all informatics staff, including records, coding, audit, library and knowledge management, ICT, systems, information management and clinical management specialists. The contention is that this inclusive model of regulation has international applicability.

Codes of Ethics↗

PubMed2004

Validating national informatics policy--the importance of operational consensus to influence positive developments.

The National Health Service in England faces reorganisation of services on a very regular basis. In 2002 a 'Long Term Review of Health Trends', commissioned by the Chancellor of the Exchequer indicated the need for a substantially larger investment in informatics to support the delivery of better healthcare overall. Subsequent to the issue of this report, the Spending Review confirmed an investment of pound 2.3 Billion (approximately $3.7 Bn) for the period to 2005 for NHS informatics, subject to performance. This paper describes the actions taken by the national representative society (the British Computer Society Health Informatics Committee) to ensure that the views of those in the field were taken into account in facilitating the best possible outcomes from this investment. In addition, the initiative established has confirmed the ongoing priorities for involvement in health informatics, regardless of professional role, in support of healthcare. The outputs and insights gained from two years of this initiative provide useful points for thought about health informatics and health management in other countries and under different models of care to that of the NHS in England.

England↗

PubMed2005

François Grémy and the birth of IMIA. 1st IMIA/UMIT Medical Informatics Award of Excellence given to Professor Grémy.

In 2001 the International Medical Informatics Association (IMIA) approved the establishment of a Medical Informatics Award of Excellence to be given every three years to an individual, whose personal commitment and dedication to medical informatics has made a lasting contribution to medicine and healthcare through her or his achievements in research, education, development or applications in the field of medical informatics. The first award was given in 2004 to Prof. François Grémy, Uzes, France. As the first chairman and moderator of TC4, François Grémy is considered to be the first President of its renamed and refocused successor, the International Medical Informatics Association. The role of IFIP-TC4 in bringing together early health informaticians cannot be underestimated. Although TC4 was composed in large part of computer professionals interested in medical applications, Grémy recruited the first generation of IMIA officers and members from the medical and healthcare communities. Intellectually as well as organizationally, IFIP-TC4 was the true predecessor of IMIA.

Awards and Prizes↗

PubMed2006

Where to in the next ten years of health informatics education?

OBJECTIVES: To explore whether education in health/medical informatics should continue to evolve along the lines pursued since the early seventies, or whether a change is advisable. METHODS: Roots and key resulting characteristics for European and US American approaches HI education are identified. In Europe holistic approaches based on a synthesis of medicine and informatics (= computer science) with programs ranging from vocational training through university programs to doctoral and postdoctoral programs were characteristic. The US American approaches emphasized the higher levels of education and a diverse selection of specialized subjects. Changes in health and health informatics are summarized. RESULTS: Two types of changes are identified: high-tech applications arising at the interface of imaging, robotics, and the -omics (genomics, proteomics, metabolomics), and invasive applications centering on consumer health informatics and a move from curative to prospective health care. CONCLUSIONS: It is proposed that curative medicine is adequately served by current educational approaches, but that the move towards prospective health care requires a move towards education and change management for health professionals and health informatics professionals.

Delivery of Health Care↗

PubMed2006

Consumer informatics in primary care.

The need to promote consumer informatics in all health care settings is essential. Primary care provides timely opportunities to educate and promote the use of e-health tools and computer literacy for consumers. However, these settings are often the least equipped with technology and informed care providers to educate and promote consumer acceptance and use of technology to promote and maintain health. The purpose of the consumer informatics in primary care project was twofold: 1) to develop a primary health care informatics practice model to improve health care outcomes to targeted communities and 2) promote the use of e-health tools for an identified consumer population. The paper describes a process of faculty and student dyads that combined primary care and informatics expertise to promote consumer informatics in an urban underserved primary care site.

Community Participation↗

PubMed2006

A model of interprofessional informatics education.

An emphasis on patient safety and an administrative mandate to have information systems in place in most health care agencies in the USA by 2014 has put pressure on nursing informatics programs to increase the number of graduates. At the same time a need for change in health professions education was emphasized at an educational summit sponsored by the Institute of Medicine. Interprofessional education (IPE) will help to provide needed educational reform in informatics and is defined as planned occasions when two or more professions learn from each other and about each other in a structured manner. This paper discusses an evolving interprofessional (IPE) model of informatics education that has been developed at the University of Utah. Because of interprofessional collaboration, faculty, students, and support staff from both the medical and nursing informatics programs moved into a suite on the fifth floor of a state-of-art technology-rich health sciences education building. The co-located space has enabled the informatics programs to increase activities that promote interprofessional education.

Humans↗

PubMed2006

Meeting the informatics needs of today's nursing students.

Today's nurses must be well prepared with informatics skills in order to work more efficiently and safely in this world of evidence-based practice and consumer health. Competency based education provides the mechanism to measure selected skills at various levels and provides a standardized framework from which educators can plan appropriate learning activities. Informatics competencies have been developed for various levels of nursing, but none have been developed that level the educational preparation of the students or are designed to meet a cluster of identified courses. This paper will describe informatics competencies for nursing students across academic levels. The proposed integration plan can be used to identify informatics competencies for faculty and contemporary strategies to meet the informatics needs of today's nurses.

Education, Nursing↗