3. Informatics Year in Review
• Origin: American Medical Informatics
Association (AMIA) Annual Symposium
• Born: October, 2005
• Father: Daniel R. Masys, MD
Formerly at Vanderbilt University
Now at University of Washington
• Modeled on: American College of Physicians
“Update” sessions
3
4. Informatics Year in Review
• Session at every AMIA
Annual Symposium since
2005
• To review notable
publications and events in
informatics in the past year
AMIA 2011
Flickr: AMIAInformatix
4
6. Informatics Year in Review: Format
• Selected publications in the previous year in
▫ Clinical Informatics
Clinical Decision Support
Telemedicine & mHealth
The Practice of Informatics
▫ Bioinformatics
• Notable events in the previous year
6
7. Informatics Year in Review: Sources
• Literature review of Randomized Controlled
Trials (RCTs) indexed in PubMed
▫ Timeframe: in previous year
▫ Method: RCTs & other criteria
• Suggestions & polls of American College of
Medical Informatics (ACMI) Fellows
• Other notable publications suggested by ACMI
Fellows
7
8. Informatics Year in Review: Expansion
• AMIA Clinical Research Informatics
(CRI) Year in Review (Dr. Peter Embi)
• Nursing Informatics Year in Review (HIMSS)
8
9. Thai Informatics
Year in Review
Thai Medical Informatics Association
9
10. Guiding Principles
• Use existing frameworks to guide coverage
• More focus on public policy and societal
progress, less on academic progress
• Value-driven, high emphasis on large-scale
impact
• Highlight updates noteworthy for historical
documentation
10
11. 2012 Format & Sources
• Selected updates, progress, events in informatics
▫ Domestic updates
▫ International updates
• Selected notable publications in informatics
▫ Relevant to Thailand
▫ High-profile international publications
• Inputs solicited from informatics community
• Opinions of presenters, may differ from audience
11
13. Structure
WHO ITU. National eHealth strategy toolkit. Geneva, Switzerland: 2012.
13
14. Thailand’s eHealth: 2010
eHealth in Thailand: The current status. Stud Health Technol Inform
2010;160:376–80, Presented at MedInfo2010 South Africa
14
25. Strategy & Investment
MOPH Data Center Plan
24 hr.x7
Nation day Data
wide Data Center
22 Center 30 Sep 57
Provincial 30 Sep 56
Data Center
22
Provincial March 56
Data
center (ใช้งานจริ ง)
ประกาศ 43
+17แฟ้ ม 30 Sep 55
July 55 (ใช้งานจว.)
25
29. Infrastructure
• Organizational Health IT Adoption
• Infrastructure for Health Information Exchange
• Provincial Health Data Center
• 2011 Severe Flood & Lessons for Healthcare
Disaster Recovery and Business Continuity
29
30. Infrastructure:
EHR Adoption in Thai Hospitals
30 Theera-Ampornpunt (2011)
31. Thai Hospitals Adoption of IT Survey
(THAIS), 2011
• 4 of 1,302 hospitals ineligible
• Response rate 69.9%
Characteristic Overall Responding Non-
Hospitals Responding
Hospitals
N of eligible hospitals 1,298 908 390
Bed size** 106.9 117.5 82.9
Public status**
Private 24.0% 17.4% 39.2%
Public 76.0% 82.6% 60.8%
Geography*
Central 33.4% 31.1% 39.0%
East 7.5% 7.8% 6.7%
North 11.1% 13.5% 5.4%
Northeast 27.1% 26.9% 27.7%
South 15.3% 14.9% 16.2%
West 5.6% 5.8% 5.1%
31 *p < 0.01, **p < 0.001. Theera-Ampornpunt (2011)
37. Standards & Interoperability
Hammond, Interoperability – What’s in a word?, electronic Journal of Health Informatics 5(1): 2010
37
38. Standards & Interoperability
From: Standards – Yesterday, Today and Tomorrow: Integrating the Standards for Healthcare
presentation , Ken Lunn, 17 October 2011
38
39. Standards & Interoperability
Thai Health Information Standards
Standards National
1. Core data set standards 12 & 18 files standards
2. Semantic standards Personal ID, Provider ID
ICD 10 TM, ICD 9 CM
3. Syntactic standards X
4. Security and privacy standards X
39
41. Syrup Amoxicillin Is a Thai Medicines Terminology
Model
Is a
Is a
Amoxicillin Amoxil
Is a Is a
Amoxicillin Syrup Is a Amoxil syrup
125 mg/5 ml 125 mg/5 ml
Has MPUU Has MPUU
Amoxicillin Syrup Is a Amoxil Syrup 125
125 mg/5 ml, 60 ml mg/5 ml, 60 ml
Has MPUD Has MPUD
กองทุน Amoxicillin Syrup Is a Amoxil Syrup
125 mg/5 ml, 60 ml 125 mg/5 ml, 60 ml
, 12 bottle , 12 bottle
โรงพยาบาล
SNOMED-CT Extension
41
46. Legislation, Policy & Compliance
Current laws related to eHealth
• Official Information Act, B.E. 2540
▫ พรบ.ข้อมูลข่าวสารของราชการ พ.ศ. 2540
• The Sanatorium Act, B.E. 2541
▫ พรบ.สถานพยาบาล พ.ศ. 2541
• Electronic Transactions Act, B.E. 2544
▫ พรบ.ธุรกรรมทางอิเล็กทรอนิกส์ พ.ศ. 2544
• Computer-Related Crimes Act, B.E. 2550
▫ พรบ.ว่าด้วยการกระทําความผิดเกี่ยวกับคอมพิวเตอร์ พ.ศ. 2550
• National Health Act, B.E. 2550
▫ พรบ.สุ ขภาพแห่งชาติ พ.ศ. 2550
46
52. Health Informatics Workforce Education
เวชระเบียน
เวชสารสนเทศ
ICT Health Information
Health Informatics
Management
ทุกประเทศ Singapore Singapore
Thailand Philippine
?Malaysia Thailand
?Indonesia Malaysia
?Philippine Indonesia
52
55. Informatics Education:
Certificate Level
• Healthcare CIO by Ramathibodi Hospital
Administration School
• Dental Informatics by Institute of Dentistry,
Ministry of Public Health
• Hacking Counter Measures for Hospital
Executives by Faculty of Engineering, Mahidol
University
55
58. Dental Informatics,
Institute of Dentistry
58 Institute of Dentistry, Ministry of Public Health
59. Informatics Education:
Undergraduate Level
• Health IT Track for Undergraduate ICT
Students by
▫ Faculty of ICT, Mahidol University
• Pharmacy Informatics courses by
▫ Faculty of Pharmacy, Chulalongkorn University
▫ Faculty of Pharmacy, Silpakorn University
• Nursing Informatics courses by
▫ Ramathibodi Nursing School
59
60. Health IT Track, MU Faculty of ICT
60 Faculty of ICT, Mahidol University
61. Informatics Education:
Graduate Level
• Health Informatics Master’s Program by
▫ Ramkhamhaeng University
• Health Informatics Master’s Program by
▫ Faculty of Public Health, Mahidol University
• Health Informatics Diploma and Master’s
Programs by
▫ Faculty of Tropical Medicine, Mahidol University
• Future: Health Informatics Master’s Program by
• Faculty of Medicine Ramathibodi Hospital
• Future: Pharmacy Informatics Tract in Social
and Pharmacy Administration by
▫ Faculty of Pharmaceutical science, Chulalongkorn U.
61
62. MU Faculty of Tropical Medicine
62 Faculty of Tropical Medicine, Mahidol University
68. TMI at APAMI & IMIA General Assembly
68 Image Source: TMI & Dr.Siriwan Suebnukarn
69. TMI at APAMI & IMIA General Assembly
69 Image Source: TMI & Dr.Siriwan Suebnukarn
70. Thai Informaticians at APAMI 2012
• Boonchai Kijsanayotin et al.
“Health Information System (HIS)
and Health Information
Technology (HIT) Impact on
Thailand Universal Coverage
Scheme (UCS) Implementation”
• Wansa Paoin et al. “Development
of the Classification of Diseases
Ontology and Semi-automated
ICD-10-TM Coding System Using
Hybrid Case-based Reasoning and
Inverted Index Technologies in
Thailand”
• Siriwan Suebnukarn et al.
“Recognition of Clinical Process in
Dental Virtual Reality
Environment using Dynamic Time
Warping”
70 Image Source: Dr.Siriwan Suebnukarn
72. Thai Informaticians at AMIA 2012
Annual Symposium
72 Image Source: Dr. Nawanan Theera-Ampornpunt
73. Thai Informaticians at AMIA 2012
Annual Symposium
• First poster presentation ever presented at AMIA from
academic institutions in Thailand (by Ramathibodi)
Parchariyanon S, Asavanant K, Srisiriratanakul S, Tongtaweechaikit C, Theera-
Ampornpunt N, Okaschareon C, Ungkanont A.Implementation of Thailand’s
first prototype for exchanging of laboratory results using HL7 version 3
and LOINC.Poster session presented at: Informatics: Transforming Health and
Healthcare. AMIA 2012 Annual Symposium; 2012 Nov 3-7; Chicago, IL.
• Other involvements at AMIA 2012
Nawanan Theera-Ampornpunt
▫ AMIA 2012 Scientific Program Committee
▫ Student Working Group Chair-Elect
▫ Session Chair
▫ Distinguished Paper Reviewer for AMIA 2012
73
75. International Updates
• U.S. “Meaningful Use” Stage 2 Criteria Released
• U.S. Healthcare Reform & informatics implications
• Progress on AMIA’s Subspecialty Certification in Clinical
Informatics
• More publications & discussions about
▫ Unintended Consequences of Health IT
▫ EHR Usability Issues
▫ Mobile devices and social media in health care
• Focus changed from “adoption” to implementation challenges,
patient safety, clinical decision support, & interoperability for
Health Information Exchange
• Trends in “Big Data”
75
77. Notable Domestic Publications
• Literature Search Methods
▫ PubMed
MeSH terms “Thailand” AND (“Medical Informatics” OR
“Telemedicine”) & descendants
Publication date from Jan 1, 2011 to Nov 18, 2012
▫ Google Scholar
Thailand AND (Health OR Medical OR Biomedical) Informatics
Published since 2011
Only top 20 results reviewed
▫ Title & abstract used to screen for relevant papers
▫ Must come from a Thai institution or with at least 1 Thai
researcher as co-author
77
78. Notable Domestic Publications
mHealth & Telemedicine
• Hunchangsith P, Barendregt JJ, Vos T, Bertram M. Cost-effectiveness of
various tuberculosis control strategies in Thailand. Value Health.
2012 Jan-Feb;15(1 Suppl):S50-5. [Institute for Population & Social
Research, Mahidol University]
Mobile phone reminder system not cost-effective in TB control.
• Kunawararak P, Pongpanich S, Chantawong S, Pokaew P, Traisathit P,
Srithanaviboonchai K, Plipat T. Tuberculosis treatment with mobile-
phone medication reminders in northern Thailand. Southeast Asian
J Trop Med Public Health. 2011 Nov;42(6):1444-51. [Dpt. of Disease
Control, MOPH]
Phone call reminder improves success of MDR-TB treatment.
78
79. Notable Domestic Publications
mHealth & Telemedicine (continued)
• Ausayakhun S, Skalet AH, Jirawison C, Ausayakhun S, Keenan JD, Khouri C,
Nguyen K, Kalyani PS, Heiden D, Holland GN, Margolis TP. Accuracy and
reliability of telemedicine for diagnosis of cytomegalovirus retinitis.
Am J Ophthalmol. 2011 Dec;152(6):1053-1058.e1. [Faculty of Medicine, CMU]
Remote diagnostic screening for CMV retinitis among HIV-positive
patients may be valuable.
Public Health Informatics & Biosurveillance
• Jeefoo P, Tripathi NK, Souris M. Spatio-temporal diffusion pattern and
hotspot detection of dengue in Chachoengsao province, Thailand. Int J
Environ Res Public Health. 2011 Jan;8(1):51-74. Epub 2010 Dec 29. [School of
Engineering & Technology, AIT]
GIS methods useful in dengue epidemic.
79
80. Notable Domestic Publications
Information Retrieval & Extraction
• Chotchaisuwatana S, Jedsadayanmata A, Chaiyakunapruk N, Jampachaisri
K. Validation of electronic medical database in patients with atrial
fibrillation in community hospitals. J Med Assoc Thai. 2011
Jun;94(6):686-92. [Faculty of Pharmaceutical Sciences, Naresuan
University]
Electronic database in community hospitals are valid compared to
handwritten records.
• Atsawawaranunt K, Adams CE, Roberts S. Searching for randomised
controlled trials and clinical controlled trials in Thai online
bibliographical biomedical databases. Health Info Libr J. 2011
Mar;28(1):68-76. Epub 2010 Nov 10. [University of Srinakharinwirot]
Thailand’s local indexes should be used to supplement PubMed in
literature searches.
80
81. Notable Domestic Publications
Technology Adoption
• Suebsin C, Gerdsri N. The analysis of key factors affecting the
success of technology adoption in healthcare organizations in
Thailand. Technology Management for Emerging Technologies (PICMET),
2012 Proceedings of PICMET '12. 2012 Jul-Aug:1516 - 1526. [College of
Management, Mahidol University]
Financial factors determine adoption at organizational level, human-
related (socio-technical) factors determine adoption at personal level.
81
82. Notable Domestic Publications
Cloud Computing in Healthcare
• Tantatsanawong P, U-Aroon P. Multi-domain Healthcare Services in
Thailand via Future Internet. SRII Global Conference (SRII), 2011
Annual. 2011 Mar-Apr:98-104. [Dpt. of Computing, Silpakorn University]
Proposes network virtualization using Dynamic Circuit Network (DCN)
to be the infrastructure of medical cloud for health informatics.
Knowledge Discovery & Data Mining in Healthcare
• Kerdprasop K, Kerdprasop N. Bridging Data Mining Model to the
Automated Knowledge Base of Biomedical Informatics.
International Journal of Bio-Science and Bio-Technology. 2012 Mar;4(1):13-
32. [School of Computer Engineering, Suranaree University of Technology]
Proposes a design of an inductive expert system in a medical domain
that follows post-data mining processing.
82
85. Papers in NCMedInfo2012
eHealth
• กรอบการพัฒนาระบบสุขภาพอิเล็กทรอนิกส์สาหรับสังคมผูสงอายุ:
ํ ู้
กรณีศกษาในประเทศไทย (วิธารักษ์ เตชะไตรภูม ิ และคณะ)
ึ
• Application of Virtualization Technology and Service-Oriented
Architecture to Improve the Investment of Thailand’s Health
Care Information System and Data Readiness of Citizen Health
Profile (Songsakdi Rongviriyapanish et al.)
85
86. Papers in NCMedInfo2012
Standards
• การป้องกันความคลาดเคลือนของรหัสมาตรฐานทางการแพทย์ ด้วย
่
ตัวเลขตรวจสอบ (Check digit) (รัชตะ อุลมาน และคณะ)
• โมเดลการประเมิน HIS ต่อมาตรฐานข้อมูลสุขภาพ (จักรพงศ์ พลหาญ
และคณะ)
• Is RxNorm suitable for developing to Thailand national drug
identifier (อรลักษณ์ พัฒนาประทีป และบุญชัย กิจสนาโยธิน)
• Mapping Thai Local Laboratory Codes with LOINC: the
preliminary report (วันชนะ พลทองมาก และบุญชัย กิจสนาโยธิน)
86
87. Papers in NCMedInfo2012
Public Health Informatics & Biosurveillance
• การพัฒนาแพล็ตฟอร์มเพือติดตามและเฝ้าระวังโรคระบาด จาก
่
หนังสือพิมพ์ออนไลน์ (ธีรวัฒน์ ตออํานวย และคณะ)
Information Retrieval & Extraction
• การสกัดออนโทโลยีการแพทย์ภาษาไทยแบบอัตโนมัตจาก ICD-10-TM
ิ
สําหรับระบบคําถาม-คําตอบ (สลิตตา นกขุนทอง และคณะ)
Mobile Health
• Mobile Health for Recording Patient Information during Home Visit in
Rural Areas (Sudsanguan Ngamsuriyaroj et al.)
87
88. Papers in NCMedInfo2012
Workforce Building
• การพัฒนาระบบการศึกษาการแพทย์ต่อเนื่องด้วยเทคโนโลยีพกพา: m-
CME: Mobile- Continuing Medical Education (อภิรดี โสมวงศ์ และ
พิลาศพงษ์ ทรัพย์เสริมศรี)
Machine Learning & Decision Support
• Risk Factor Identification for Developing Type 2 Diabetes in Thai
People Using Artificial Neural Network (Wuttichai Luangruangrong
et al.)
• Using principal component analysis with soft clustering approaches in
medical diagnosis applications (Siriporn Supratid)
88
89. Papers in NCMedInfo2012
Bioinformatics
• การสืบค้นรูปแบบสตริงย่อยแบบความยาวสูงสุดทีเกิดขึนบ่อยบน
่ ้
ข้อมูลทางพันธุกรรม (ทศนัย ชุมวัฒนะ)
่
Management Information Systems (MIS)
• ตัวแบบเทคโนโลยีสารสนเทศบาลานซ์สกอร์การ์ด โรงพยาบาล
เพชรรัชต์ จ.เพชรบุร ี (อนุสรณ์ อานามวัฒน์)
89
90. Papers in NCMedInfo2012
Emergency Informatics
ั
• สถาปตยกรรมการแจ้งเหตุการแพทย์ฉุกเฉิน E1668 (สุชาย ธนว
เสถียร และคณะ)
ICT Applications in Clinical Care
• Unawakening: Game for the Visually Impaired Teens (Boonsit
Yimwadsana et al.)
90
99. Acknowledgments
• TMI Executive Board & Scientific Program
Committee for approval of this session &
operational support
• Dr. Dan Masys, presenter of AMIA’s original
“Informatics Year in Review” for support and
input
99
100. Thai Informatics
Year in Review 2012
Thai Medical Informatics Association
SlideShare.net/Nawanan
100