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Revolutionizing Healthcare
Through Clinical Informatics



   Anthony O. Oloni, MD, MPH, CPHI
   SME, Healthcare & Clinical Informatics
Introduction & Overview
Information systems have revolutionized
healthcare and healthcare outcomes in
the later part of the 21st century!

                   X-ray technology was
                   invented completely by
                   accident in 1895, a
                   German physicist named
                   Wilhelm Roentgen.
Overview of Health Informatics
 Magnetic Resonance Imaging is a process that uses
  magnets to noninvasively scan the body.

 Computerized Axial Tomography is a process that
  takes the idea of the conventional X-ray imaging by
  forming a full three-dimensional computer model of a
  patient's insides.

 Ultrasound Technology is a medical imaging technique
  that uses high frequency sound waves and their echoes
  to produce images of the human body!
Smart Electronic Health Records
 An electronic health record (EHR) is more than just a
  computerized version of your paper chart.

 It’s a digital record of your health information that can
  provide your health care team with comprehensive health
  information about you.

 Over time, it can allow your providers to share important
  information, across different health care settings, while
  maintaining EHR patient confidentiality in accordance
  with federal and state privacy and security requirements.
Clinical Decision Support
 Clinical decision support (CDS) systems provide
  clinicians, staff, patients, and other individuals with
  knowledge and person-specific information,
  intelligently filtered and presented at appropriate
  times, to enhance health and health care.

 Examples of CDSS
      ICU Respiratory Alarms
      ICU Cardiovascular Alarms
      Medication Allergies
      Medication Interactions
      Medication Doses
Computer Assisted Coding

Computer assisted coding is a cutting edge practice that
automatically derives medical codes within clinical
documentation.

Improved   Accuracy
Improved   Consistency
Improved   Productivity and charting efficiency
Improved   Traceability
E-Prescribing
                With electronic prescribing, or
                e-prescribing, your doctor
                enters information about
                drugs you may need into a
                computer. This electronic
                prescription is sent over a
                secure network to the
                pharmacy you choose. The
                pharmacy receives the
                prescription and can begin
                filling it right away.
Clinical Provider Order Entry
Computerized physician/provider order entry is defined
as the computer system that allows direct entry of
medical orders by the person with the licensure and
privileges to do so.

Advantages:
Has the benefit of reducing errors by minimizing the
ambiguity of hand-written orders
Saves time, is more efficient
Electronically stores clinical orders
Interoperability
                   Interoperability is the
                   ability of diverse systems
                   and organizations to work
                   together (inter-operate).

                   Interoperability
                   standards
                         Content Standards –
                          SNOMED-CT
                         Messaging Standards –
                          HL7
References:
   How CAT Scans Work | How CAT Scans Work by Tom Harris, retrieved on June
    16, 2012 from http://science.howstuffworks.com/cat-scan.htm
   How X-rays Work | How X-rays Work by Tom Harris, retrieved on June 16, 2012
    from http://science.howstuffworks.com/cat-scan.htm
   How Ultrasound Works by Craig Freudenrich, Ph.D. on June 16, 2012 from
    http://science.howstuffworks.com/ultrasound.htm
   What is an Electronic Health Record | Healthit.gov | Retrieved on June 15,
    2012 from
    http://www.healthit.gov/patients-families/faqs/what-electronic-health-record-ehr
   Clinical Decision Support Systems, State of the Art by Eta S. Berner, Ed.D. |
    Retrieved on June 15, 2012 from
    http://healthit.ahrq.gov/images/jun09cdsreview/09_0069_ef.html
   What is electronic prescribing? | HealthIT.gov | Retrieved on June 20 from
    http://www.healthit.gov/patients-families/faqs/what-electronic-prescribing
   Clinical Provider Order Entry by Joan Ash PhD, Retrieved on June 20, 2012 from
    http://www.ohsu.edu/academic/dmice/research/cpoe/index.php

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Revolutionizing Healthcare Through Clinical Informatics

  • 1. Revolutionizing Healthcare Through Clinical Informatics Anthony O. Oloni, MD, MPH, CPHI SME, Healthcare & Clinical Informatics
  • 2. Introduction & Overview Information systems have revolutionized healthcare and healthcare outcomes in the later part of the 21st century! X-ray technology was invented completely by accident in 1895, a German physicist named Wilhelm Roentgen.
  • 3. Overview of Health Informatics  Magnetic Resonance Imaging is a process that uses magnets to noninvasively scan the body.  Computerized Axial Tomography is a process that takes the idea of the conventional X-ray imaging by forming a full three-dimensional computer model of a patient's insides.  Ultrasound Technology is a medical imaging technique that uses high frequency sound waves and their echoes to produce images of the human body!
  • 4. Smart Electronic Health Records  An electronic health record (EHR) is more than just a computerized version of your paper chart.  It’s a digital record of your health information that can provide your health care team with comprehensive health information about you.  Over time, it can allow your providers to share important information, across different health care settings, while maintaining EHR patient confidentiality in accordance with federal and state privacy and security requirements.
  • 5. Clinical Decision Support  Clinical decision support (CDS) systems provide clinicians, staff, patients, and other individuals with knowledge and person-specific information, intelligently filtered and presented at appropriate times, to enhance health and health care.  Examples of CDSS  ICU Respiratory Alarms  ICU Cardiovascular Alarms  Medication Allergies  Medication Interactions  Medication Doses
  • 6. Computer Assisted Coding Computer assisted coding is a cutting edge practice that automatically derives medical codes within clinical documentation. Improved Accuracy Improved Consistency Improved Productivity and charting efficiency Improved Traceability
  • 7. E-Prescribing With electronic prescribing, or e-prescribing, your doctor enters information about drugs you may need into a computer. This electronic prescription is sent over a secure network to the pharmacy you choose. The pharmacy receives the prescription and can begin filling it right away.
  • 8. Clinical Provider Order Entry Computerized physician/provider order entry is defined as the computer system that allows direct entry of medical orders by the person with the licensure and privileges to do so. Advantages: Has the benefit of reducing errors by minimizing the ambiguity of hand-written orders Saves time, is more efficient Electronically stores clinical orders
  • 9. Interoperability Interoperability is the ability of diverse systems and organizations to work together (inter-operate). Interoperability standards  Content Standards – SNOMED-CT  Messaging Standards – HL7
  • 10. References:  How CAT Scans Work | How CAT Scans Work by Tom Harris, retrieved on June 16, 2012 from http://science.howstuffworks.com/cat-scan.htm  How X-rays Work | How X-rays Work by Tom Harris, retrieved on June 16, 2012 from http://science.howstuffworks.com/cat-scan.htm  How Ultrasound Works by Craig Freudenrich, Ph.D. on June 16, 2012 from http://science.howstuffworks.com/ultrasound.htm  What is an Electronic Health Record | Healthit.gov | Retrieved on June 15, 2012 from http://www.healthit.gov/patients-families/faqs/what-electronic-health-record-ehr  Clinical Decision Support Systems, State of the Art by Eta S. Berner, Ed.D. | Retrieved on June 15, 2012 from http://healthit.ahrq.gov/images/jun09cdsreview/09_0069_ef.html  What is electronic prescribing? | HealthIT.gov | Retrieved on June 20 from http://www.healthit.gov/patients-families/faqs/what-electronic-prescribing  Clinical Provider Order Entry by Joan Ash PhD, Retrieved on June 20, 2012 from http://www.ohsu.edu/academic/dmice/research/cpoe/index.php