Clinical informatics: a workforce priority for 21st century healthcare

2011 ◽  
Vol 35 (2) ◽  
pp. 130 ◽  
Author(s):  
Susan E. Smith ◽  
Lesley E. Drake ◽  
Julie-Gai B. Harris ◽  
Kay Watson ◽  
Peter G. Pohlner
Keyword(s):  
Capacity Building ◽  
21St Century ◽  
Health Informatics ◽  
Service Management ◽  
Clinical Care ◽  
Critical Role ◽  
Care Quality ◽  
Clinical Informatics ◽  
Local Health ◽  
Local Health Service

This paper identifies the contribution of health and clinical informatics in the support of healthcare in the 21st century. Although little is known about the health and clinical informatics workforce, there is widespread recognition that the health informatics workforce will require significant expansion to support national eHealth work agendas. Workforce issues including discipline definition and self-identification, formal professionalisation, weaknesses in training and education, multidisciplinarity and interprofessional tensions, career structure, managerial support, and financial allocation play a critical role in facilitating or hindering the development of a workforce that is capable of realising the benefits to be gained from eHealth in general and clinical informatics in particular. As well as the national coordination of higher level policies, local support of training and allocation of sufficient position hours in appropriately defined roles by executive and clinical managers is essential to develop the health and clinical informatics workforce and achieve the anticipated results from evolving eHealth initiatives. What is known about the topic? Health informatics is considered an emerging profession. There are not enough Health Informaticians to support the eHealth agenda. What does this paper add? This paper considers the issues, barriers and facilitators of capacity building in the health informatics workforce with a special emphasis on Clinical Informaticians. The authors conclude that resources and awareness at the national, state and local health service levels is required to facilitate health and clinical informatics’ capacity building. What are the implications for practitioners? Recognition and support of the health and clinical informatics workforce is required to improve the appropriate implementation and use of Health Information Technology for clinical care, quality and service management.

The Healthcare System

2019 ◽  
pp. 3-6
Author(s):  
Mark E. Frisse ◽  
Karl E. Misulis
Keyword(s):  
Healthcare System ◽  
Financial Distress ◽  
Clinical Care ◽  
Critical Role ◽  
The United States ◽  
Care Quality ◽  
Clinical Informatics ◽  
System P ◽  
Per Capita ◽  
United States Healthcare

The United States healthcare system ranks the highest in per capita expense but ranks far lower with respect to patient access and health outcomes. An aging and increasingly ill population, family financial distress, changing cultural expectations, and unsustainable healthcare prices will necessitate a radically broader view of clinical care and system change. Clinical informatics will play a critical role in essential transformation efforts aimed at improving care quality in financially sustainable ways.

scholarly journals Clinical Informatics Board Certification: History, Current Status, and Predicted Impact on the Clinical Informatics Workforce

2010 ◽  
Vol 01 (01) ◽  
pp. 11-18 ◽  
Author(s):  
Don Detmer ◽  
Benson Munger ◽  
Christoph Lehmann
Keyword(s):  
Public Health ◽  
Medical Informatics ◽  
Health Informatics ◽  
Policy Design ◽  
Clinical Care ◽  
Work Force ◽  
Clinical Informatics ◽  
Current Status ◽  
Public Health Informatics ◽  
Medical Specialties

SummaryWithin health and health care, medical informatics and its subspecialties of biomedical, clinical, and public health informatics have emerged as a new discipline with increasing demands for its own work force. Knowledge and skills in medical informatics are widely acknowledged as crucial to future success in patient care, research relating to biomedicine, clinical care, and public health, as well as health policy design. The maturity of the domain and the demand on expertise necessitate standardized training and certification of professionals. The American Medical Informatics Association (AMIA) embarked on a major effort to create professional level education and certification for physicians of various professions and specialties in informatics. This article focuses on the AMIA effort in the professional structure of medical specialization, e.g., the American Board of Medical Specialties (ABMS) and the related Accreditation Council for Graduate Medical Education (ACGME). This report summarizes the current progress to create a recognized sub-certificate of competence in Clinical Informatics and discusses likely near term (three to five year) implications on training, certification, and work force with an emphasis on clinical applied informatics.

scholarly journals On Contributing to the Progress of Medical Informatics as Publisher

2017 ◽  
Vol 26 (01) ◽  
pp. 9-15
Author(s):  
R. Haux ◽  
A. Geissbuhler ◽  
J. Holmes ◽  
M.-C. Jaulent ◽  
S. Koch ◽  
...  
Keyword(s):  
Medical Informatics ◽  
Chief Executive Officer ◽  
Health Informatics ◽  
Driving Force ◽  
Critical Role ◽  
Chief Executive ◽  
80Th Birthday ◽  
Clinical Informatics ◽  
Research And Practice ◽  
The Past

SummaryMay 1st, 2017, will mark Dieter Bergemann’s 80th birthday. As Chief Executive Officer and Owner of Schattauer Publishers from 1983 to 2016, the biomedical and health informatics community owes him a great debt of gratitude. The past and present editors of Methods of Information in Medicine, the IMIA Yearbook of Medical Informatics, and Applied Clinical Informatics want to honour and thank Dieter Bergemann by providing a brief biography that emphasizes his contributions, by reviewing his critical role as an exceptionally supportive publisher for Schattauer’s three biomedical and health informatics periodicals, and by sharing some personal anecdotes. Over the past 40 years, Dieter Bergemann has been an influential, if behind-the-scenes, driving force in biomedical and health informatics publications, helping to ensure success in the dissemination of our field’s research and practice.

scholarly journals The Digitization of Patient Care: A Review of the Effects of Electronic Health Records on Health Care Quality and Utilization

2019 ◽  
Vol 40 (1) ◽  
pp. 487-500 ◽  
Author(s):  
Hilal Atasoy ◽  
Brad N. Greenwood ◽  
Jeffrey Scott McCullough
Keyword(s):  
Electronic Health Records ◽  
Health Informatics ◽  
Health Care Quality ◽  
Clinical Care ◽  
Academic Research ◽  
Care Quality ◽  
Health Records ◽  
Policy Practice ◽  
Electronic Health ◽  
Cost Implications

Electronic health records (EHRs) adoption has become nearly universal during the past decade. Academic research into the effects of EHRs has examined factors influencing adoption, clinical care benefits, financial and cost implications, and more. We provide an interdisciplinary overview and synthesis of this literature, drawing on work in public and population health, informatics, medicine, management information systems, and economics. We then chart paths forward for policy, practice, and research.

scholarly journals Health Informatics Education and Capacity Building in Eastern Cape Province, South Africa

2009 ◽  
Vol 18 (01) ◽  
pp. 158-163 ◽  
Author(s):  
H. J. Betts ◽  
G. Wright ◽  
N. V. Tshayingca-Mashiya ◽  
P. J. Murray
Keyword(s):  
South Africa ◽  
Capacity Building ◽  
Health Informatics ◽  
Lessons Learned ◽  
Local Context ◽  
Local Health ◽  
Eastern Cape ◽  
Collaborative Project ◽  
Educational Staff ◽  
The University

Summary Objectives To describe the experience of, and lessons learned from, a collaborative project developing and delivering an MSc in Health Informatics in South Africa. Methods The description and discussion is based on the experiences of the staff delivering the course, and formal and informal evaluations, the former conducted as part of the University of Winchester’s quality assurance processes. Results Some of the lessons learned from adapting the course to meet local needs are described and discussed. Conclusions Simply attempting to transpose a successful course from one country and culture to another is not a guarantee of success. Educational staff delivering such courses need to take account of local context and culture, be flexible and prepared to adapt to students’ needs and circumstances, which may be beyond anyone’s control. However, by meeting real identified needs, success can contribute to sustaining capacity building and the development of the local health informatics workforce.

scholarly journals On Contributing to the Progress of Medical Informatics as Publisher

2017 ◽  
Vol 26 (01) ◽  
pp. 9-15
Author(s):  
R. Haux ◽  
A. Geissbuhler ◽  
J. Holmes ◽  
M.-C. Jaulent ◽  
S. Koch ◽  
...  
Keyword(s):  
Medical Informatics ◽  
Chief Executive Officer ◽  
Health Informatics ◽  
Driving Force ◽  
Critical Role ◽  
Chief Executive ◽  
80Th Birthday ◽  
Clinical Informatics ◽  
Research And Practice ◽  
The Past

Summary May 1st, 2017, will mark Dieter Bergemann’s 80th birthday. As Chief Executive Officer and Owner of Schattauer Publishers from 1983 to 2016, the biomedical and health informatics community owes him a great debt of gratitude. The past and present editors of Methods of Information in Medicine, the IMIA Yearbook of Medical Informatics, and Applied Clinical Informatics want to honour and thank Dieter Bergemann by providing a brief biography that emphasizes his contributions, by reviewing his critical role as an exceptionally supportive publisher for Schattauer’s three biomedical and health informatics periodicals, and by sharing some personal anecdotes. Over the past 40 years, Dieter Bergemann has been an influential, if behind-the-scenes, driving force in biomedical and health informatics publications, helping to ensure success in the dissemination of our field’s research and practice.

scholarly journals Adapting the definition of multimorbidity – development of a locality-based consensus for selecting included Long Term Conditions

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nasrin Hafezparast ◽  
Ellie Bragan Turner ◽  
Rupert Dunbar-Rees ◽  
Alice Vodden ◽  
Hiten Dodhia ◽  
...  
Keyword(s):  
Literature Review ◽  
Selection Process ◽  
Final Decision ◽  
Local Health ◽  
Urban Context ◽  
Long Term Conditions ◽  
Large Cities ◽  
Second Stage ◽  
Local Health Service

Abstract Background Defining multimorbidity has proved elusive in spite of attempts to standardise definitions. For national studies, a broad definition is required to capture national diversity. For locally based studies, the definition may need to reflect demographic and morbidity patterns. We aimed to define multimorbidity for an inner city, multi-ethnic, deprived, young age community typical of many large cities. Methods We used a scoping literature review to identify the international literature, standards and guidelines on Long Term Condition (LTC) definitions for inclusion in our multimorbidity definition. Consensus was categorised into high, medium or low consensus, depending on the number of literature sources citing each LTC. Findings were presented to a workshop consisting of local health service stakeholders who were asked to select LTCs for inclusion in a second stage review. In the second stage, each LTC was tested against seven evaluation domains: prevalence, impact, preventability, treatment burden, progression to multiple LTCs, impact on younger people, data quality. These domains were used to create 12 target criteria. LTC rankings according to consensus group and target criteria scores were presented to a second workshop for a final decision about LTC inclusion. Results The literature review identified 18 literature sources citing 86 LTCs: 11 were excluded because they were LTC clusters. The remainder were allocated into consensus groupings: 13 LTCs were ‘high consensus’ (cited by ≥ 11 sources); 15 were ‘medium consensus’ (cited by 5–10 sources); 47 were ‘low consensus’ (cited by < 5 sources). The first workshop excluded 31 LTCs. The remaining 44 LTCs consisted of: 13 high consensus LTCs, all with high target score (score 6–12); 15 medium consensus LTCs, 11 with high target scores; 16 low consensus LTCs, 6 with high target scores. The final workshop selected the 12 high consensus conditions, 12 medium consensus LTCs (10 with high target scores) and 8 low consensus LTCs (3 with high target scores), producing a final selection of 32 LTCs. Conclusions Redefining multimorbidity for an urban context ensures local relevance but may diminish national generalisability. We describe a detailed LTC selection process which should be generalisable to other contexts, both local and national.

scholarly journals The role of a clinician amid the rise of mobile health technology

2019 ◽  
Vol 26 (11) ◽  
pp. 1385-1388 ◽  
Author(s):  
William E Yang ◽  
Lochan M Shah ◽  
Erin M Spaulding ◽  
Jane Wang ◽  
Helen Xun ◽  
...  
Keyword(s):  
Mobile Health ◽  
Healthy Lifestyle ◽  
Clinical Care ◽  
Critical Role ◽  
Lifestyle Changes ◽  
Mhealth Intervention ◽  
Early Results ◽  
Modification Technique ◽  
Behavior Modification Technique

Abstract Mobile health (mHealth) interventions have demonstrated promise in improving outcomes by motivating patients to adopt and maintain healthy lifestyle changes as well as improve adherence to guideline-directed medical therapy. Early results combining behavioral economic strategies with mHealth delivery have demonstrated mixed results. In reviewing these studies, we propose that the success of a mHealth intervention links more strongly with how well it connects patients back to routine clinical care, rather than its behavior modification technique in isolation. This underscores the critical role of clinician-patient partnerships in the design and delivery of such interventions, while also raising important questions regarding long-term sustainability and scalability. Further exploration of our hypothesis may increase opportunities for multidisciplinary clinical teams to connect with and engage patients using mHealth technologies in unprecedented ways.

scholarly journals Comparison of blockchain platforms: a systematic review and healthcare examples

2019 ◽  
Vol 26 (5) ◽  
pp. 462-478 ◽  
Author(s):  
Tsung-Ting Kuo ◽  
Hugo Zavaleta Rojas ◽  
Lucila Ohno-Machado
Keyword(s):  
Systematic Review ◽  
Biomedical Research ◽  
Health Informatics ◽  
Clinical Informatics ◽  
Healthcare Applications ◽  
Software Engineers ◽  
Key Features ◽  
Technical Features ◽  
Meta Analyses ◽  
Selection Of

Abstract Objectives To introduce healthcare or biomedical blockchain applications and their underlying blockchain platforms, compare popular blockchain platforms using a systematic review method, and provide a reference for selection of a suitable blockchain platform given requirements and technical features that are common in healthcare and biomedical research applications. Target audience Healthcare or clinical informatics researchers and software engineers who would like to learn about the important technical features of different blockchain platforms to design and implement blockchain-based health informatics applications. Scope Covered topics include (1) a brief introduction to healthcare or biomedical blockchain applications and the benefits to adopt blockchain; (2) a description of key features of underlying blockchain platforms in healthcare applications; (3) development of a method for systematic review of technology, based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement, to investigate blockchain platforms for healthcare and medicine applications; (4) a review of 21 healthcare-related technical features of 10 popular blockchain platforms; and (5) a discussion of findings and limitations of the review.

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