scholarly journals On Teaching International Courses on Health Information Systems

2017 ◽  
Vol 56 (S 01) ◽  
pp. e39-e48 ◽  
Author(s):  
Elske Ammenwerth ◽  
Petra Knaup ◽  
Alfred Winter ◽  
Axel Bauer ◽  
Oliver Bott ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
International Student ◽  
Health Information Systems ◽  
Theoretical Background ◽  
Lessons Learned ◽  
Strategic Information ◽  
Student Groups ◽  
Joint Activities

SummaryBackground: Health information systems (HIS) are one of the most important areas for biomedical and health informatics. In order to professionally deal with HIS well-educated informaticians are needed. Because of these reasons, in 2001 an international course has been established: The Frank - van Swieten Lectures on Strategic Information Management of Health Information Systems.Objectives: Reporting about the Frank - van Swieten Lectures and about our students’ feedback on this course during the last 16 years. Summarizing our lessons learned and making recommendations for such international courses on HIS.Methods: The basic concept of the Frank -van Swieten lectures is to teach the theoretical background in local lectures, to organize practical exercises on modelling sub-information systems of the respective local HIS and finally to conduct Joint Three Days as an international meeting were the resulting models are introduced and compared.Results: During the last 16 years, the Universities of Amsterdam, Braunschweig, Heidelberg/Heilbronn, Leipzig as well as UMIT were involved in running this course. Overall, 517 students from these universities participated. Our students’ feedback was clearly positive. The Joint Three Days of the Frank - van Swieten Lectures, where at the end of the course all students can meet, turned out to be an important component of this course. Based on the last 16 years, we recommend common teaching materials, agreement on equivalent clinical areas for the exercises, support of group building of international student groups, motivation of using a collaboration platform, ensuring quality management of the course, addressing different levels of knowledge of the students, and ensuring sufficient funding for joint activities.Conclusions: Although associated with considerable additional efforts, we can clearly recommend establishing such international courses on HIS, such as the Frank -van Swieten Lectures.

HealthGrids in Health Informatics

2011 ◽  
pp. 913-932
Author(s):  
Aisha Naseer ◽  
Lampros K. Stergioulas
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
Health Information Systems ◽  
Emerging Technology ◽  
Future Research ◽  
Hierarchical Order ◽  
Different Types ◽  
Ubiquitous Access

Healthcare is a vast domain encapsulating not only multiple sub-domains or sub-sectors but also many diverse operations and logistics within each sub-sector. This diversity needs to be handled in a systematic and well-characterized manner in order to maintain consistency of various healthcare tasks. Integration of health information systems within each healthcare sub-sectors is crucial for ubiquitous access and sharing of information. The emerging technology of HealthGrids holds the promise to successfully integrate health information systems and various healthcare entities onto a common, globally shared and easily accessible platform. Many different types of HealthGrids exist but there lacks a taxonomy to classify them into a hierarchical order. This chapter presents a well-characterized taxonomy of different types of HealthGrid and classifies them into four major types, namely BioGrid, MediGrid, PharmaGrid and CareGrid. Each of these HealthGrids possesses dedicated features and functionalities. The proposed taxonomy serves to better understand the realtionship among various HealthGrid types and would lay a basis for future research.

scholarly journals Lessons learned from the development and implementation of an electronic paediatric emergency and acute care database in Lilongwe, Malawi

2020 ◽  
Vol 5 (7) ◽  
pp. e002410
Author(s):  
Emily J Ciccone ◽  
Alyssa E Tilly ◽  
Msandeni Chiume ◽  
Yamikani Mgusha ◽  
Michelle Eckerle ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Acute Care ◽  
Planning Process ◽  
Quality Care ◽  
Health Information Systems ◽  
Lessons Learned ◽  
Tertiary Referral Hospital ◽  
Middle Income ◽  
Care Database

As the field of global child health increasingly focuses on inpatient and emergency care, there is broad recognition of the need for comprehensive, accurate data to guide decision-making at both patient and system levels. Limited financial and human resources present barriers to reliable and detailed clinical documentation at hospitals in low-and-middle-income countries (LMICs). Kamuzu Central Hospital (KCH) is a tertiary referral hospital in Malawi where the paediatric ward admits up to 3000 children per month. To improve availability of robust inpatient data, we collaboratively designed an acute care database on behalf of PACHIMAKE, a consortium of Malawi and US-based institutions formed to improve paediatric care at KCH. We assessed the existing health information systems at KCH, reviewed quality care metrics, engaged clinical providers and interviewed local stakeholders who would directly use the database or be involved in its collection. Based on the information gathered, we developed electronic forms collecting data at admission, follow-up and discharge for children admitted to the KCH paediatric wards. The forms record demographic information, basic medical history, clinical condition and pre-referral management; track diagnostic processes, including laboratory studies, imaging modalities and consults; and document the final diagnoses and disposition obtained from clinical files and corroborated through review of existing admission and death registries. Our experience with the creation of this database underscores the importance of fully assessing existing health information systems and involving all stakeholders early in the planning process to ensure meaningful and sustainable implementation.

scholarly journals Health Information Systems Training for a Countrywide Implementation in Uruguay

2009 ◽  
Vol 18 (01) ◽  
pp. 153-157
Author(s):  
A. Vero ◽  
L. Bessonart ◽  
A. Barbiel ◽  
M. Ferla ◽  
A. Margolis
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
Health Information Systems ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Active Involvement ◽  
Systems Implementation ◽  
Informatics Training ◽  
Clinical Systems

Summary Objectives Health Information systems training is one of the bottlenecks in clinical systems implementation. In this article, a strategy to massively create and train interdisciplinary coordinating teams is described for a project in Uruguay at FEMI, a non-academic setting which includes 23 health care institutions across the country and a tertiary referral center in Montevideo. Methods A series of educational activities were designed for the local coordinating teams. They included both onsite and online formats, site visits, integrated with some of the project tasks. Results In total, 128 professionals from all the Institutions participated in one or more of the training sessions (onsite and online) and 87 of them accomplished one of the forms of training. Conclusions Massive basic health informatics training was possible in Uruguay through collaboration with academic institutions at the country and regional level. Next steps include an active involvement of nurses in the educational events and planning of massive training of end users.

HealthGrids in Health Informatics

2010 ◽  
pp. 124-143 ◽  
Author(s):  
Aisha Naseer ◽  
Lampros K. Stergioulas
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
Health Information Systems ◽  
Emerging Technology ◽  
Future Research ◽  
Hierarchical Order ◽  
Different Types ◽  
Ubiquitous Access

Healthcare is a vast domain encapsulating not only multiple sub-domains or sub-sectors but also many diverse operations and logistics within each sub-sector. This diversity needs to be handled in a systematic and well-characterized manner in order to maintain consistency of various healthcare tasks. Integration of health information systems within each healthcare sub-sectors is crucial for ubiquitous access and sharing of information. The emerging technology of HealthGrids holds the promise to successfully integrate health information systems and various healthcare entities onto a common, globally shared and easily accessible platform. Many different types of HealthGrids exist but there lacks a taxonomy to classify them into a hierarchical order. This chapter presents a well-characterized taxonomy of different types of HealthGrid and classifies them into four major types, namely BioGrid, MediGrid, PharmaGrid and CareGrid. Each of these HealthGrids possesses dedicated features and functionalities. The proposed taxonomy serves to better understand the realtionship among various HealthGrid types and would lay a basis for future research.

scholarly journals Toward Reducing Health Information Inequities in the Caribbean: Our Experience Building a Participatory Health Informatics Project

2020 ◽  
Vol 30 (Suppl 1) ◽  
pp. 193-202
Author(s):  
Karen Wang ◽  
Ian Hambleton ◽  
Erika Linnander ◽  
Luis Marenco ◽  
Saria Hassan ◽  
...  
Keyword(s):  
Health Disparities ◽  
Information Systems ◽  
Precision Medicine ◽  
Health Information ◽  
Health Informatics ◽  
Health Information Systems ◽  
Caribbean Diaspora ◽  
The Caribbean ◽  
Basic Infrastructure ◽  
Existing Data

Precision medicine seeks to leverage technology to improve the health for all individuals. Successful health information systems rely fundamentally on the integra­tion and sharing of data from a range of disparate sources. In many settings, basic infrastructure inequities exist that limit the usefulness of health information systems. We discuss the work of the Yale Transdis­ciplinary Collaborative Center for Health Disparities focused on Precision Medicine, which aims to improve the health of people in the Caribbean and Caribbean diaspora by leveraging precision medicine approaches. We describe a participatory informatics ap­proach to sharing data as a potential mecha­nism to reducing inequities in the existing data infrastructure.Ethn Dis. 2020;30(Suppl 1):193-202; doi:10.18865/ed.30.S1.193

Strengthening Healthcare Systems and Health Information Systems

2017 ◽  
Author(s):  
Sundeep Sahay ◽  
T Sundararaman ◽  
Jørn Braa
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
Health Sector ◽  
Systems Design ◽  
Health Information Systems ◽  
Health Systems Strengthening ◽  
Health Coverage ◽  
Public Health Informatics ◽  
Reform Processes

Establishment of health information systems has been a central objective of health sector reform in nearly all LMICs over the last two to three decades. Historically, reform processes have taken introduction of health information systems as inhertently strengthening health sector performance. But today it is more appropriate to talk of health sector strengthening as co-evolving with health information systems strengthening, each reinforcing the performance and reform agendas of the other. The need to build synergies is heightened as there are a multitude of global and national health reform processes underway, like those assoicated with the sustainable development goals or with universal health coverage and each of these have expanded informational needs, requiring robust, flexible, and evolving health information systems. An understanding of the challenges faced by efforts at health systems strengthening helps provide meaningful inputs into health information systems design and vice versa. Such an understanding will enrich public health informatics as an academic discipline, as an area of practice, and as a policy domain.

A learning agenda to build the evidence base for strengthening global health information systems

2020 ◽  
pp. 183335832093680
Author(s):  
Heidi W Reynolds ◽  
Shannon Salentine ◽  
Eva Silvestre ◽  
Elizabeth Millar ◽  
Ashley Strahley ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Opportunity To Learn ◽  
Health Information Systems ◽  
Evidence Base ◽  
Lessons Learned ◽  
Assessment Tools ◽  
Advisory Group ◽  
Learning Networks ◽  
Middle Income

Background: Evidence-based interventions are necessary for planning and investing in health information systems (HIS) and for strengthening those systems to collect, manage, sort and analyse health data to support informed decision-making. However, evidence and guidance on HIS strengthening in low- and middle-income countries have been historically lacking. Objective: This article describes the approach, methods, lessons learned and recommendations from 5 years of applying our learning agenda to strengthen the evidence base for effective HIS interventions. Methods: The first step was to define key questions about characteristics, stages of progression, and factors and conditions of HIS performance progress. We established a team and larger advisory group to guide the implementation of activities to build the evidence base to answer questions. We strengthened learning networks to share information. Results: The process of applying the learning agenda provided a unique opportunity to learn by doing, strategically collecting information about monitoring and evaluating HIS strengthening interventions and building a body of evidence. There are now models and tools to strengthen HIS, improved indicators and measures, country HIS profiles, documentation of interventions, a searchable database of HIS assessment tools and evidence generated through syntheses and evaluation results. Conclusion: The systematic application of learning agenda processes and activities resulted in increased evidence, information, guidance and tools for HIS strengthening and a resource centre, making that information accessible and available globally. Implications: We describe the inputs, processes and lessons learned, so that others interested in designing a successful learning agenda have access to evidence of how to do so.

scholarly journals Towards an Integrative Cognitive-Socio-Technical Approach in Health Informatics: Analyzing Technology-Induced Error Involving Health Information Systems to Improve Patient Safety

2010 ◽  
Vol 4 (1) ◽  
pp. 181-187 ◽  
Author(s):  
E.M Borycki ◽  
A.W Kushniruk
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
System Development ◽  
Improve Patient Safety ◽  
Health Information System ◽  
Health Information Systems ◽  
Technical Aspects ◽  
Information System Design ◽  
The Impact

The purpose of this paper is to argue for an integration of cognitive and socio-technical approaches to assessing the impact of health information systems. Historically, health informatics research has examined the cognitive and socio-technical aspects of health information systems separately. In this paper we argue that evaluations of health information systems should consider aspects related to cognition as well as socio-technical aspects including impact on workflow (i.e. an integrated view). Using examples from the study of technology-induced error in healthcare, we argue for the use of simulations to evaluate the cognitive-socio-technical impacts of health information technology [36]. Implications of clinical simulations and analysis of cognitive-social-technical impacts are discussed within the context of the system development life cycle to improve health information system design, implementation and evaluation.

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