Design of Health TechnologiesDesign of Health Technologieslecture 24lecture 24

John CannyJohn Canny12/05/0512/05/05

Course Wrap-upCourse Wrap-upIn this class, we’ll lay out what we’ve discovered in

looking at Health IT over the semester.

I’m going to start by collecting together some resources that have been useful (books, journals, conferences, websites).

Then we’ll summarize the major themes of the course.

Treat this as a collaborative design exercise. How would you design this course now if you were giving it?

Resources - BooksResources - Books“Medical Informatics" by E.H. Shortliffe et al.,

Springer, 2001

Note: This is part of a series onHealth Informatics at Springer.

Resources - BooksResources - Books“Handbook of Medical Informatics,” J.H. van

Bemmel and M.A. Musen, Springer 1997.

Resources - BooksResources - Books“Healthcare Information Systems” Ed. By K. Beaver

(Auerbach)

Journals Journals Journals we drew from: JAMIA – J. of the American Medical Informatics Assoc. Telemedicine and e-Health IEEE Trans. on Information Technology in Biomedicine Health Informatics Studies in Health Technology and Informatics Biosensors and Bioelectronics PLoS (Public Library of Science) Biology The Lancet JAMA – Journal of the American Medical Association Disease Management and Health Outcomes

Journals Journals Other Journals/Magazines we used British Journal of Psychiatry Journal of Health Psychology Nature and Nature Reviews: Neuroscience Sensors Healthcare Informatics Online (Magazine) IEEE Technology and SocietyIEEE Technology and Society British Computer Society British Computer Society

More Journals More Journals Artificial Intelligence in Medicine (Elsevier) Computers in Biology and Medicine (Pergamon

Press) Computers in Biomedical Research (Academic

Press) Computer Methods and Programs in Biomedicine

(Elsevier) IEEE Engineering in Medicine and Biology Magazine Journal of Medical Systems (Plenum Press) MD Computing (Springer-Verlag) Medical Informatics & The Internet in Medicine

(Taylor & Francis) Methods of Information in Medicine (Schattauer) Yearbook of Medical Informatics (Schattauer)

Conferences Conferences EMBC: Annual International Conference of the

Engineering in Medicine and Biology Society AMIA Annual Symposium (and Spring Congress) HEALTHCOM: Health Communication Conference MEDINFO: (every 3 years, next in 2007), run by

the IMIA (International Medical Informatics Association)

WWW conference has a health track (one theme day)

ISTAS

Web Sites Web Sites National Library of Medicine

http://www.nlm.nih.gov/ and http://www.ncbi.nlm.nih.gov/PubMed/

Agency for Health Research and Qualityhttp://www.ahcpr.gov/

California Health Care Foundation http://www.chcf.org/

Healthcare Guidelines Clearinghouse http://www.guideline.gov

Cochrane database of clinical trials:http://hiru.mcmaster.ca/cochrane/

Physicians for Human Rights (PHR) www.phrusa.org

Summary Summary Health Care IT is a huge industry – apparently one

of the top-4 markets for IT. In spite of this, Medical Informatics has rather loose

ties with the rest of IT, both in research and industry.

Some Reasons: High overhead – legal, medical, public health,

policy, ethics Hard to identify fundamental research problems Some is info. science rather than computer

science

Summary Summary Early adopters need to package some good

research problems for other CS researchers.Or practitioners can come and present their

priorities directly to engineers. Easier to publish in existing venues – and explore

new ones

OpportunitiesOpportunities CPOE Telemedicine Sensors and Labs-on-a-Chip EMR

Opportunities - CPOEOpportunities - CPOECPOE (Computerized Physician Order Entry) – esp.

speech based – fits well with existing practice – clear market advantages, once error rates are low enough.

Pen computers may also win here – less clear what’s needed

Opportunities - TelemedicineOpportunities - TelemedicineTelemedicine – esp. in developing countries Local sensor data collection, possibly analysis Store-and-forward technology Video conferencing, high-speed links Medical image/lab results transfer, compression

Opportunities - Sensing Opportunities - Sensing Sensing- General health/wellness, cardiac, breathing Chronic conditions – esp. implanted sensors Immunosensors Labs-on-a-chipHealth care is always easier and cheaper when

problems are caught earlier – sensing is cheap in principle.

Needed - fairly high level of automationto filter information to caregivers.

TCO improvements.

Opportunities - Sensing Opportunities - Sensing Continued -

Opportunities - EMR Opportunities - EMR Federation of many data sources/formats Must be privacy and security compliant –

better privacy filtering methods, fine-grained access controls, robust authentication (possibly biometric)

XML/rich media– Should allow rich and efficient queries– Fast visualization/manipulation

Improved interface design, and adaptability to local work practices.

Short-term target – published guidelines and workflows.

Opportunities - EMR Opportunities - EMR Continued -

Other OpportunitiesOther Opportunities ??

Discussion QuestionsDiscussion Questions Discuss the main open challenges in Health

Technology – where would you push?

How would you structure a course in Health Technology?

What other approaches (projects, workshops etc.) would you take to mobilize interest in computer science?