the amia 10x10 program: an international approach to building informatics capacity latin-american...
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The AMIA 10x10 Program: An International Approach to Building Informatics Capacity
Latin-American experience…not Lost in Translation
Paula Otero, MDDepartment of Health Informatics - HIBA
IMIA WG on Health and Medical Informatics Education [email protected]
Capacity BuildingCapacity Building
Detmer. Yearb Med Inform 2010:101-5
Hospital Italiano de Buenos AiresHospital Italiano de Buenos Aires
Hospital Italiano de Buenos Aires
Academic tertiary care center founded in 1853→ University (School of Medicine /nursing)→ 2 Hospitals→ 23 outpatient clinics→ 300 affiliated private practices
800 beds (200 ICU) 40 OR
600 homecare beds
3.000.000 outpatient visits/year
50.000 inpatient admissions/year
2500 births/year
300 transplants/year
7.200 people→ 2.700 physicians
→ 2.700 allied healthcare staff
→ 1.800 administrative staff
(36) (32) (6) (6) (30) (9)
Department of Health InformaticsDepartment of Health Informatics
Capacity BuildingCapacity Building
Undergraduate (Futures IT users)
User IT (Training & Support)
Posgraduate(Future
informaticians)
Capacity BuildingCapacity Building
Undergraduate (Medicine, Nursing, Pharmacy,
Biochemestry)
Posgraduate(Msc, Speciality & 10x10 programme, HL7, PMI,
Epidemiology, Management )
IT UsersHelp desk 24x7 & E-learning courses
(EHR, IR, IT skills)
Core Content for Clinical InformaticsCore Content for Clinical Informatics
Gardner. JAMIA 2009;16:153–157
Clinical CareClinical Care
IT knowledge and
skills
Healthcare System
IC
Education in Clinical InformaticsC
ien
cias
Rel
acio
nad
as
Computer ScienceEpidemiology,
Biostatistics and decision theory
Healthcare systemsHealthcare management
Healthcare qualityHealthcare Science
Health Informatics
Clinical decision support systemsStructures terminology and knowledge representation Health information systems Electronic Medical Record
Change managementInteroperability and standards
Project administrationEthics, security and
confidentiality Information retrieval
Clinical Informatics
Objectives of Education in Clinical Informatics
Understand the process by which information is captured
Understand the methods for classifying and computerize the data
Methods for archiving and storing
The best way to recover ensuring continuity of care through continuity of information (standards)
How to care for the Security, Privacy and Confidentiality of Information
Understanding the culture of care (doctors and nurses) and human adaptation to changes
Bring appropriate knowledge at the point of care
Research and asses health information system
Postgraduate, Introductory level: 10x10
Introduction to Health Informatics (10x10)→MOU between IUEMHI - AMIA - OHSU
→16 weeks with 5 modules
→Distance learning modality through virtual campus HIBA
→Lectures, reading material, activities and interaction with tutors
→ More than 1000 students (2006 – actual)
Students’ nationalityStudents’ nationality
23 countries n 1020
10x10 Spanish course - Current contents
Health System Information Systems (4 weeks)→ Introduction to healthcare systems (characteristics and problems)
→ Role of Health Information Systems (HIS) and the Health Informatics discipline.
Legacy Systems Integration (3 weeks)→ Implementing clinical layer (or care) and its integration with the administrative layer
→ Concept of interoperability and standards.
Clinical Information Systems (6 weeks)→ Electronic Health Records with focus on how they need to be scalable and
interoperable in order to provide support systems for decision-making
→ Security, privacy and confidentiality of health information.
Clinical Data Management (2 weeks)→ Impact of clinical information systems in decision making for the management of
organizations promoting healthcare, education and research.
Management of Change (1 week)→ Change management challenges that must accompany the transformation of
information systems.
10x10 course topics Characteristics of Healthcare Systems;
Health informatics: the development of a new discipline;
Anatomy of Health Information Systems. Components;
Interoperability and Standards;
Introduction to Biomedical Computing;
Privacy, Confidentiality and Data Security;
Structure of Administrative Systems. Standards in Healthcare: an strategic need;
Knowledge Representation and Coding Systems;
The Heart of a Health Information System: The Electronic Health Record;
Without frontiers: Personal Health Records;
The “Reason of Being”: Clinical Decision Support Systems. Examples of Applications;
Images, Signals and Reports in Simultaneous;
Organizational Aspects and Project Management: Strategies to Accompany Change, Evaluation and Certification of Health Information Systems;
A general view of other Disciplines in Health Informatics: Nursing Informatics, Telemedicine and Bioinformatics;
A different point of view: Healthcare from Individuals to Populations. Chronic Disease Management.
Teaching modalityTeaching modality
ActivitiesActivities→Movie that shows the current situation of healthcare systems
The death of Mr. Lazarescu Do people resist change?
Syncrhronous meeting Syncrhronous meeting →Aims to review the core concepts of the modules addressed, and clear
the doubts, whether conceptual or the activities to be undertaken
→Adobe Connect recorded for later vieweing of for those who could not attend
Self-assessment Self-assessment →Self testing of the concepts acquired in the reading material (mandatory)
Supplementary MaterialSupplementary Material→Journal articles, book chapters, multimedia
ActivitiesActivities
MovieMovie→Movie that shows the current
situation of healthcare systems The death of Mr. Lazarescu
→Problems encountered in the care of the patient
→Possible interventions from the perspective of the HIS Why? For what?
ActivitiesActivities
MovieMovie→Recognize the factors that
predispose or not people to change.
→Identify appropriate strategies for change management.
CME CME –– Continuing Medical Continuing Medical EducationEducation
Journal Club Journal Club →300 papers
→Each week
→Integration with students Different countries Different specialities
WebinarsWebinars→Topics for professional development in Health
Informatics
→Each month
http://www.hospitalitaliano.org.ar/infomed
Thank youThank youTakTak
GraciasGracias
Paula Otero, MDDepartment of Health Informatics - HIBA
IMIA WG on Health and Medical Informatics Education [email protected]