Medical Informatics and the role of the Chief Health Informatics Officer “ A local perspective” David P. Lin, M.D. Agenda • Define Medical/Health Informatics • VHA Executive Decision Memo • VA’s Current Problems • Where should we ? Informatics • Informatics is the science of information • The practice of information processing What is informatics? • The engineering of information systems • Informatics has computational, cognitive and social aspects, including study of the social impact of information technologies What is medical informatics? • The intersection of information science, computer science, and health care – Resources Healthcare – Devices – Acquisition, storage, retrieval, and use of Medical Informatics health information • Health informatics tools – Computers – Clinical guidelines – Formal medical terminologies – Information and communication systems What is informatics? (Simplified) • Flow of information – Sharing and imparting knowledge – Making others aware! – Suggesting solutions • Communication! – Not just the content – Method or process of communication • Paper, voice, e-mail, text messaging, secure messaging, video (conferencing and tutorials) • The right information to the right person at the right time VHA Executive Decision Memo • Establish field based informatics leadership • Informatics knowledge throughout VHA • Each VISN and VAMC site to create an “informatics leader” position • “Informaticists” are ideal candidates • Implement nationally approved Health Information System configurations (e.g. ICU CIS and ARK) The Informatics Leader • Advance national solutions for managing workflow and knowledge in clinical systems • Support local implementation of software • Assist in supporting facility clinical operations and accreditation activities • Ensure timely, appropriate, and relevant “end- user” training is conducted Chief Health Informatics Officer (CHIO) • Field-based CHIO will serve as a critical liaison between the clinical end-user, OI&T and management • Translates the clinical and health care operations needs to the OI&T – Planning solutions – Planning innovation – Evaluating new technologies. • This role is being requested by both the OI&T leadership and VHA leadership “If underlying problems with processes are not remedied, the IT investment can be wasted or diluted. Existing processes will continue to perform poorly, only faster.” - John Glaser, CIO of Partners Healthcare, parent of Massachusetts General Hospital and Brigham and Women’s Hospital. Medical Informatics (Tools) Source: HIMSS Analytics™ Database (derived from the Dorenfest IHDS+ Database™ 11 Complicated Tool 12 Memory Dump Simpler Tool Simpler Tool 14 Simpler Tool ?! ? ? ? ? 15 VA’s Current Problems • New tools and added processes are without adequate training • Communication is disjointed • No chain of command exists in informatics • Difficult for VHA leadership to implement informatics related initiatives at the field level. • Difficult for the field to communicate and articulate effectively with VHA leadership about informatics-related issues VA’s Problems • Complacency and indifference about training and education of our end-user • Indifferent about the needs of our end-users and front line staff • IT tries to dictate clinical work processes EHR Consequences Unsigned Incomplete Encounters Notes Copy & EKG Paste Name Mismatch Notes Medication Reconciliation Incomplete Clinical Reminders Where should we focus? "The people in the field are closest to the problem, closest to the situation, therefore that is where the true wisdom is" Colin Powell Education and Training • Set user expectations • High quality user training • User-focused software settings • Re-evaluating the organizational workflow Information Diagnostician • Evaluate business processes in light of IT, and IT in light of our business processes – with the goal of creating an optimal solution • Look at the whole work process including ancillary services. • Be a resource --- a Service to the service providers • Advocate for the end-user • Refocus and re-direct when end-users go off course Education House Calls • Informatics rounds (Needs Assessment) • Knowledge gap analysis • Provide one to one sessions or group sessions Education Methods •Face to face - “See one, do one, teach one!” •Quick Tip videos on the local web page •Share Ideas and share processes •It’s all about the End-User “The day soldiers stop bringing you their problems is the day you have stopped leading them. They have either lost confidence that you can help them or concluded that you do not care. Either case is a failure of leadership.” Colin Powell Thank you!!
Pages to are hidden for
"Medical Informatics and the role of the CHIO"Please download to view full document