HS316F Advanced Health Informatics Course Description: Building on the basics presented in the Introductory Health Informatics course, students will look at informatics topics in more depth. These include the complexities of transforming data into information and knowledge within the health care system, e.g. the digitization and capture of text, biosignals, and images; the use of decision support systems; various clinical information systems; and the privacy, confidentiality and security of health data. The course includes a laboratory component dealing with spreadsheets (MS Excel) and databases (MS Access). Prerequisite: HS208G: Introduction to Health Informatics. Course Goals: To understand how data is collected, processed and used in health care settings. To appreciate the complexities involved in transforming data into information and knowledge. To be familiar with various clinical support and clinical information systems. To understand how decision support systems are modeled and used within the health care system to assist in decision making in an administrative or clinical setting. To know the current legal and ethical issues regarding privacy, confidentiality and security of health data and to be able to act as an advocate for an individual’s right to privacy. Course Objectives: Upon the completion of the course, the students should: 1. Have an understanding of how health data and clinical information is collected, recorded and analyzed in an electronic format, including text, biosignals and images. 2. Identify and describe the general characteristics of clinical support and clinical information systems. 3. Understand the secondary uses of data in research, policy and decision making. 4. Understand and critique the use of decision support systems in various health care settings. 5. Understand current regulations regarding security, privacy and confidentiality of health data. 6. Be aware of new and emerging technologies and their potential impact in health care. 7. Be able to use a spreadsheet and database program to construct simple forms and reports and generate tables, graphics and statistical analyses for presentation. 8. Have a basic understanding of database management systems and a more detailed knowledge and skills in using MS Access. Evaluation: The course is divided into two parts – lectures and laboratory sessions. Note: There is NO mid-term or final examination in the course. You will be working at a regular and steady pace throughout the term on lab and written assignments! Evaluation for Lecture component – Written assignments (60%) You will have five written assignments based on lecture material for 60% of the mark. Written assignments: Assignment 1 – Review: Definition of Health Informatics Assignment 2 – Review of a Digital Information System Assignment 3 – A Critique of a Selected Decision Support System Assignment 4 – Security & Privacy of Health Information Assignment 5 – Emerging Trends in Technology 5% 10% 15% 20% 10%
HS316F-F07 Outline
1
Evaluation for Laboratory component – Laboratory assignments (40%) You will have regular practical assignments based on the laboratory material for 40% of the mark. Laboratory assignments: Assignment 1 – MS Word Assignment (title page, headers/footers, sections, objects) Assignment 2 – HTML/XML Assignment Assignment 3 – Excel Lab Assignment 1 (formatting, charts, simple functions) Assignment 4 – Excel Lab Assignment 2 (IF, VLOOKUP functions) Assignment 5 – Access Lab Assignment (Tables, Forms, Reports, Queries) 5% 10% 5% 10% 10%
Learning Resources: Course notes are found online in WebCT/OWL and include a list of objectives, notes, suggested readings, written assignments, and lab assignments. Required Readings: Handbook of Medical Informatics J.H. van Bemmel & M.A. Musen Springer, 1997 ISBN 3-540-63351-0 http://www.mieur.nl/mihandbook/r_3_3/handbook/home.htm Chapters from this text have been assigned for each week. The entire text is available on-line at the URL noted above. Additional required readings and relevant web sites are included for some sections and will be posted to the WebCT-OWL course site. Recommended Readings: Several other text books are available and readings from these have also been suggested for each module. These readings are optional. Biomedical Informatics (BMI) Computer Applications in Health Care and Medicine Third Edition E. H. Shortliffe & J.J. Cimino, Eds. Springer, New York, 2006 Guide to Health Informatics (HI) Second Edition E. Coiera Arnold, 2003
HS316F-F07 Outline
2
Course Calendar: The course study schedule is shown in the table below. It should give you an overall understanding of the sequence of tasks and amount of work required for this course. In general: 1. Week 1 begins on Wednesday, September 12 (lectures held on Wednesdays and lab sessions on Friday). The twelve modules will run from Sept 10, 2007 (Week 1) to Dec 5, 2007 (end of Week 12). 2. Assignments and lab exercises are due at the end of the week (i.e. by Friday at 5 p.m.). Please submit assignments through Email or on disc in class.
Week 1 Material Covered Module 1 Advanced Health Informatics Introduction & Review Module 2 Health Data: Uses and Users Module 3 Biosignal and Image Analysis Module 4 Clinical Support Systems Module 5 Clinical and Administrative Departmental Systems Module 6 Health Information Systems Module 7 DSS – Models and Systems Module 8 DSS – Evidence-based Practice Module 9 Data Security, Privacy & Confidentiality Module 10 Data Security, Privacy & Confidentiality Module 11 E-Health Trends and Technologies Module 12 E-Health Trends and Technologies Readings van Bemmel & Musen What is Medical Informatics? pp.xxxi-xxxiv Ch. 1 & 2 Ch. 3, 4, 5 & 6 Ch. 8 & 25 Ch. 9, 10 & 26 HTML/XML – Assignment 2 Ch. 13 Ch. 11, 12 & 14 Written Assignment #2 – EHR (Synapse) or Digital Imaging Project Analysis Excel #1- Assignment 3 Ch. 15 & 16 Ch. 17 & 18 Ch. 33 Written Assignment #4 – Privacy Policy Scenario Ch. 34 Written Assignment #5 – Emerging Trends Access - Assignment 5 Written Assignment #3 – Critique of DSS Excel #2 - Assignment 4 Written Assignments Lab Assignments
2
Written Assignment #1 – Review – Definition of Terms (HI, HIM, EHR, etc)
Word – Assignment 1
3 4 5
6 7 8 9 10
11 12
HS316F-F07 Outline
3