Revision as of 12:13, 23 April 2006

The Clinical Informatics Wiki -- Clinfowiki

The Clinical Informatics Wiki is an implementation of a wiki devoted to topics in clinical informatics.

Please see documentation on customizing the interface and the User's Guide for usage and configuration help.

You can test your edits as much as you want in the Sandbox.

We are currently working on 1,584 articles, and we need your help to complete this study of Clinical Informatics. See Special:Statistics for more complete information on the site.

==Electronic Medical Record (EMR) Systems== see EMR

• EMR/EHR Definition
• Training
  1. Help Desks
  2. Post-live Training & Support
• Clinician Sign-out applications
• Free and Open Source EMRs
• Integrating Medical Devices into EMRs
  1. Introduction and Background
  2. Current Practices
  3. Connectivity Requirements
  4. Available Solutions
• Remote Access
• Socio-technical Issues
  • Privacy of Patient Data: Genetic Non-Discrimination

• Business Case for Improving Usability
• New Technologies
  1. WiSPER™ (Wireless Standardized Portable Electronic Records)
  2. VOCERA -- Hands-free, wireless communication device

Computer-based Provider Order Entry -- CPOE

• CPOE Definition
• History
• Project Governance
• Readiness Assessment
• Setting up the Project Team
• System Selection
  1. Creating the Request for Proposals
  2. Making Site Visits
• System Configuration
  1. Co-signing rules
  2. Time-out settings
  3. Password Strength - length, frequency of change, etc.
  4. Dealing with Patient Transfers
  5. Creating Order Sets
  6. Using Controlled Medical Terminologies
     1. RxNorm
     2. LOINC - Logical Observation Identifiers Names and Codes
  7. Common Mistakes
  8. Regulatory Problems
• Implementation Strategies
  1. Big Bang vs. Incremental Roll-out
  2. Computer Scribes...for physicians?
  3. Whether, when, and how to remove paper from the process?
• Physical Computing Environment
  1. Office Setting
     1. Effect of Computers in the Examination Room
  2. Inpatient Setting
     1. Wall Mounted Computers
     2. Desktop Computers
     3. Mobile Computers
        1. Laptop Computers
        2. Tablet Computers
        3. Handheld Computers
  3. Emergency Department Setting
  4. Mobile Computers
• Monitoring and Evaluation
  1. Routine Methods
  2. Study Designs
• Unintended Consequences
  1. Increased Resource Utilization
  2. Emotional Reactions
  3. Increased Reliance on Technology

Clinical Decision Support -- CDS

• All articles related to clinical decision support
  • Overview
    • History of decision support
    • General system features associated with improvements in clinical practice
    • Support Decisions with Diagnostic Aids
  • Modes of Interaction
    • Interpretation
    • Consultation
    • Monitoring
    • Critiquing
    • Teaching
  • Order Sets
  • Information Resources
    • Alerts and Reminders
    • Drug-drug Interactions
    • Drug-Allergy Interactions
    • Alert Fatigue?
    • Alert placement in clinical workflow
    • Initial Selection of What to Alert on...
  • Examples available on the web
    • GIDEON (Global Infectious Diseases and Epidemiology Network)

Personal Health Records -- PHRs

• PHR Definition
• Standards based
  1. HL7 CDA
  2. openEHR
  3. ASTM CCR
  4. DICOM

Blueprint for a Comprehensive HIT System

• Introducing new categories of HIT tools, which compliment the ones above
• Blueprint for an Integrated HIT system

Biobanking -- a.k.a. Biorepositories or Tissue Banks

• Biobanking Definition
• Leading Biobanking Projects & Institutions
• Biobanking Related Companies
• Biobanking Events & Conferences

Key Challenges to Biobanking

1. Anonymizing, or de-identifying, samples to protect patient privacy
2. Standardizing sample preparation, storage protocols
3. Enabling interoperability and data exchange between biobanks
4. Resolving issues such as who owns and controls specimens and refining informed consent practices as biobanking expands

Regional Health Information Organizations -- RHIOs

• All articles related to Regional Health Information Organizations (RHIOs0
• RHIO Definition
• Governance Models
• Technical Models
• Financial Models
• Funding Resources
• State-based Initiatives

Evidence-Based Medicine -- EBM

• EBM Definition
  • Evidence-Based Practice Guidelines and EBM
• History
• Epistemology of EBM
• Advantages
• Limitations
• HIT’s Role in EBM

U.S. Federal Health Information Technology Initiatives

• Assistant Secretary for Planning & Evaluation
• Office of the National Coordinator for Health Information Technology (ONC)
• Council on the Application of Health Information Technology (CAHIT)
• Agency for Healthcare Research and Quality (AHRQ)
• Centers for Medicare and Medicaid Services (CMS)
• U.S. Food and Drug Administration (FDA)
• National Institutes of Health (NIH)
• Indian Health Service (IHS)
• Health Services and Resource Administration (HRSA)
• Centers for Disease Control and Prevention (CDC)
• U.S. Department of Commerce
• Combined U.S. Department of Defense / Veterans Affairs Initiatives
• U.S. Department of Defense (DoD) Initiatives
• Department of Veterans Affairs Initiatives
• U.S. Department of Homeland Security

The E-Patient-Provider Relationship

• SMS, Blogs and the Patient-Provider Relationship: Enhancing Communication, Improving Treatment Outcomes

International views

• Purpose and overview
• UK

BlogPosium April 2006

• All articles resulting from the BlogPosium collaboration

External Links

• Website of the Provider Order Entry Team from Oregon Health
• Links to online tools for HIT/RHIO development
• Health Information Technology Dashboard
• Wellness Wiki: Use Evolving Health Information Technology Tools