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International Medical Informatics Association

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International Medical Informatics Association. www.imia.org. European Federation for ... American Actions. 27 May 2009. e-Health Bucharest. 21. IMIA Actions ... – PowerPoint PPT presentation

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Title: International Medical Informatics Association


1
  • International Medical Informatics Association
  • www.imia.org

European Federation for Medical
Informatics www.efmi.org
2
Educational Programs for e-Health
  • George I Mihalas
  • EFMI Vice-President to IMIA
  • European Federation for Medical Informatics
  • UMF Victor Babe? Timi?oara

3
Presentation plan
  • e-Health Potential to address the Present
    Challenges for Healthcare Systems
  • Objective and Subjective Barriers in e-Health
    Implementation
  • e-Health Strategy Development
  • Need of Health Information Professionals
    (Clinical Informaticians)
  • Educational e-Health Programs
  • In the world
  • In Romania

4
1. Present Challenges forHealthcare Systems
  • Increased citizens expectations for high-quality
    care
  • Demographic changes
  • Ageing population
  • Increase prevalence of chronic diseases
  • New technologies parallel with high rise of costs
  • Medical accidents / errors
  • Staff shortages

5
Why e-Health ?
  • Fact 1 () Increased politicians appetite for
    e-Health
  • Tremendous potential of e-Health to address the
    major challenges
  • For healthcare management
  • Quasi-instant access to data regarding population
    health state
  • Support for decisions
  • Better control and monitoring of costs, decrease
    some expenses
  • For healthcare practice
  • Impact of EHR Electronic Health Record
  • Increase patient safety, decrease of accidents
    and errors
  • For patients
  • Access to medical information
  • Access to own medical data - Patient empowerment

6
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10
2. The other face
  • Fact 2 (-) Low rate of implementation, modest
    results
  • New challenges and problems
  • Ethical and deontological
  • Data confidentiality and privacy
  • Use of medical data for research
  • Technical Standards for interoperability and
    data exchange
  • Resources
  • Need of trained personnel
  • New costs equipment, software, communication,
    maintenance
  • Low user acceptance
  • Unpreparedness for change
  • Need to learn computer use
  • Change of reporting system
  • Fear/anxiety to be strictly monitored

11

12
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13

14
Objective and Subjective Barriers in e-Health
Implementation
  • Objective
  • Digital divide within healthcare system
  • Development of standards
  • Delay of legal frame
  • Lack of specialists
  • Real need 16 18
  • Subjective
  • Low user acceptance
  • Lack of strong and sustained political support

15
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16
3. Developing e-Health Strategies
  • Principles
  • E-Health support for healthcare reform
  • Properties of Healthcare system
  • Inertial system complex informational flows,
    complex relations, old traditions etc
  • Dynamic system moving target strategy
  • Integration in
  • National economic and social environment
  • European context
  • E-Health is a business
  • Stakeholders and market
  • Measures for success and failure
  • Support Actions
  • Strong political support
  • Sustained educational program
  • Legal and organizational frame

17
Actual Trends EFMI Vision
  • New stakeholders in eHealth/Medical Informatics
  • New event-organizers (HIMSS, etc)
  • Sub-field organizations (telemedicine, Internet
    appl. etc)
  • Politicians interest
  • High level European eHealth conferences, Forum
    Gastein etc
  • E-Health Conferences in Romania
  • Urgent needs of Healthcare Information
    Professionals (18)
  • Interoperability at global scale
  • OBJECTIVES / PRINCIPLES
  • Increase its visibility / presence in important
    scientific events
  • Cooperation with new organizations
  • Maintain high quality of its events
  • Support member countries and working groups

18
4. Educational e-Health Programs
  • Actions in the world
  • European Programs
  • Programs in United States
  • IMIA Recommendations for MI Educational Programs
  • Situation in Romania
  • Present state
  • Achievements
  • Barriers
  • Perspectives

19
European Actions
  • EFMI WG-EDU
  • Universities
  • Heidelberg
  • Erasmus
  • Manchester
  • Lynkopping
  • Innsbruck
  • Braunschweig etc

20
American Actions
21
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22
IMIA Actions www.imia.org
  • Recommendations - WG 1 (Education)
  • Code of Ethics

23
Medical Informatics Education in Romania (I)
  • Romanian Society of Medical Informatics RSMI
  • Medical Informatics courses for medical students
  • Optional since 1984 UMF Timisoara
  • Mandatory, all medical schools since 1992
  • Courses for physicians and nurses
  • As postgraduate studies
  • Associated with acquisition of software

24
Medical Informatics Education in Romania (II)
  • Undergraduate
  • in medical bioengineering (UMF Iassy)
  • Master degree
  • for MDs UMF Cluj
  • for engineers Polytechnic scholls in Buchares
    and Timisoara
  • Ph D at UMF Timisoara

25
Medical Informatics Education in Romania (III)
  • Difference between needs and number of graduates
  • Legislative issues
  • Present legislation only partially favorable
  • Nomenclature of specialties in graduate education
  • Nomenclature of jobs (COR Min.of Labor)
  • Several steps for aproval
  • Narrow frame for partnership between
    universities
  • Areas coverage
  • Who is in charge?

26
Involvement of all Allied Professionals
27
Proposals for ImprovingMedical Informatics
Education in Romania
  • Preparatory phases
  • Defining the jobs tasks
  • Deciding on the knowledge to be presented (and
    level)
  • Targets
  • Health Information Professionals
  • Clinical informaticians
  • Basic knowledge for healthcare professionals
  • Structure
  • Profiles
  • Supporting Actions

28
How? Ways
Medical Informatics Domain
29
CLASIFICAREA INFORMATIEI MEDICALE PE NIVELE
STRUCTURALE
30
Levels
  • Biomolecules-cell (genome, proteome)
    bioinformatics
  • Tissue-organ (regulation processes)
    physioinformatics
  • Organ-body (integration) neuroinformatics
  • Individual (as patient)
  • medical informatics
  • Healthcare system
  • health informatics

31
Medical Informatics Profiles
  • health information systems and medical data bases
  • biostatistics and public health statistics
  • biosignal analysis and medical image processing
  • knowledge bases, expert system, medical decision
    support
  • bioinformatics and neuroinformatics

32
Activitati ale specialistilor in informatica
medicala (I)
  • Proiectarea, elaborarea, implementarea si
    administrarea sistemelor informatice de spital,
    clinici, policlinici, cabinete medicale
  • Proiectarea, elaborarea si întretinerea
    sistemelor informatice si/sau modulelor pentru
    diferite specialitati înrudite farmacii,
    laboratoare, cabinete de terapie, etc.
  • Proiectarea fisei electronice a pacientului
  • Proiectarea si administrarea bazelor de date
    medicale la nivelul asistentei primare, spitale,
    case de asigurari, directii de sanatate publica,
    Ministerul Sanatatii, CNAS si Colegiul Medicilor
    din România
  • Elaborarea programelor de centralizarea si
    analiza statistica a datelor medicale si de
    compatibilizare a sistemelor de codificare
    medicale, standarde de interoperabilitate si
    comunicatie privind biosemnalele si imaginile
    medicale
  • Interfatarea aparaturii medicale cu echipamentele
    de calcul
  • Asigurarea securitatii, integritatii si
    confidentialitatii datelor pacientilor

33
Activitati ale specialistilor in informatica
medicala (II)
  • Colaborarea la programe de diagnostic medical
    asistat de calculator si constructia bazelor de
    cunostinte medicale pentru implementarea
    obiectivelor medicale ale programului Societatea
    Bazata pe Cunoastere
  • Colaborare la dezvoltarea si implementarea
    tehnicilor de vârf în telemedicina, inclusiv
    telechirurgie si roboti medicali
  • Dezvoltarea si administrarea bazelor de date
    moleculare privind genomul uman, ADN si proteine,
    inclusiv programele de analiza genomica si
    proteomica si data mining
  • Proiectarea si/sau implementarea unor programe de
    învatamânt medical, inclusiv sisteme de
    învatamânt la distanta, aplicatii de realitate
    virtuala, simulatoare de pacienti si unitati
    medicale
  • Dezvoltarea sistemelor de documentare medicala
  • Colaborare în colectivele de cercetare
    stiintifica medicala pentru prelucrari
    biostatistice, de semnale si imagini, elaborarea
    si verificarea unor modele de sisteme si procese
    biomedicale
  • Colaborari în cercetare de neuroinformatica si
    procese cognitive.

34
MIE 2009 Sarajevo, Bosnia i Herzegovina 30 Aug
2 Sept 2009 MEDINFO 2010 Cape Town, South Africa
11-14 Sept. 2010
35
E N D
  • Thank you for your attention !
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