Design of Health Technologies lecture 24 John Canny 12/05/05.
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Transcript of Design of Health Technologies lecture 24 John Canny 12/05/05.
Design of Health TechnologiesDesign of Health Technologieslecture 24lecture 24
John CannyJohn Canny12/05/0512/05/05
Course Wrap-upCourse Wrap-upIn this class, we’ll lay out what we’ve discovered in
looking at Health IT over the semester.
I’m going to start by collecting together some resources that have been useful (books, journals, conferences, websites).
Then we’ll summarize the major themes of the course.
Treat this as a collaborative design exercise. How would you design this course now if you were giving it?
Resources - BooksResources - Books
“Medical Informatics" by E.H. Shortliffe et al., Springer, 2001
Note: This is part of a series onHealth Informatics at Springer.
Resources - BooksResources - Books“Handbook of Medical Informatics,” J.H. van
Bemmel and M.A. Musen, Springer 1997.
Resources - BooksResources - Books“Healthcare Information Systems” Ed. By K. Beaver
(Auerbach)
Journals Journals Journals we drew from: JAMIA – J. of the American Medical Informatics Assoc. Telemedicine and e-Health IEEE Trans. on Information Technology in
Biomedicine Health Informatics Studies in Health Technology and Informatics Biosensors and Bioelectronics PLoS (Public Library of Science) Biology The Lancet JAMA – Journal of the American Medical Association Disease Management and Health Outcomes
Journals Journals
Other Journals/Magazines we used British Journal of Psychiatry Journal of Health Psychology Nature and Nature Reviews: Neuroscience Sensors Healthcare Informatics Online (Magazine) IEEE Technology and SocietyIEEE Technology and Society British Computer Society British Computer Society
More Journals More Journals Artificial Intelligence in Medicine (Elsevier) Computers in Biology and Medicine (Pergamon
Press) Computers in Biomedical Research (Academic
Press) Computer Methods and Programs in Biomedicine
(Elsevier) IEEE Engineering in Medicine and Biology
Magazine Journal of Medical Systems (Plenum Press) MD Computing (Springer-Verlag) Medical Informatics & The Internet in Medicine
(Taylor & Francis) Methods of Information in Medicine (Schattauer) Yearbook of Medical Informatics (Schattauer)
Conferences Conferences EMBC: Annual International Conference of the
Engineering in Medicine and Biology Society AMIA Annual Symposium (and Spring Congress) HEALTHCOM: Health Communication Conference MEDINFO: (every 3 years, next in 2007), run by
the IMIA (International Medical Informatics Association)
WWW conference has a health track (one theme day)
ISTAS
Web Sites Web Sites National Library of Medicine
http://www.nlm.nih.gov/ and http://www.ncbi.nlm.nih.gov/PubMed/
Agency for Health Research and Qualityhttp://www.ahcpr.gov/
California Health Care Foundation http://www.chcf.org/
Healthcare Guidelines Clearinghouse http://www.guideline.gov
Cochrane database of clinical trials:http://hiru.mcmaster.ca/cochrane/
Physicians for Human Rights (PHR) www.phrusa.org
Summary Summary
Health Care IT is a huge industry – apparently one of the top-4 markets for IT.
In spite of this, Medical Informatics has rather loose ties with the rest of IT, both in research and industry.
Some Reasons: High overhead – legal, medical, public health,
policy, ethics Hard to identify fundamental research problems Some is info. science rather than computer
science
Summary Summary
Early adopters need to package some good research problems for other CS researchers.
Or practitioners can come and present their priorities directly to engineers.
Easier to publish in existing venues – and explore new ones
OpportunitiesOpportunities CPOE Telemedicine Sensors and Labs-on-a-Chip EMR
Opportunities - CPOEOpportunities - CPOE
CPOE (Computerized Physician Order Entry) – esp. speech based – fits well with existing practice – clear market advantages, once error rates are low enough.
Pen computers may also win here – less clear what’s needed
Opportunities - TelemedicineOpportunities - TelemedicineTelemedicine – esp. in developing countries Local sensor data collection, possibly analysis Store-and-forward technology Video conferencing, high-speed links Medical image/lab results transfer, compression
Opportunities - Sensing Opportunities - Sensing
Sensing- General health/wellness, cardiac, breathing Chronic conditions – esp. implanted sensors Immunosensors Labs-on-a-chipHealth care is always easier and cheaper when
problems are caught earlier – sensing is cheap in principle.
Needed - fairly high level of automationto filter information to caregivers.
TCO improvements.
Opportunities - Sensing Opportunities - Sensing
Continued -
Opportunities - EMR Opportunities - EMR Federation of many data sources/formats Must be privacy and security compliant –
better privacy filtering methods, fine-grained access controls, robust authentication (possibly biometric)
XML/rich media– Should allow rich and efficient queries– Fast visualization/manipulation
Improved interface design, and adaptability to local work practices.
Short-term target – published guidelines and workflows.
Opportunities - EMR Opportunities - EMR Continued -
Other OpportunitiesOther Opportunities ??
Discussion QuestionsDiscussion Questions Discuss the main open challenges in Health
Technology – where would you push?
How would you structure a course in Health Technology?
What other approaches (projects, workshops etc.) would you take to mobilize interest in computer science?