HealthcareHealthcare Knowledge ManagementKnowledge Management

Kannika ChukiatmunKannika ChukiatmunFor AGDPFor AGDP

Knowledge Management in Health

• “…The basic practices to which it refers are as old as healthcare itself.

Since time immemorial, doctors and other practitioners have collected and shared information about their healing practices, both as individuals and as groups or communities.”

Phillip C.Candy

Director of education, Training and Development

National Health Service UK.

Knowledge Management in Health

• “…While there are several different conceptual models and definitions of knowledge management offered by various authors, they all share the view that it is more or less formal process of gathering, analyzing, and sharing information and insight based on health data that have been collected in various ways for various purpose.”

Phillip C.Candy

Director of education, Training and Development

National Health Service UK.

Knowledge Management in Health

• “…The four major elements:• Access to quality clinical data • Knowledge discovery• Knowledge translation • Knowledge integration and sharing

: are underpin virtually all the chapters.

….many of them are concerned with how this process has been affected by the development and widespread adoption of advanced information and communication technologies”

Phillip C.Candy Director of education, Training and Development

National Health Service UK.

The Issues

• Complex reciprocal relationship developing between healthcare and technology

• The centuries-evolved specialization of practice VS the consequent fragmentation of the care pathway from the patient point of view

• The information distributed among all the increasing stake holders brings up the question of how to deal with the separation of aspects of healthcare and the distributed nature of knowledge about individual patients– Making sense of information = right or wrong ?– Harmonization and standardization = partiality and gap– Ethic, privacy, legal issues etc.

To deal with those issues…..

• Individual practitioners

• Community of practitioners

• Patients and health information

Is it the old Is it the old way in the way in the new look ?new look ?

Refocusing the Issues

• Complex reciprocal relationship developing between healthcare and technology

• The centuries-evolved specialization of practice VS the consequent fragmentation of the care pathway from the patient point of view

• The information distributed among all the increasing stake holders brings up the question of how to deal with the separation of aspects of healthcare and the distributed nature of knowledge about individual patients– Making sense of information = right or wrong ?– Harmonization and standardization = partiality and gap– Ethic, privacy, legal issues etc.

The impacts and its own issues

• The paradigm shift as the physicians move away from germ theory of diseases to genetics.– The explosion of information– How to make sense of information……– ….

• From Knowledge Discovery to Knowledge Management and to Knowledge Engineering….and to……?– The dynamic nature of clinical data– The ability to interpret context-based healthcare information– The domain that support three integrals healthcare components

(stake holders as one : not each stake holders)– ………

What is the problem ?

“Various ways &various purposes of health data collections”

Administration

Front office HIS, HIM

Back office

Specific purpose Research, CRM, registries

Clinical information ???

Back to the future : “Clinical Knowledge Management”“Clinical Knowledge Management”

• Clinical data collection for diagnosis.• Clinical data decision making for treatment.• Clinical data record and progress note.• Clinical research.• Clinical data acquisition, dissemination and

organization.• Implementation of clinical knowledge.• Clinical teaching and knowledge extraction.

Back to the future : “Clinical Knowledge Management”“Clinical Knowledge Management”

• Model for KM in Primary Care

EBM Domain Community of Practice Domain

Clinical Audit Domain

Mentorship Domain

Explicit Tacit

Information-centered KM

Learner-centered KM

Integral tools / systems

Back to the future : “Clinical Knowledge Management”“Clinical Knowledge Management”

• The Multidimensional in nature…….

EBM Domain

Community of Practice

Domain

Clinical Audit

Domain

Mentorship Domain

Stake holdersPractitioners

Healthcare third party

Patients

Information technology