Design of Health Technologies lecture 24

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Design of Health Technologieslecture 24
John Canny12/05/05
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Course Wrap-up

• In this class, well lay out what weve
  discovered in looking at Health IT over the
  semester.
• Im going to start by collecting together some
  resources that have been useful (books, journals,
  conferences, websites).
• Then well 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?

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Resources - Books

• Medical Informatics" by E.H. Shortliffe et al.,
  Springer, 2001
• Note This is part of a series onHealth
  Informatics at Springer.

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Resources - Books

• Handbook of Medical Informatics, J.H. van
  Bemmel and M.A. Musen, Springer 1997.

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Resources - Books

• Healthcare Information Systems Ed. By K. Beaver
  (Auerbach)

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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

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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 Society
• British Computer Society

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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)

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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

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Web Sites

• National Library of Medicine http//www.nlm.nih.go
  v/ 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 trialshttp//hiru.
  mcmaster.ca/cochrane/
• Physicians for Human Rights (PHR) www.phrusa.org

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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

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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

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Opportunities

• CPOE
• Telemedicine
• Sensors and Labs-on-a-Chip
• EMR

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Opportunities - 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
  whats needed

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Opportunities - Telemedicine

• Telemedicine 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

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Opportunities - Sensing

• Sensing-
• General health/wellness, cardiac, breathing
• Chronic conditions esp. implanted sensors
• Immunosensors
• Labs-on-a-chip
• Health 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.

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Opportunities - Sensing

• Continued -

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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.

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Opportunities - EMR

• Continued -

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Other Opportunities

• ??

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Discussion 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?