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AMIA 10x10 UAB

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Course Description

Competencies and Topics Covered

  1. Students will be able to discuss the role of information and communication technologies (ICT) in healthcare delivery including their role in improving the quality, safety and efficiency of healthcare delivery. Students will be able to discuss the historical antecedents of the present use of ICT, as well as the current and likely future uses of healthcare ICT.

    The following topics will be covered:

    1. Evolution of Health Care and Healthcare Information Systems
    2. Networking and Telecommunications
    3. Information Integration and Knowledge Management
    4. Role of ICT in improving the efficiency and quality of healthcare
    5. Databases, Data Warehouses, and Data Mining
    6. Electronic Health Records, CPOE, and Clinical Decision Support Systems
    7. Telemedicine including use of ICT in Home Healthcare
    8. Public Health Informatics

  2. Students will be able to discuss the organizational (intra and inter-organizational) and financial context in planning, implementing and evaluating healthcare ICT.

    The following topics will be covered:

    1. Planning for Information Technology
    2. Disaster Preparedness
    3. Implementation Challenges in Healthcare ICT, including business process redesign
    4. Evaluation of ICT, including economic evaluation
    5. Challenges of sharing information across organizational boundaries, including issues related to the National Health Information Network

  3. Students will be able to discuss the legal and ethical context for the management and use of healthcare ICT.

    The following topics will be covered:

    1. Privacy and Security of Health Information including HIPAA
    2. Current and pending legislation regarding use of ICT for e-prescribing, patient safety and error reporting, pay-for-performance, etc.
    3. Bioinformatics and uses of genomic information.
    4. Issues in Certification and Regulation of healthcare ICT systems
    5. Ethical and legal issues in the use ICT with patients
    6. Legal and ethical responsibilities of vendors and users of healthcare ICT
1. Introduction to Health Informatics and Evolution of Healthcare Information Systems 1.1. Definitions of Health Informatics
1.2. Changes over the last 40 years affecting the development and use of ICT in healthcare
1.3. Current and future forces affecting the direction of ICT in healthcare
2. System Lifecycle and Strategic Planning for ICT systems 2.1 Information Systems Life Cycle
2.2 Strategies for Strategic Planning for ICT
2.3 Component Alignment Model
2.4 Case Study exercise
3. Knowledge Management and Use of IT for Operational Efficiency 3.1 What is Knowledge Management?
3.2 Clinical and Business Knowledge Management
3.3 Knowledge Management Tasks
3.4 Role of Simulations and other ICT in knowledge management and improving operational efficiency in healthcare
4. Planning for Acquisition and Implementation of Healthcare ICT systems 4.1 ICT Governance and Management
4.2 Operational Planning
4.3 Analyzing functional requirements
4.4. System Acquisition
4.5 System Implementation
4.6 Case Study Exercise
5. Networking and Telecommunications, Information Integration and Public Heath Informatics 5.1 Information architecture for the support of healthcare ICT
5.2 Challenges in information integration within and among healthcare institutions
5.3 Healthcare ICT standards
5.4 Public Health Informatics
6. Electronic Health Records (EHR) and Clinical Decision Support Systems (CDSS) 6.1 Clinical Information Systems Overview
6.2.EHR-Why do we need it?
6.3 Ideal functional capabilities for the EHR
6.4 Clinical Data Repositories
6.5 Technical and Organizational issues in EHR Implementation
6.6 Health Care Provider Order Entry-Managing the Challenges
6.7 CDSS-Overview and Structure
6.8 CDSS-Impact of CDSS
6.9 Challenges in Implementing CDSS
6.10 Online debate on issues related to EHR and CDSS
7. Databases, Data Warehouses and Data Mining 7.1 Databases in Healthcare ICT
7.2 Data Warehouses and Data Mining in Health ICT
8. Privacy and Security of Health Information 8.1 Definitions of concepts
8.2 Legal and Ethical background and current status of privacy and security legislation
8.3 Recommendations on best practices
8.4 Tradeoffs of security and access
9. Evaluation of Health Information Technology 9.1 Evaluation Strategies for Health ICT
9.2 Realizing Benefits of Health
9.3 Economic Evaluation of health ICT
9.4 Case Study Exercise
10. Telemedicine 10.1. Telemedicine technologies
10.2 Telemedicine laws and regulation
10.3 Examples of telemedicine applications
10.4 Telehealth in home healthcare
11. Legal and Ethical Issues in Health Informatics 11.1 Legal and Ethical Issues in the use of Clinical Decision Support Systems
11.2 Ethical Issues in Telemedicine
11.3 Ethical Issues in Consumer Health Informatics (including online health information, email between patients and providers)
11.4 Legal and Ethical Obligations of Developers, Vendors and Users of Health ICT
11.5 Regulations and laws related to health ICT
12. Group Project Presentations Miscellaneous topics

In addition to readings, online PowerPoint presentations and online discussion, there will be one 3-page memo due during week 5, a team/group project due during week 12 and a final exam due one week after class sessions end.


Logistics

The AMIA 10x10 at UAB course will consist of 12-weeks of on-line training, and an informal in-person session held in conjunction with an AMIA national meeting. The Web-based portion of the course will be provided through readings, on-line lectures and interactive discussions. The in-person sessions will bring together attendees to meet leaders in the field and other students. Students will also have the opportunity to take targeted training through AMIA education programs. The tuition covers tuition and fees for both the on-line and in-person sessions. Additionally, 10x10 students will receive a complimentary one-year membership in the American Medical Informatics Association.

This survey course provides a broad overview of the field, highlighting the key issues and challenges for the field. The course is taught primarily in an asynchronous manner, however, students are strongly encouraged to keep up with the course materials in order to benefit from the interactive discussion with faculty and other students. The course uses the following teaching modalities:
  • Voice-over-Powerpoint lectures - The key material is delivered through the course delivery tool. To view the Powerpoints you will need the JAVAScript plug-in which is freely available and already installed in almost all Web browsers. The content is easily accessed by connections to the Internet using a telephone modem.
  • Interactive threaded discussion - Students engage in discussion on important issues using the on-line bulletin board. The course director will provide feedback to students either as part of the discussion or at the conclusion of discussion.
  • Reading assignments - The course uses a textbook designed to provide a practical overview of key issues in the informatics field and supplemental readings as necessary. In addition, students are pointed to other key documents, reports, and papers from the field.
  • Additional assignments-Students will have the opportunity to research current issues in health informatics and prepare a short memo summarizing their results. They will also have a group project presentation that will be presented asynchronously as well.
The on-line part of the course is accessed via the WEB-CT VISTA course delivery tool (see System Requirements). At the onset of the course, each student will be provided a login and password by the UAB distance learning staff, who also provide technical support for the course. An electronic version of the textbook will be provided and all other assigned readings are either freely available on-line or provided by UAB. Students are expected to keep up with the materials each week and participate in ongoing discussion.

The in-person component aims to bring students and faculty experts together in an informal atmosphere to discuss the course and additional educational or career opportunities. Students must complete the on-line portion of the course to be eligible to attend the in-person session. In addition, students will work with the instructor prior to the in-person session to arrange for attendance at AMIA symposium tutorials to complement the online materials.


Schedule
Registration Deadline: May 1, 2006

AMIA 10x10 at UAB
We are pleased to announce the new 10x10 course in partnership with the University of Alabama at Birmingham (UAB) which will start on May 10, 2006, with an in-person session taking place at the 2006 AMIA Fall Symposium in November 2006. The course registration deadline is May 1, 2006.

In-Person Session, November, 2006
One of the goals for the in-person session at the end of the 10x10 course is to provide a means for students to meet other10x10 participants in a relaxed setting. There will be a reception for the UAB 10x10 participants at the AMIA Fall Symposium. Course faculty will be available to discuss the course as well as provide advice on other informatics career opportunities and courses.

AMIA 2006 Fall Symposium
A second goal is provide an opportunity for students to supplement what they have learned in the course with attendance at tutorials at the AMIA Fall Symposium. Registered students will receive waivers to two tutorials on November 11-12, 2006, at the 2006 AMIA Fall Symposium. Selection of tutorials will be done in consultations with the instructor and will be based on individual student needs. Students will receive course credit and a certificate of completion for completing all course requirements. Attendance at the tutorials and in-person session is an added benefit of registration in this course.

UnitTopicDate Materials Posted
1 Introduction to Health Informatics and Evolution of Healthcare Information Systems May 10
2 System Lifecycle and Strategic Planning for ICT Systems May 17
3 Knowledge Management and Use of IT for Operational Efficiency May 24
4 Planning for Acquisition and Implementation of healthcare ICT System May 31
5 Networking and Telecommunications, Information Integration, and Public Health Informatics June 7
6 Electronic Health Records and Clinical Decision Support Systems June 14
7 Databases, Data Warehouses, and Data Mining June 21
8 Privacy and Security of Health Information June 28
9 Evaluation of Health Information Technology July 5
10 Telemedicine July 12
11 Legal and Ethical Issues in Health Informatics July 19
12 Group Project Presentations Due to Instructor July 30
13 Group Projects presented and Final Exam Distributed July 31
14 Final Exam Due August 7