Tutorials
Tutorials - Excellence in Informatics Education
The AMIA 2006 Tutorial Program will provide a learning experience filled with rich content.
These 26 tutorials, taught by a faculty comprised of AMIA's widely recognized thought leaders in the field are designed to stimulate interest in the diverse body of knowledge represented by AMIA. Tutorials have been divided into four series - Primers, EHRs, Methods, and Selected Topics.
Primer Series:
This set of tutorials is designed to provide an introduction to key current and emerging areas in informatics and are considered essential to the core foundation of informatics theory, application, and practice.
EHR Series:
The time of the Electronic Health Record (EHR) is now upon us. This series of tutorials will focus on the key expertise required for individuals responsible for EHR selection, implementation, deployment, and evaluation.
Methods Series:
The methods series is designed for individuals looking for advanced instruction from leading experts on the procedures and techniques characteristic of the field of biomedical informatics.
Selected Topics Series:
This series of tutorials provides in-depth treatment of special topics in clinical and health informatics, bioinformatics, and public health informatics.
Tutorials Rates
| Full/Half Day Rates | AMIA Member | Non-member | Student |
| Early Bird | $315/$185 | $350/$215 | $275/$170 |
| Advance | $325/$195 | $350/$215 | $295/$180 |
| On-site | $350/$225 | $395/$250 | $315/$195 |
Tutorials-at-a-Glance
| Saturday, November 11, 2006, 8:30 am - 4:30 pm |
| T01 |
Introduction to Biomedical and Health Informatics |
| T02 |
Clinical classifications and biomedical ontologies: Terminology evolution, principles, and practicalities |
| |
| Saturday, November 11, 2006, 8:30 am - 12:00 pm |
| T03 |
PACS - Digital Medical Image Management |
| T04 |
Information Security in Health Care: Processes and Technology |
| T05 |
Semantic Web for Health Care and Life Sciences |
| T06 |
Evaluating Health IT Projects: A Practical Approach |
| T07 |
Building Bayesian Decision Support Systems |
| T08 |
Personal Health Records and E-health Portals |
| T09 |
Finance and Valuation of Health Care Information Technology |
| T10 |
Creating and Employing Enterprise Data Repositories |
|
| Saturday, November 11, 2006, 1:00 pm - 4:30 pm |
| T11 |
Natural Language Processing (NLP) in Biomedicine |
| T12 |
Unified Medical Language System - UMLS ® Overview |
| T13 |
The eXtensible Markup Language (XML) |
| T14 |
Clinical Decision Support: A Practical Guide to Developing Your Program to Improve Outcomes - Closed |
| T15 |
Integration of Genomic, Biomedical & Clinical Databases |
| T16 |
A Primer on Health Level Seven - HL7 |
| T17 |
Transforming & Visualizing Clinical Data for Research |
| T18 |
National Health Information Infrastructure (NHII Overview): From A to Z |
| |
| Sunday, November 12, 2006, 8:30 am - 12:00 pm |
| T19 |
Discovering Knowledge: Data Mining - Closed |
| T20 |
Project Management: Implementing Systems on Time and with Budget |
| T21 |
Ontologies in Biomedicine |
| T22 |
Public Health for Informaticians |
| T23 |
EHR Selection and Implementation |
| T24 |
Electronic Health Records: How might we deliver the benefits rapidly and inexpensively? |
| T25 |
Design & Conduct of Evalutaion Studies in Biomedical Informatics |
| T26 |
Evidence-based Nursing Knowledge - Content and System Design |
Tutorial Descriptions
T01 - Saturday, November 11, 2006, 8:30 am - 4:30 pm
Location: Jefferson West
Introduction to Biomedical and Health Informatics
H. Dominic Covvey, University of Waterloo, Waterloo, Ontario, Canada
Christopher Cimino, Albert Einstein College of Medicine, Bronx, NY
John H. Holmes, University of Pennsylvania, Philadelphia, PA
This is an intense, multi-instructor, full-day tutorial intended to introduce those with little or no knowledge of informatics, to the nature, key concepts, and applications of this discipline. We examine what the field is about and how it can help us address key challenges in the health field. Major objectives of the tutorial include enhancing the value of the conference to the participant and helping the participant discover specific topics of interest that can be explored both during and after the conference. Although no tutorial of this duration can cover all topics, the material targets the high profile areas of informatics such as clinical or health care informatics, bioinformatics, and public health informatics, and points the participants in the direction of broader and deeper enquiry.
Outline of topics:
- Health, Healthcare, and their Challenges for Health Informatics
- Bioinformatics
- The Nature, Structure, and Management of Health Data, Information, and Knowledge “Intelligent” Health Systems
- Health Communications Systems
- The Health User Interface and Interactive Systems
- Human/Social Aspects of Health Information Systems
- Major Healthcare Applications
- Health Informatics Education
- The Future and Persistent Issues in Health Informatics
Intended Audience: Healthcare professionals (physicians, nurses, and allied professionals), health system administrators, CIOs and managers, medical librarians, other information professionals, academics from other fields interested in Health Informatics.
Content Level: 100% Basic.
Download Tutorial Description (pdf)
T02 - Saturday, November 11, 2006, 8:30 am - 4:30 pm
Location: Thoroughbred
Clinical Classifications and Biomedical Ontologies: Terminology Evolution, Principles, and Practicalities
Christopher Chute, Mayo Clinic College of Medicine, Rochester, MN
James J. Cimino, Columbia University, New York, NY
Suzanne Bakken, Columbia University, New York, NY
Standardized terminologies and classification systems are an essential component of the information infrastructure that supports health care delivery and evaluation. Despite significant advances and increased motivation for the use of terminology systems, widespread integration of standardized terminologies into computer-based systems has not yet occurred. In this tutorial, we provide an overview of the state of the science related to terminologies and classification systems and demonstrate application of selected terminologies to a patient case study to highlight the strengths and weaknesses of various terminologies. Standardized terminologies alone are insufficient to achieve semantic interoperability. Consequently, the tutorial will include content designed to elucidate the relationships among standards for terminologies, information models, messages, and document and record structures. In addition, we will demonstrate the use of advanced terminology tools that facilitate the use of standardized terms in computer-based systems and provide an overview of significant international and national initiatives related to terminology systems.
By the end of the tutorial, participants will be able to:
- Understand the motivation and challenges to standardized coding of clinical data from local, national, and international perspectives
- Identify a minimum of five desiderata for high-quality controlled terminologies and describe the extent to which existing controlled terminologies meet these desiderata
- Discuss the relationships among standards for terminologies, information models, messages, and document and record architectures and the role of advanced terminology tools in achieving semantic interoperability
Outline of Topics: - Types of terminology systems
- National and international contexts (motivations and challenges) for the development and dissemination of terminologies and classifications
- Desiderata for high-quality controlled terminologies
- Overview of selected terminologies such as ICD, SNOMED CT, LOINC, NANDA and application to a patient case study
- Relationships among standards for terminologies, information models, messages, and document and record architectures
- Demonstration of advanced terminology tools and discussion of their role in achieving semantic interoperability
- International and national initiatives
Intended Audience: Scientists, educators, and researchers; Physicians, nurses, and other healthcare professionals; Computer scientists, system developers, and programmers.
Content level: 50% basic / 50% intermediate
Download Tutorial Description (pdf)
T03 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Jefferson East
PACS - Digital Medical Image Management
Paul J. Chang, University of Pittsburgh, Pittsburgh, PA
This tutorial will provide an introduction to medical digital image management, PACS (Picture Archiving and Communication Systems), and other related topics in radiology informatics. Domain specific challenges and currently used architectures will be discussed from a medical informatics perspective. The tutorial will include an introduction to acquisition devices, image archive design, workstations, and workflow models. The importance of interface standards and initiatives such as HL7, DICOM, and IHE will be discussed. The importance of a comprehensive informatics workflow model for image management and decision support will also be emphasized. The requirement for an enterprise perspective with respect to medical imaging including ubiquitous distribution and incorporation of non-radiology and visible light images (cardiology, pathology, endoscopy, dermatology, etc.) will be presented. Strategies for integration of medical images into the multimedia-enabled electronic health record will be discussed.
By the end of the tutorial, participants will be able to:
- What is digital medical image management
- Domain specific challenges/requirements: a medical informatics perspective.
- Commonly used image management architectures and workflow models
- Introduction to commonly used PACS components: acquisition devices, network infrastructure, archive, RIS Integration, and workstation
- Integration/Interface Tools: DICOM, HL7, and IHE
- Optimized Radiology Workflow and Integration
- Enterprise Image Management
- Ubiquitous enterprise image distribution
- Incorporation of non-radiology and visible light images
- Strategies for incorporating images into the electronic health record
Scientists, educators, and researchers; physicians, nurses, and other healthcare professionals; biomedical engineers and workers in bioinformatics; computer scientists, system developers, and programmers; and medical librarians and other information professionals.
Content level: 60% basic / 40% intermediate.
Download Tutorial Description (pdf)
T04 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Lincoln West
Information Security in Health Care: Processes and Technology
Soumitra Sengupta, NewYork-Presbyterian Hospital, Columbia University Medical Center, and Columbia University, New York, NY
Information security has always been an important concept in health care environment from a clinical perspective, and recently has been highlighted by Health Insurance Portability and Accountability Act (HIPAA) Security regulation enactment in April 2005. The processes and technology of Information security, however, are equally applicable for other functions in a health care facility, including research, education and other scholarly functions, as well as financial and business management. This tutorial looks at unique information asset types in health care and their value, presents possible risk analysis and management methods, considers processes that permit institutional compliance and local flexibilities, describes technologies that resolve global infrastructural issues as well as point solutions, and helps find solutions that achieve a safe and secure information architecture without limiting business functions. Specifically, we will engage in discussion and presentation of both technology and procedures, with risks as well as real incidents that motivate the choices for the same. A focal concern will be how to leverage security solutions to demonstrate better operational quality and to present evidence for information systems best practices.
By the end of the tutorial, participants will be able to:
- Gain a broad perspective of information security
- Identify a technology in a specific class of security function
- Determine a risk-based view of a security issue
Outline of Topics: - Health care asset and stakeholder classification
- Risk based evaluation of asset security, including threats
- Principles of information security
- Theory and practice of authentication, authorization, and auditing
- Institutional security controls -- devices, processes, technologies
- Encryption and digital signatures
- Security metrics
Intended Audience: Scientists, educators, and researchers; physicians, nurses, and other healthcare professionals; administrators and CIOs; computer scientists, system developers, and programmers
Content level: 100% basic
Download Tutorial Description (pdf)
T05 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Lincoln East
Semantic Web for Health Care and Life Sciences
Olivier Bodenreider , National Library of Medicine, NIH, Bethesda, Maryland
Vipul Kashyap, Partners HealhCare System, Boston, Massachusetts
Eric Neumann, Teranode, Seattle, Washington and W3C
Biomedical research and healthcare clinical transactions are generating huge volumes of information. Biomedical research literature doubles every 19 years and AIDS literature in particular doubles every 22 months. Biomedical research is now an information based science marked by factory-scale sequencing generating huge amounts of data. A clinician, on the other hand, needs approximately 2 million facts to practice. Information and knowledge play a critical role in the flow of innovation from and to biomedical research and clinical practice, with information overload resulting in a slow innovation adoption curve in healthcare. Patients receive only 54.9% of recommended care, and it takes from 10 to 17 years for new discoveries to be routinely used. The problem is likely to be magnified with the advent of information created by molecular and genomic medicine.
During the last decade, the World Wide Web has been tremendously successful in enabling the dissemination of information in various domains including Biomedicine. However, the content of today's Web is essentially meant to be processed by humans, not autonomous computational agents. The Semantic Web addresses precisely this limitation. In order to make the Web content machine accessible and processable, the Semantic Web relies on metadata and ontologies to support the semantic markup of resources as well as logical reasoning. The Semantic Web represents an emerging set of technologies enabling interoperability among systems and resources. The Semantic Web addresses the challenges of representing, storing, exchanging and reusing data and is therefore highly relevant to Biomedicine.
By the end of the tutorial, participants will be able to:
- Explain issues in semantic interoperability in biomedicine
- Describe the role of various Semantic Web technologies
- Analyze their particular needs in light of Semantic Web technologies
Outline of Topics:
- Overview of the Semantic Web
- Semantic Web technologies (XML, URIs, RDF/S, OWL, web services)
- Examples of Semantic Web applications in biomedicine
- Presentation of the W3C Semantic Web Health Care and Life Sciences Interest Group
- Current trends and future directions
Who Should Attend: Health care practitioners and biomedical researchers interested in semantic interoperability among biomedical resources and systems. Semantic Web specialists interested in biomedical applications.
Content Level: 50% basic / 50% intermediate
Download Tutorial Description (pdf)
T06 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Georgetown West
Evaluating Health IT Projects: A Practical Approach
Eric G. Poon MD, MPH, Brigham and Women's Hospital, Partners Healthcare, Boston, MA
Dan Gaylin, National Opinion Resource Center, Washington DC
Caitlin M. Cusack MD MPH, Center for IT Leadership, Partners Healthcare, Boston, MA
For years, health IT (HIT) has been implemented with the goals of improving clinical care processes, health care quality, and patient safety. In short, it's been viewed as the right thing to do. In those early days, evaluation took a back seat to project work. Frequently, evaluations were not performed at all - at a tremendous loss to the health IT field. Given the large investment required for HIT projects, our stakeholders are increasingly demanding to know both the actual and future value of these projects. As a field we are moving away from talking about theoretical value, to a place where we must measure real value. Isolated studies and anecdotal evidence are not enough - not for our stakeholders, nor for the health care community at large. Evaluations must be viewed as an integral piece of every project, not as an afterthought.
While much has been written about the theory of evaluation, there has been a dearth of practical real-world tools to ease the process of writing evaluation plans. As more health IT projects have kicked-off, the lack of such practical tools has become even more apparent. The instructors in this course have taken the theory of evaluating HIT, and developed a practical approach to planning and executing evaluations. The tutorial has been designed to share these tools with others as they embark on developing evaluation plans of their own.
By the end of the tutorial, participants will be able to: - Compile metrics for a health IT project
- Determine which metrics are practical to measure
- Formulate a plan around the chosen metrics
- Write an evaluation plan
Outline of Topics: - Motivations behind evaluation
- The National Resources Center Evaluation Toolkit: how to write an evaluation plan
- Quantitative, qualitative, and survey Considerations
- Conducting evaluations on a shoestring case study
- Turning theory into practice
Intended Audience: Healthcare professionals looking for guidance as to how to evaluate their health IT project.
Content Level: 80% Basic, 20% Intermediate
Download Tutorial Description (pdf)
T07 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Military
Building Bayesian Decision Support Systems
Peter J. Haug, University of Utah and Intermountain Health Care, Salt Lake City, UT
Dominik Aronsky, Vanderbilt University, Nashville, TN
Medical decision support systems are often required to classify patients in accordance with patterns recognized in their data. Uncertainty and missing information are an inherent characteristic of the medical domain. In contrast to rule-based systems, Bayesian systems are able to model uncertainty and missing information explicitly. The availability of large databases makes Bayesian systems attractive for creating decision support systems in the medical domain. The tutorial gives attendees a theoretical and practical introduction to Bayesian systems. Participants are provided with some basic theoretical background that is necessary for developing and understanding Bayesian systems. Theory will be balanced with hands-on experience in the construction of simple Bayesian systems (with an emphasis on Bayesian belief networks). Database requirements and evaluation techniques to assess the systems' accuracy will be discussed. A demonstration of more complicated Bayesian models as well as systems currently in use, gives participants an idea how and where systems can be applied. To participate in the hands-on exercises participants need to bring an IBM-compatible laptop.
By the end of the tutorial, participants will be able to:
- Understand the theoretical background of probabilistic reasoning
- Review of existing Bayesian systems and understanding their advantages and disadvantages
- Become familiar with the requirements for building, implementing and evaluating Bayesian systems
Outline of Topics: - Introduction to Bayesian systems
- Technical Background including Bayes theorem
- Definitions for common terms
- Introduction to Netica, a Windows-based application for building Bayesian systems
- Basic software functionality
- Different models of Bayesian systems
- Performance and accuracy of decision support
- Evaluation of Bayesian systems
- Using databases for creating applications with Bayesian systems
Intended Audience: Scientists, researchers; physicians, nurses and other health care professionals; system developers, and programmers.
Content level: 20% basic / 50% intermediate / 30% advanced.
Download Tutorial Description (pdf)
T08 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Georgetown East
Personal Health Records and E-health Portals
Patti Brennan, University of Wisconsin-Madison, Madison, WI
David Lansky, Markle Foundation, New York, NY
Kenneth D. Mandl, Harvard Medical School, Boston, NY
Personal health records (PHRs) complement clinical documentation by providing patients with access to subsets of their clinical records and with the health information management tools needed for self-care and effective health care utilization. E-health portals provide lay people with access to a health care systems resources, including health information, appointment scheduling and provider communication, and personal health tracking. This tutorial will introduce clinicians, systems administrators and IT developers to critical issues regarding the design and deployment of personal health records. During the tutorial, participants will have an opportunity to examine and critically evaluate existing personal health records tools, explore e-health portals, and discuss technical, ethical and policy considerations related to the deployment of personal health records tools. An update of the national environment and how it may affect individual programs will be provided: AHIC, HITSP, consumer empowerment use case and associated standards, and the health plans' initiative.
By the end of the tutorial, participants will be able to:
- Differentiate personal health records from other information processing tools used in health care
- Develop a strategy to appraise the clinical consequences of PHRs
- Evaluate the technical requirements, ethical considerations and social value of personal health records.
- Topics include:
- Personal Health Records and E-health portals
- Basic Definitions
- Shared features
- Unique aspects
- Demonstration - Prototypes and early approaches
- Tethered and untethered systems
- Portals to health care systems
- Clinical considerations
- Fostering health goals with PHRs and eHealth Portals
- Health education
- Personal health monitoring
- Communication with professionals
- Creating a life-long health record
- View from the National Scene
- AHIC, & HITSP
- Consumer empowerment use case and associated standards
- Health Plans initiative
- Social Benefits of PHRs and eHealth Portals
- Surveillance
- Public Health Education
- Health Services Research
- Technical Considerations and Challenges
- Platforms and Devices
- Integration with clinical information systems
- Human-computer interaction
- Policy Considerations
- Privacy
- Impact on clinician workload
- Burden on patients and families
Who should attend: Clinicians, managers of E Health Portals, Health Educators, Public Health Practitioners, Engineers and computer scientist who work with distributed information systems, integration of disparate data bases or network-level authorization, authentication, or privacy policies
Content Level: 50% basic | 30% intermediate | 20% advanced
Download Tutorial Description (pdf)
T09 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Monroe East
Finance and Valuation of Health Care Information Technology
Eric Silfen, Columbia University, New York, NY
Christopher Gardner, Columbia University, New York, NY
Considerable effort has been expended attempting to document the benefits of information technology investments in health care. However, there has been limited focus on a structured approach to determining the strategic value from these investments. This course is designed to introduce students to the necessary techniques, methods and models for strategic assessment and valuation of information technology and how to utilize these approaches when investing in health care information technology.
Within the field of biomedical informatics, it is essential to emphasize that health care technology investments will be subjected to cost and resource utilization analysis as an integral part of any decision making process. Given the convoluted and fragmented sources of payment for health care services, and the shifting financial risk among health care stakeholders, it is necessary to enhance the biomedical informatician's capabilities to identify, analyze, determine and execute a strategic path that correctly values health care information technology investments in order to assist organizations in making the best decision(s) given these constraints.
By the end of the tutorial, participants will be able to:
- Learn the economic and accounting concepts necessary for understanding and evaluating information technology within the health care milieu;
- Understand health care information technology financial and investment analysis including value chain and total cost of ownership analysis as well as return on investment modeling;
- Perform a health care information technology valuation and strategic assessment using modeling software
Outline of Topics - Introduction to basic health care economic principles.
- Why health care economic and financing models are different from more traditional business models and how this 'difference' is compounded when designing, implementing and managing health care information technology.
- Health care information technology finance focusing on core concepts of cash flow: time value of money; cost of capital; capital acquisition.
- Investment decision analysis and capital budgeting techniques along with the ability to assess new, replacement and comparison information technology projects.
- Return on investment including concepts of total cost of ownership, value chain analysis, investment opportunities matrices and the ill-defined position of quality of care within these frameworks.
- Strategic assessment and financial valuations process that incorporates market assessment and demand, pricing, information flows and capacity, and cost estimation to determine the appropriate valuation methodology.
- Application of decision analysis methods for making health care information technology selection decisions under conditions of certainty, uncertainty and risk; understanding the expected value of perfect information; and, performing sensitivity analysis prior to health care information technology implementations.
- Leadership principles associated with health care information technology strategy and governance as well as their linkage to organizational performance.
Who should attend: Individuals who wish to understand how to position their health information technology research prototypes and products for diffusion into the marketplace.
Content level: 30% basis / 30% intermediate / 40% advanced
Download Tutorial Description (pdf)
T10 - Saturday, November 11, 2006, 8:30 am - 12:00 pm
Location: Monroe West
Creating and Employing Enterprise Data Repositories
Stanley M. Huff, University of Utah and Intermountain Health Care, Salt Lake City, UT
The tutorial will focus on the history and development of Enterprise Data Repositories (EDRs), drawing from the instructor's experience with four generations of systems. The design and development of the HELP System (ca 1970), AT&T's Clinical Information System (ca 1985), the 3M Care Innovation System (ca 1995), and the current system at Intermountain Health Care will be discussed. The motivation, goals, and assumptions that underlie the systems will be explored, and details of alternative system designs used in actual systems will be explained. Limitations of previous implementations and the lessons learned from using and maintaining the various EDRs will be presented. The instructor will argue that standards (infrastructure, data exchange, terminology, service APIs) are essential for creating interoperable EDR systems, and that such systems should be built using a modular standards based approach.
By the end of the tutorial, participants will be able to: - Participants will understand the assumptions and motivation for EDRs.
- Participants will understand various strategies for designing and implementing the major functions of an EDR..
- Participants will understand the importance of adhering to standards in developing or purchasing interoperable EDR. Systems.
Outline of Topics: - Legacy of the HELP System
- The ATT Clinical Information System
- The IHC - 3M Care Innovation System including goals and assumptions of the system, design considerations, system overview, and lessons learned
- The Clinical Element model
- Service oriented architecture
- Service standards
- CTS
- Data access standards
- Nationally coordinated vocabulary development
Intended Audience: Scientists, educators, and researchers; biomedical engineers and workers in bioinformatics; and computer scientists, system developers, and programmers.
Content level: 100% intermediate
Download Tutorial Description (pdf)
T11 - Saturday, November 11, 2006, 1:00 pm - 4:30 pm
Location: Jefferson East
Natural Language Processing (NLP) in Biomedicine
Stephen B. Johnson, Columbia University, New York, NY
This tutorial offers a basic primer on the automated processing of natural language data (textual data) in biomedicine. The tutorial will provide some basic linguistic theory as well as insight into how computers can help manage information carried by language. Exercises give attendees an appreciation of the complexities of biomedical language as well as experience with some basic empirical methods to address these.
By the end of the tutorial, participants will be able to: - Understand the range of challenges and solutions in NLP
- Perform basic assessment of capabilities of existing NLP applications
- Identify new opportunities for using NLP
- Grasp essential issues in articles on NLP
Outline of Topics:
- Why do we want to process language: motivation, potential applications in biomedicine
- What is language: linguistic theory and levels of language structure
- What is special about biomedicine: sublanguage theory -- examples of features
- Exercise: linguistic analysis - looking at language with an empirical eye
- What makes processing difficult: challenges to computerization
- How is processing accomplished: components of NLP systems and processing methods
- Exercise: parsing - understanding how computers analyze language
- How do we compare strengths and weaknesses of approaches and rudiments of evaluation
- Summary: review of major topics and further exploration
Intended Audience: students who want exposure to NLP methods, engineers interested in building NLP systems, researchers who would like to extend their knowledge of language processing, and health care professionals interested in the potential of language technologies.
Content level: 70% basic / 20% intermediate / 10% advanced.
Download Tutorial Description (pdf)
T12 - Saturday, November 11, 2006, 1:00 pm - 4:30 pm
Location: Thoroughbred
Unified Medical Language System UMLS ® Overview
Jan Willis, UMLS Support, National Library of Medicine, Bethesda, MD
Rachel Kleinsorge, UMLS Training Coordinator, National Library of Medicine, Bethesda, MD
and Additional NLM UMLS experts will speak briefly on their areas of expertise
The purpose of NLM’s Unified Medical Language System® (UMLS®) is to facilitate the development of computer systems that behave as if they “understand” the meaning of the language of biomedicine and health. Toward that end, NLM produces and distributes the UMLS Knowledge Sources (databases) and software tools (programs) for use by system developers. The UMLS Metathesaurus serves as an official distribution vehicle for HIPAA standard code sets and US government target clinical vocabulary standards. This course provides an overview of UMLS Knowledge Sources and associated programs, including the Metathesaurus, a database of 1 million+ concepts from over 100 biomedical vocabularies, the Semantic Network, used to categorize all concepts in the Metathesaurus and help interpret meaning, and the SPECIALIST Lexicon and lexical tools, used to process text and language for clinical, research, and educational purposes.
Outline of Topics:
- UMLS Introduction and Overview
- Metathesaurus
- Semantic Network
- SPECIALIST Lexicon and Tools
- UMLS Tools (UMLSKS, MetamorphoSys, & the RRF Browser)
- UMLS Use Cases
Intended Audience: Biomedical informatics and other researchers; physicians, nurses, and other healthcare professionals; computer scientists, system developers, and programmers; and medical librarians and other information professionals.
Content level: 100% basic
Download Tutorial Description (pdf)
T13 - Saturday, November 11, 2006, 1:00 pm - 4:30 pm
Location: Lincoln East
The eXtensible Markup Language (XML)
Gretchen P. Purcell, MD, PhD, Vanderbilt University, Nashville, TN
The eXtensible Markup Language (XML) is a standard for characterizing the content and structure of documents and data. Both standards organizations and technology groups have adopted this language. In health care, XML has been used for diverse applications from representing and exchanging patient data in medical record systems to publishing clinical knowledge in electronic information resources. This tutorial provides a rapid, but comprehensive introduction to the concept of markup languages and the syntax of XML. Participants will learn to encode documents with the basic components of XML and to define information structures using document type definitions (DTDs) and schemas. Tools for processing and displaying XML documents, including cascading style sheets (CSS) and the eXtensible Style Language (XSL), will be described. Attendees will participate in short exercises to reinforce XML concepts, and the lessons will incrementally develop a small XML application. This tutorial will be valuable to individuals who are involved in sharing, distributing, or processing clinical information and want a thorough understanding of the syntax and functionality of XML.
By the end of the tutorial, participants will be able to: - Understand and author simple to moderately complex documents using XML
- Define document structures using XML DTDs and schemas
- Format, display, and process information from XML documents using CSSs and XSL
Outline of Topics: - Markup languages
- XML tags, elements, attributes, and entities
- Document type definitions
- XML schemas
- Well-formedness and validity
- Cascading style sheets (CSS)
- Extensible style language (XSL)
- XML development tools
Intended Audience: Scientists, educators, and researchers; physicians, nurses, and other healthcare professionals; biomedical engineers and workers in bioinformatics; computer scientists, system developers, and programmers; and medical librarians and other information professionals
Content level: 25% basic / 50% intermediate / 25% advanced.
Download Tutorial Description (pdf)
T14 - Saturday, November 11, 2006, 1:00 pm - 4:30 pm
Location: Georgetown West
Clinical Decision Support: A Practical Guide to Developing Your Program to Improve Outcomes
Jerome A. Osheroff, Thomson Micromedex, Cherry Hill, NJ and University of Pennsylvania, Philadelphia, PA
Jonathan M. Teich, Brigham and Women's Hospital and Harvard University, Boston, MA
Eric A. Pifer, University of Pennsylvania Health System, Philadelphia, PA
Dean F. Sittig, Northwest Permanente and Oregon Health and Science University, Portland, OR
Robert A. Jenders, Cedars-Sinai Medical Center and the University of California, Los Angeles, CA
This tutorial will provide attendees with a practical approach to developing and deploying clinical decision support (CDS) interventions that measurably improve outcomes of interest to a health care delivery organization. The following key steps, including overcoming barriers, will be examined in detail: selecting appropriate CDS goals and enhancing organizational structures needed for CDS success; surveying available organizational information systems pertinent to delivering CDS; selecting appropriate CDS interventions to accomplish the goals from a broad array of options; and developing and launching the interventions and measuring their effects. The systematic approach to CDS implementation will be presented in an interactive, "case-oriented" fashion, incorporating examples provided by tutorial leaders and participant's experiences. The course content is drawn from the tutorial leaders' award-winning book: "Improving Outcomes with Clinical Decision Support; An Implementer's Guide," and a similar successful tutorial at AMIA's '05 fall meeting.
By the end of the tutorial, participants will be able to:
- Understand a systematic approach to addressing key healthcare organizational goals through a clinical decision support program.
- Understand the broad range of potential clinical decision support interventions, and opportunities to use them to accomplish specific objectives.
- Describe individual techniques and considerations for overcoming organizational and technical barriers to successful clinical decision support.
Outline of Topics:
- A 6-step process for improving outcomes with CDS
- Key tasks and lessons for accomplishing each step in successful CDS implementation
- Case example of building a successful CDS program to accomplish your objectives using CDS program development worksheets
- Interactive discussion addressing questions you've always wanted to ask about CDS
- Developing an action plan to bring back to your organizations
- Overcoming organizational and technical barriers to successful CDS
Intended Audience: Individuals from healthcare organizations interested in CDS deployment, including both those contemplating and undertaking the process. Pertinent roles include those responsible for CDS such as managers and directors of clinical information systems, and clinicians and administrators associated with CDS projects. Representatives from organizations both with and without robust clinical information systems (e.g. EHR and CPOE). CDS researchers and CIS vendors will also find the material of interest.
Content level: 100% intermediate
Download Tutorial Description (pdf)
T15 - Saturday, November 11, 2006, 1:00 pm - 4:30 pm
Location: Monroe West
Integration of Genomic, Biomedical and Clinical Databases
Atul Butte, Stanford University, Stanford, CA
Genome-scale experiments are now routine in academia and industry. Biologists and clinicians in top institutions are applying these new measurement modalities to basic biological and clinical samples. Analysis of these data sets is being used to characterize biological systems, identify high-yield candidate genes for further biological investigation, or quantify a patient's health risks, to just name a few tasks. The next big step for genetics and genomics is in associating this high-bandwidth molecular biological data with human phenotypic data, and the largest source of structured human phenotypic data is in the clinical record. This tutorial is designed to teach the basics of the various bioinformatics types of data and methodologies currently used in genomics research, and how these can interface with clinical data. This tutorial will address the hypotheses one can start with by integrating molecular biological data with clinical data, and will show how to implement systems to address these hypotheses. The tutorial will cover real-world case-studies of how genetic, genomics, and proteomic data has been integrated with clinical data.
By the end of the tutorial, participants will be able to:
- Understand why biologists and clinicians use each measurement technology, and the advantages of each.
- Be able to explain which genomic and genetic methods are most appropriate for studying diseases.
- Be able to list high-level requirements for an infrastructure relating research and clinical genetic and genomic data.
Outline of Topics: - Basic understanding of various genome-scale measurement modalities: sequencing, polymorphisms, haplotypes, proteomics, gene expression, metabolomics, and others
- Crucial difference between genetic and genomic data
- Nature and format of expression, polymorphism, proteomics, and sequencing data
- Overview of the most commonly used structured vocabularies, taxonomies, and ontologies used in genomics research
- Description of the most frequently used analysis and clustering techniques
- How the genetic predisposition to disease is studied
- Use of genetic information across medical specialties
- Differences between research and clinical genomic and genetic data
- How genetic data is used to guide therapy
- How to find clinical genetic tests
- Genomic and clinical data to study patient disease-free status and survival
- Identifying potential drug targets
- Categories and use of biomarkers
- Confidentiality and privacy of information and how this can impact research use of data
- Parallels between research methods in medical informatics and bioinformatics
Intended Audience: Academic faculty or professionals setting up bioinformatics facilities and/or relating these to clinical data repositories, or to data from General Clinical Research Centers or Clinical and Translational Science Awards; health information professionals responsible for clinical databases or data warehouses and tying these to researchers; informaticians, clinicians, and scientists interested in genetics, functional genomics, and microarray analysis; physicians interested in how medicine is advancing through the use of genomics and genetics; and students
Content level: 20% basic / 50% intermediate / 30% advanced
Download Tutorial Description (pdf)
T16 Saturday, November 11, 1:00 pm - 4:30 pm
Location: Military
A Primer on Health Level Seven - HL7
Charles Jaffe, SAIC, West Chester, PA
Doug Fridsma, University of Pittsburgh, Pittsburgh, PA
Health Level Seven is one of several American National Standards Institute (ANSI) -accredited Standards Developing Organizations (SDOs) operating in the health care arena. Most SDOs produce standards (sometimes called specifications or protocols) for a particular health care domain such as pharmacy, medical devices, imaging or insurance (claims processing) transactions. Health Level Seven's domain is clinical and administrative data. This tutorial will provide an introduction to how HL7 is structured, how clinical information and administrative data is expressed, and how knowledge of HL7 can be applied in individual projects and practice settings.
Topics include:
- We're not your father's HL7
- The pillars of interoperability
- Standards - what's in a name?
- Version 2.X - if it ain't broke
- Clinical Document Architecture
- Version 3 & the Reference Information Model
- Terminologies & Vocabularies
- The EHR standard
- CDISC standards - a marriage made in heaven
- BRIDG & the NIH - redefining research
- The HL7 horizon
Who should attend: Anyone hoping to share healthcare and research data across the uncharted enterprise.
Content Level: 60% basic | 30% intermediate | 10% advanced
Download Tutorial Description (pdf)
T17 - Saturday, November 11, 2006, 1:00 pm - 4:30 pm
Location: Lincoln West
Clinical Data for Clinical Research
Shawn Murphy, Massachusetts General Hospital, Boston, MA
Using data collected in the clinical care domain for clinical research poses many challenges. Clinical data is diverse in structure and reliability. It is generated in truly massive quantities, but for consumption mostly by human eyes, not by machines. To be useful for clinical research, the data must usually be transformed to a machine readable format. Considerations of sensitivity and specificity must be considered when performing these transformations. One then needs a systematic approach to organizing the data such that queries can be generated against seemingly disparate data. This usually translates into finding a suitable "atomic fact" and organizing the data into these discrete pieces. Finally, the data must be shown to clinical researchers and allowed to be queried in a format that provides insights into and hypothesis testing of the data.
By the end of the tutorial, participants will be able to: - Understand the complexities of using clinical data for research and be given methods and approaches for which to solve local problems.
- Understand the concept and value of structuring clinical data such that queries against disparate data can be performed.
- Understand the various solutions that currently exist for querying and visualizing clinical data.
Outline of Topics:
- Principles and methods for transforming clinical data for use in clinical research
- Organizing clinical data into databases for use in clinical research
- Visualizing and querying clinical data to test hypothesis
- Insights and solutions from querying and visualizing clinical data
- Limitations in using this data for clinical research
Intended Audience: Scientists, clinical researchers, people working in safety and quality research, biomedical engineers and workers in bioinformatics, and programmers.
Content level: 100% intermediate
Download Tutorial Description (pdf)
T18 - Saturday, November 11, 2006, 1:00 pm - 4:30 pm
Location: Monroe East
National Health Information Infrastructure (NHII Overview): From A to Z
J. Marc Overhage, Indiana Health Information Exchange, Indiana University, and Regenstrief Institute, Inc., Indianapolis, IN
Shaun Grannis, Indiana University and Regenstrief Institute, Inc., Indianapolis, IN
Blackford Middleton, Center for IT Leadership, Partners HealthCare System, Inc., Brigham & Women's Hospital, and Harvard Medical School, Boston, MA
Janet M. Marchibroda, eHealth Initiative, Washington, DC
Victoria M. Prescott, Regenstrief Institute, Indianapolis, IN
Health information technology (HIT) is part of the solution to the quality, safety and efficiency challenges that our nation faces. In order to realize the potential value that HIT brings we have to integrate data from the disparate components of our health care system. In order to create a National Health Information Network (NHIN) we have to overcome technical, policy, organizational and business challenges. This two part tutorial will provide an overview of the current national and community efforts to create a NHIN, the basic technologic challenges and their potential solutions, some of the legal and organizational background and, finally, an overview of the potential value.
By the end of the tutorial, participants will be able to:
- Discuss the current state of the NHIN efforts in the US
- List the four major technical issues that most health information exchange efforts encounter and their potential solutions
- Understand the value of costs of health information exchange on a national scale
Outline of Topics: - Historical perspectives including the PITAC reports, NLM reports,
- National perspectives including administration (ONCHIT including RFI response reviews and CMS) and legislative; international efforts
- Community efforts and what is happening around the nation
- Framework including issues of security, authentication, connectivity
- Patient Matching
- Architectures specifically options for how and where data are stored
- Coding and Standards including implementation guides existing and planned
- Legal Issues briefly touching on privacy and security
- Organizational Issues including size, data ownership, getting started
- Value proposal based on the C!TL model for health information exchange value
- Data on value reviewing the bits of evidence
- Funding opportunities for support and timing of those opportunities
Intended Audience: Scientists, educators, and researchers; physicians, nurses, and other healthcare professionals; and administrators and CIOs.
Content level: 50% basic / 50% intermediate
Download Tutorial Description (pdf)
T19 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Jefferson West
Discovering Knowledge: Data Mining
John H. Holmes, University of Pennsylvania, Philadelphia, PA
This interactive tutorial will introduce attendees to the theory, tools, and techniques for discovering knowledge in biomedical data. Using a well-known data mining life cycle as a conceptual framework, attendees will experience first-hand, thorough demonstration and direct participation, the techniques of mining clinical data. These techniques include data preparation, description and visualization, mining association, classification, and prediction rules, clustering. The capstone of the tutorial will be the application of mined data to informing traditional statistical analysis.
The Weka data mining software package (http://www.cs.waikato.ac.nz/ml/weka/) will be used for interactive demonstration in the tutorial. Weka is freely available in the public domain, and runs on even modestly equipped computers within a Java runtime environment (JRE). The software will be distributed to attendees on CD-ROM free of charge. Attendees will be encouraged to bring laptops to the tutorial, during which they will be given the opportunity to install and use Weka. However, even those who do not bring laptops will benefit from the detailed demonstrations in the tutorial. This tutorial requires basic familiarity with databases and data warehouses.
By the end of the tutorial, participants will be able to: - Understand the basic principles of data mining
- Apply appropriate data mining techniques in clinical research
- Interpret data mining results and how they inform statistical analysis
Outline of Topics: - Biomedical databases
- Data visualization
- Intelligent data analysis
- Explanatory data mining
- Predictive data mining
- Data mining software
- Applications of data mining in biomedical domains
- Data preparation: methods for cleaning, reduction, and coding
- Association rule discovery
- Classification and prediction
- Clustering and visualization
- When to data mine
- Evaluating data mining software
- Ethical concerns in data mining
Intended Audience: Scientists; researchers; physicians, nurses, and other healthcare professionals; and computer scientists, system developers, and programmers.
Content level: 100% basic
Download Tutorial Description (pdf)
T20 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Jefferson East
Project Management: Implementing Systems on Time and with Budget
Judy Murphy, Aurora Health Care, Milwaukee, WI
Patricia C. Dykes, Partners HeathCare, Boston, MA
Clinicians often find themselves as leaders of information system implementation efforts, whether they are in clinical practice or working in information technology departments. Although many aspects of project methodology parallel a decision-making process and come natural for clinicians, these complex clinical system projects usually require significant process changes in addition to technology deployment, so it is generally helpful to learn more about the structured approach to system implementation in order to bring the project in on time and within budget. In this tutorial, the presenters will explore the systems implementation lifecycle and strategies to ensure success when implementing both small and large clinical systems, particularly when there is an impact on workflow. Content will focus on: implementation phases, tips to positively impact on the effectiveness and efficiency of a system implementation, and key elements of project management.
By the end of the tutorial, participants will be able to: - Outline the 10 steps of the Systems Development Lifecycle.
- Identify 3 techniques that will positively impact on the effectiveness & efficiency of a Clinical System Implementation.
- Describe 5 key elements of Project Management for a Clinical System Implementation.
Outline of Topics: - Systems Development Lifecycle
- Current State Analysis and Future State Design
- Hardware and Software Installation
- System Build and Interfaces
- Testing, Training, and Going Live
- Maintenance and Evaluation
- Effective and efficient system implementation
- Vendor Partnering
- Implementation Committees and Decision-Making
- Workflow Considerations and Process Re-Design
- Training and User Support Strategies
- Specialty Implementations (CPOE, Barcoding, eMAR)
- Impact Analysis, Benefit Realization, and ROI
- Project Organization and Work Planning
- Project Management, Gantt Charts, and Work Plans
- Task Management and Time Reporting
Intended Audience: Nurses, physicians, and other healthcare professionals
Content level: 50% basic / 50% intermediate
Download Tutorial Description (pdf)
T21 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Lincoln West
Ontologies in Biomedicine
Mark A. Musen, Stanford University, Stanford, CA
Principal Investigator, The National Center for Biomedical Ontology
Ontologies are at the core of biomedical informatics. The ability to describe formally the entities in an application area and the relationships among those entities is a fundamental skill in informatics and an essential prerequisite to the development of complex software systems. From systems for annotating experimental data (such as the Gene Ontology), to large terminological systems (such as SNOMED), to descriptions of medical knowledge for decision support (such as in the case of guideline-based care), ontologies have become pervasive in biomedicine. This tutorial will provide an overview of what ontologies are and why they are important. Participants will learn to distinguish ontologies from controlled terminologies and from knowledge bases. They will learn how ontologies are used in biomedical practice and the role of informatics in the construction, management, and application of ontologies. Participants will learn about the role of ontologies in applications for decision support, electronic health records, information retrieval, knowledge management, and the Semantic Web.
By the end of the tutorial, participants will be able to:
- Know what ontologies are and how they are structured and developed
- Know about some important ontologies used in biomedical informatics
- Know how ontologies are used to build representative types of application systems in biomedical informatics
Outline of Topics:
- What is an ontology?
- Kinds of ontologies
- Open-Directory Project
- Foundational model of anatomy
- Gene ontology
- NCI Thesaurus
- EON
- Applications of ontologies
- Structured-data entry for EHR
- Information retrieval
- Data annotation
- Knowledge-based systems
- Languages for building ontologies
- Principles of ontology development
- Tools for building and managing ontologies
- Future trends
- Model-Driven Architecture
- The Semantic Web
Intended Audience: Scientists, educators, and researchers; Biomedical engineers and workers in bioinformatics; Administrators and CIOs; Computer scientists, system developers, and programmers; and Medical librarians and other information professionals
Content level: 100% basic
Download Tutorial Description (pdf)
T22 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Lincoln East
Public Health for Informaticians
Patrick W. O'Carroll, United States Department of Health and Human Services, Washington, DC
Public health, as a social enterprise, is among the most successful human endeavors in history. Paradoxically, it is also one of the least understood and most dangerously under-funded undertakings of the modern age. Through presentations and interactive discussions, the instructor will briefly review the history of public health and the societal forces that spurred its development; clarify the relative magnitude of the contributions to human health of clinical medicine and public health; discuss and clarify the reasons why it is difficult to grasp the nature and boundaries of the profession of public health; and finally, articulate guiding principles, core functions, and time-tested approaches that define what public health really is. With this as background, participants will be engaged in a discussion of the tremendous potential for informatics to improve and transform public health, with special emphasis on several "grand challenges" currently at the forefront of the field of public health informatics.
By the end of the tutorial, participants will be able to:
- Explain the nature of public health as a societal undertaking, in terms of its guiding principles, core functions, and systematic approach to investigating and mitigating public health threats
- Compare and contrast discipline-driven vs. goal-driven professions, and explain the implications for the field of informatics as applied to such professions.
- Describe at least one "grand challenge" of public health informatics, and explain its relevance to the broader goal of harnessing information science and technology to improve the public's health.
Outline of Topics: - Historical perspectives on public health practice through the years
- Defining public health as a profession
- Guiding principles, core functions, public health approach
- Major applications of information science and technology to public health
- Cutting edge applications
- Public health informatics: grand challenges, future directions
Intended Audience: Scientists, educators, and researchers; physicians, nurses, and other healthcare professionals; biomedical engineers and workers in bioinformatics; administrators and CIOs; computer scientists, system developers, and programmers; and medical librarians and other information professionals
Content level: 100% basic
Download Tutorial Description (pdf)
T23 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Georgetown West
EHR: Selection and Implementation
Jerome H. Carter, NT&M Informatics, Inc, Atlanta, GA
The expert use of clinical data management tools is an essential skill for health care providers. While there exists a wide variety of software to select from, most busy clinicians do not have the skills, time or domain knowledge to choose those which best fit their information needs. This tutorial will address how to evaluate clinical data management needs, how to develop a process for selecting an electronic health records product, and common electronic health record implementation issues.
By the end of the tutorial, participants will be able to: - Understand categories of types of Electronic Record products
- Learn specific criteria for judging Electronic Health Records Systems
- Understand how patient safety and quality issues affect software selection
- Understand the importance of process and workflow analyses in software selection and implementation
Outline of Topics: - Currently available EHR systems
- Process and workflow analyses
- Patient safety & error prevention features
- Evaluating vendors and products
- Criteria and judging EHR systems
- RFP creation and contract negotiation issues
Intended Audience: Clinicians, medical directors, nurses, medical records administrators, CIOs, informaticians, clinical researchers and others who wish to know more about how to determine their data management needs and identify and implement products which meet those needs.
Content level: 50% basic / 40% intermediate / 10% advanced.
Download Tutorial Description (pdf)
T24 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Georgetown East
Electronic Health Records: How might we deliver the benefits rapidly and inexpensively?
W. Edward Hammond, Duke University Medical Center
William W. Stead, Vanderbilt University
Everyone concerned with the access, quality and cost problems of today's healthcare quickly recognizes electronic health records as a critical need. The benefits of the ready access to the right information have been documented in the medical literature. Yet "adoption" is slow. This tutorial begins with the hypothesis that the academic biomedical informatics community, and the health care information technology industry, may bear part of the responsibility for this adoption gap. Attention to the perfect may be getting the way of achieving the good.
By the end of the tutorial, participants will be able to: - Have an understanding of the splitter's view of the benefit of EHRs
- Have an understanding of the power of loosely coupled components when supporting different but overlapping roles
- Have an approach to breaking up the EHR problem to deliver benefit earlier and less expensively
Outline of Topics: - Granular benefit framework
- Measurable quality or cost return
- Changes required (Process, Role, Technology) for that return
- Shortest path to that return
- Putting pieces together to gain speed and flexibility:
- Case example: How decoupled PHRs and EMRs might work together
- Staging implementation of EHR components to deliver benefit in excess of cost
- Examples of how this might be done in a mall practice or health system
Intended Audience: Individuals responsible for quality/cost improvement in a health system or responsible for implementing or developing information technology to enable those improvements
Content level: 10% basic / 80% intermediate /10% advanced
Download Tutorial Description (pdf)
T25 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Monroe West
Design and Conduct of Evaluation Studies in Biomedical Informatics
Charles P. Friedman, National Heart, Lung, and Blood Institute, NIH, Bethesda, MD
Jeremy C. Wyatt, University of Dundee, Scotland, UK
It is now generally accepted that evaluation of information resources and their users is one of the fundamental activities of biomedical and health informatics. Evaluation studies can address a wide range of questions using a wide range of methods. Studies are carried out before, during, and following the deployment of information resources. This tutorial is designed to support anyone designing, carrying out or critically appraising an evaluative study of a biomedical information resource. The tutorial will offer an introduction to the rigorous scientific methods underlying evaluation, in such a manner that they are understandable and practical to apply. The tutorial starts by defining evaluation and describing why we do it, then discusses alternative approaches and how to select between them. A case study is used to introduce evaluation techniques and examine their strengths and weaknesses.
The content of this tutorial is coordinated with the textbook: Friedman CP, Wyatt JC. Evaluation Methods in Biomedical Informatics, 2nd Edition. New York: Springer, 2005.
By the end of the tutorial, participants will be able to:
- Define the process and role of evaluation within the field of informatics.
- Given an evaluation study, identify the approach that it employs.
- State specific evaluation questions, appropriate to an informatics project setting.
- Analyze evaluation studies with attention to issues of measurement and demonstration study design.
Outline of Topics:
- What is evaluation, why do we do it and why is it difficult?
- Alternative approaches to evaluation, and their underpinnings
- The range of what can be studied in informatics
- Quantitative (objectivist) approaches in depth: measurement and demonstration studies.
Intended Audience: The tutorial is appropriate for anyone designing, carrying out, or critically appraising the study of information resources--as applied to health care, biomedical research, or the education of health professionals.
Content level: 80% basic / 20% intermediate
Download Tutorial Description (pdf)
T26 - Sunday, November 12, 2006, 8:30 am - 12:00 pm
Location: Monroe East
Evidence-based Nursing Knowledge - Content and System Design
Connie Delaney, University of Minnesota, Minneapolis, MN
Judith Warren, University of Kansas, Kansas City, KS
The purpose of this tutorial is to provide a basic understanding of and systems development and design for evidence-based nursing practice. This tutorial will demonstrate quality sources of nursing knowledge and how to apply state-of-the-science standards to selection of knowledge. The instructors will describe the relationship of a professional practice framework to developing referential and actionable evidence; discuss the issues to an exemplar protocol to develop actionable evidence; and discuss the translation of nursing knowledge across education, practice, and industry environments and related standards.
By the end of the tutorial, participants will be able to: - Identify quality sources of nursing knowledge;
- Apply state-of-the-science standards to selection of knowledge;
- Describe the relationship of a professional practice framework to developing referential and actionable evidence;
- Participate in modeling of an exemplar protocol to develop actionable evidence;
- Discuss the translation of nursing knowledge across education, practice, and industry environments and related standards.
Outline of Topics: - Sources of nursing knowledge
- Evidence grading
- Standards for selection of nursing knowledge
- State-of-the-science standards to selection of knowledge
- Relationship of a professional practice framework to developing referential and actionable evidence
- Modeling of an exemplar protocol
- Translation of nursing knowledge across education, practice, and industry environments and related standards
Intended Audience: Nurses and other healthcare professionals; system developers and programmers
Content level: 50% basic / 50% intermediate
Download Tutorial Description (pdf)
|
 |
 |  | AMIA 2006 Corporate Supporters
| |
|