Fernando Plazzotta, MD, MSc. Roadmap to Health Informatics Master’s Degree Fernando Plazzotta, MD, MSc.

Agenda Presenter Introduction Scenario Roadmap Residence in Medical Informatics Health Informatics Specialist Master’s Degree in Health Informatics HOSPITAL ITALIANO de Buenos Aires

Fernando Plazzotta MD – Universidad de Buenos Aires Medical Informatics Specialist – HIBA Master in Telemedicine – Universitat de Catalunya Medical Informatics Associate Professor - IUHIBA Medical Informatics Senior Staff - HIBA Health Information Systems Advisor – Buenos Aires Province’s Health Ministry HOSPITAL ITALIANO de Buenos Aires

Health Informatics We extended the biomedical informatics model developed by Friedman and colleagues (2004) based on the BISTI report (Exhibit 1.1) to include complex adaptive systems (see Exhibit 1.2). Our extension does not imply that the original model is not complex and creative, but it exists within the paradigms of medical and biological sciences. The Friedman model correctly depicts the linear relationship of the core body of science and the application of science to the four domains—bioinformatics, imaging informatics, clinical informatics, and public health informatics. For example, in the area of clinical informatics, the EMR requires doctors to use the computer for charting and to inform their decisions, among others; this use changes clinical behaviors but in itself does not change the structure of the clinical process. If those doctors apply the methods, techniques, and theories of complex adaptive systems, the doctors’ decisions and work processes are altered. The extended model, expressed in a nonlinear manner, adds a conceptual dimension. It does not merely add an application, but it also affects all other relationships, which reflects its disruptive, transforming nature and the profound change it could bring to health system structure and function. Simply, the inclusion of complex adaptive systems extends the concept of biomedical informatics to form health informatics as a transformational science.

Competencies for a Well-trained Biomedical and Health Informatics Workforce Otero P, Hersh W Luna D. González Bernaldo de Quirós F, Methods Inf Med. 2010;49(3):310-5.

Building a health informatics workforce in developing countries. Health Aff (Millwood). 2010 Feb;29(2):274-7. Hersh W, Margolis A, Quirós F, Otero P.

Training offers in Health Informatics Hospital Italiano de Buenos Aires

Strategic shift in health information management Governance Plan 1998 → POMR Legacy systems Online census and ADT Health Informatics Department Outpatient EHR ED HER Web Migration Terminology Services PHR Enterprise HER Ubiquitous Health HIMSS EMRAM 6 Proyecto Itálica

In the year 2000, we started an educational project in Medical Informatics to train medical specialists in health information systems through a medical residency program HOSPITAL ITALIANO de Buenos Aires

Medical Informatics Residece (*Later HI) Paid postgraduate (in-service training) for doctors 2012 → nurses 3 - 4 years (Clinical training / 2 years of experience / previous residence) Ministry of Education - Ministry of Health HOSPITAL ITALIANO de Buenos Aires

A medical informatics distance-learning course for Latin America A medical informatics distance-learning course for Latin America. Translation, implementation and evaluation. Methods Inf Med. 2010;49(3):310-5. Otero P1, Hersh W, Luna D, González Bernaldo de Quirós F.

33 graduates 2001 - 2017 HOSPITAL ITALIANO de Buenos Aires

Especialistas en Informática Médica: 10 años de experiencia de un programa de residencias médicas en Sudamérica Analía Baum, Fernando Plazzotta, Daniela Canosa, Damián Borbolla, Paula Otero, Daniel Luna; Fernán González Bernaldo de Quiroz

Introduction to Biomedical Informatics HOSPITAL ITALIANO de Buenos Aires

Collaborative Scholarship MSc in Health Informatics

Aimed at professionals interested in learning the complexity of this interdisciplinary field from their different perspectives, and in developing the necessary skills to address the different issues of health information systems.

Why a Professional Masters’ Degree?

Addressee Proffessionals: Health Sciences, Computer's science, Information Sciences, Communication Sciences, Engineering Sciences

Goals Develop the necessary skills to apply the principles of Computer, Communication and Information Sciences to the organization, analysis, management and use of information in the health system. Acquire expertise in the master's degree study tools by deepening the training in theoretical, technological and research development, including the ability to address ethical issues in the field, effective communication in oral and written form and the development of a thesis.

Goals To be able to facilitate the advancement of new information technologies in the healthcare field, guaranteeing a continuous and quality care, improving resources and services’ efficiency of use. Assume positions that require a deep knowledge of information technologies and health organizations endowed with creative thinking capable of solving problems and generating new knowledge in multidisciplinary work teams.

Syllabus 44 hs 8 hs 52 46 hs 10 hs 56 4 hs 48 52 hs 28 hs 28 First Year Syllabus Subject Virtual On-Site Total Project Management in HI 44 hs 8 hs 52 Health Information Systems 46 hs 10 hs 56 Principles of Interoperability and Standards 4 hs 48 Decision Support Systems 52 hs Programming Databases and Business Intelligence Practice Workshop 28 hs 28

Thank You! Questions? fernando.plazzotta@hospitalitaliano.org.ar @ferplazzotta