Health Informatics http://blog.aeseducation.com/2012/03/health-information-technology/

Nutrition Informatics Intersection of nutrition, information and technology Part of broader health informatics (study of the design, development, adoption and application of IT-based innovations in healthcare services delivery, management and planning)

Nutrition Informatics Effective retrieval, organization, storage, and optimum use of information, data, and knowledge for food- and nutrition-related problem solving and decision-making. Not just for clinical – impact any setting

Nutrition Informatics 360° Tech Hospital In the Lab Private Practice Community

Nutrition Informatics Clinical informatics Public Health/Research (international nutrition) Consumer informatics Policy informatics

2008 - only 17 percent of physicians and 9 percent of hospitals had at least a basic EHR. In 2015, 96 percent of hospitals2 and 78 percent of physician offices use certified‡ EHR technology. https://dashboard.healthit.gov/report-to-congress/2016-report-congress-examining-hitech-era-future-health-information-technology.php

ONC Office of the National Coordinator for Health Information Technology (ONC) (Office of the Secretary – DHHS) Electronic health record (EHR) certification, meaningful use, and health information exchange (HIE)

Other Health IT Tools Computerized physician order entry Clinical Decision Support Personal Health Records Telehealth/Remote Monitoring/Secure Messaging Mobile Devices/Apps/Wearables

Clinical Decision Support Knowledge, processes, and tools to support providers in making decisions. Computerized alerts and reminders, clinical guidelines, order sets, patient data reports and dashboards, documentation templates, diagnostic support, and clinical workflow tools.

CDS https://www.amia.org/sites/default/files/files_2/A-Roadmap-for-National-Action-on-Clinical-Decision-Support-June132006.pdf

Effective CDS Provides: “the right information (evidence-based guidance, response to clinical need) to the right people (entire care team – including the patient) through the right channels (e.g., EHR, mobile device, patient portal) in the right formats (e.g., order sets, flow-sheets, dashboards, patient lists) at the right times (for key decision or action)” https://www.healthit.gov/providers-professionals/clinical-decision-support-cds

Public Health/Research WIC/SNAP electronic benefit transfer (EBT) Flu/infectious disease tracking Food safety recalls Data collection tools and surveys (incorporating data into workflow) Data modeling/data registries Apps and social media Remote medical care/assessment

Consumer Health Informatics “informatics from the consumer/patient point of view” - AMIA Health literacy Apps and social media Wearables Patient portals/personal health records

Policy informatics social media E-grassroots efforts/action alerts Tracking tools and data management to inform policy Polling and data modeling “Policy informatics is the transdisciplinary study of how computation and communication technology leverages information to better understand and address complex public policy and administration problems and realize innovations in governance processes and institutions.” ~Arizona State, Center for Policy Informatics

Academy Efforts Development of Nutrition Care Process/Standardized Language Committee and associated tools (eNCPT). Nutrition Informatics Task Force and collaboration with the American Medical Informatics Association and Healthcare Information and Management Systems Society (HIMSS).

Academy Efforts Work with Health Level Seven (HL-7), data exchange organization responsible for designing consistent methods of process and interoperability. Terminology and process so that diet orders are included in electronic orders. 10x10 course and nutrition informatics online learning modules.

Practice Paper http://www.eatrightpro.org/~/media/eatrightpro%20files/practice/scope%20standards%20of%20practice/practicepaper-nutrition_informatics-final.ashx

Nutrition Informatics 2011 Member Survey

Consumer Health Informatics Workgroup - 2015 Survey

Informatics Jobs Managing health care data/electronic health records. Using social media and networking to reach out with context-specific messaging. Testing new versions of software for menu planning and recipe analysis

Informatics Jobs Developing new gadgets for monitoring body functions and anthropometrics Creating devices to scan food to determine nutrient composition

Knowledge Management (KM) “collection of systematic approaches to help information and knowledge flow to and between the right people at the right time (in the right format at the right cost) so they can act more efficiently and effectively to create value for the organization” ~ American Productivity & Quality Center (APQC)

Why KM? Senior staff retire/how is knowledge captured and passed on? Need to document processes after a change in leadership, crisis, or error in the organization. However it really is good practice for an organization to manage its information, people, and technology.

Working in KM Helping to manage clinical nutrition information/data Document processes and lessons learned Plan dissemination of results/data Big in international community right now and some domestic settings

Resources http://www.healthit.gov/ https://foodandnutrition.org/blogs/the-feed/ http://www.himss.org/ https://www.amia.org/ https://www.ted.com/topics/health+care https://www.apqc.org/what-knowledge-management