Personal Health Information: The Last Frontier on the World Wide Web James J. Cimino, M.D., Soumitra Sengupta, Ph.D., Eneida Mendonça, M.D., M.S., Department.

Slides:

Advertisements

Similar presentations

1 ROADS to ATHENS Manjula Patel UKOLN University of Bath Bath, BA2 7AY UKOLN is funded by the British Library Research and Innovation.

Advertisements

Enabling the national digital agenda: now and the future James Ferguson Consultant Hepatologist QEHB Birmingham.

A Truly Meaningful Use of Electronic Health Records Freely Available to All: Automated Anticipation and Resolution of Clinical Information Needs at the.

Initial Implementation of an Intelligent Patient Data Review Assistant (IPDRA) LTC Trinka Coster, MD Matthew Medlock, MD LTC Joseph Parker, MD Jim Ong,

Tara Yeager Computer Literacy April 29, Pharmacists: Distribute drugs Advise patients as well as health care professionals Monitor progress Compound.

Use of Online Resources While Using a Clinical Information System James J. Cimino, MD; Jianhua Li, MD; Mark Graham, PhD, Leanne M. Currie, RN, MS; Mureen.

The Librarian Infobutton Tailoring Environment (LITE) James J. Cimino National Institutes of Health and Columbia University.

Redesign of the Columbia University Infobutton Manager James J. Cimino, Beth E. Friedmann, Kevin M. Jackson, Jianhua Li, Jenia Pevzner, Jesse Wrenn Department.

An Integrated Approach to Computer-Based Decision Support at the Point of Care James J. Cimino, M.D., FACMI, FACP Professor of Biomedical Informatics and.

Practical Considerations for Exploiting the World Wide Web to Create Infobuttons James J. Cimino, Jianhua Li, Mureen Allen, Leanne M. Currie, Mark Graham,

National Health Information Infrastructure at Columbia University and New York Presbyterian Hospital James J. Cimino, M.D. Professor of Medical Informatics.

RESULTS: PHASE II INFOBUTTONS IN USE: Examples of Context Specific Links to Web-based Materials METHODS: PHASE I Study Design Ethnographic evaluation of.

Bringing Clinical Information to the Bedside with the World Wide Web James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.

Personal Health Records: Past and Future Directions, In Two Acts Clement J. McDonald, MD James J. Cimino, MD Lister Hill National Center for Biomedical.

Guilherme Del Fiol, MD, MS

Patient Access to Health Information James J. Cimino, M.D. Columbia University Presented to National Committee on Vital and Health Statistics Chicago,

Webinar: Publishing for the EHR 101 James J. Cimino Chief, Laboratory for Informatics Development National Institutes of Health Clinical Center May 20,

Supporting Medical Decision Making with Electronic Medical Records James J. Cimino Departments of Medicine and Medical Informatics Columbia University.

Integrating e-Publishing, Digital Libraries and the Electronic Medical Record Jim Cimino Marco Island February 4,

An Evaluation of Patient Access to their Electronic Medical Records via the World Wide Web James J. Cimino, Jianhua Li, Eneida Mendonça, Soumitra Sengupta,

Web as Medium for Patient Access to Electronic Health Information James J. Cimino, MD, Vimla L. Patel, PhD, Andre W. Kushniruk, PhD Columbia University.

The Internet - How Will It Transform the Practice of Medicine? James J. Cimino - Columbia University Daniel Nutkis - Medtegrity Harry Jacobson - Web EBM.

Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.

Patients’ Access to Medical Records: Experience with PatCIS James J. Cimino Division of General Internal Medicine & Department of Medical Informatics.

What do Patients Do with Access to Their Medical Records? James J. Cimino, Vimla L. Patel, Andre W. Kushniruk Columbia University, McGill University, York.

Harnessing World Wide Web Technology and Standardized Terminology to Improve Decision Making for Patients and Providers James J. Cimino Departments of.

James J. Cimino MD, Jianhua Li MD, Suzanne Bakken RN DNSc, Vimla L. Patel PhD Department of (Bio)Medical Informatics Columbia University New York, New.

Mobile Information and Coordination for Health Care James J. Cimino, Elizabeth S. Chen, Lawrence K. McKnight, Peter D. Stetson, Jianbo Lei, Eneida A. Mendonça.

Use, Usability, Usefulness and Impact of an Infobutton Manager James J. Cimino, M.D. Department of Biomedical Informatics Columbia University College of.

Evidenced-Based Practice Using Your Palm Pilot and Other Technology November 20, 2001 Suzanne Bakken, RN, DNSc, FAAN School of Nursing & Department of.

Moving Forwards with HealthSpace Gillian Braunold Clinical Director Summary Care Record & HealthSpace.

Access to Information Sources through Controlled Vocabulary James J. Cimino, M.D. Department of Medical Informatics Columbia University.

Requirements for Epidemic Information Management Farrukh Najmi XML Standards Architect Sun Microsystems

Older adults and accessible EHRs Juan Pablo Hourcade University of Iowa Accessible EHR Workshop.

1 ITGS - introduction A computer may have: a direct connection to a net (cable); or remote access (modem). Connect network to other network through: cables.

Protecting Patron Information in a Consortial Environment Issues and Strategies Jennifer Kuntz

MINISTRY OF SOCIAL AFFAIRS AND HEALTH 1 The Finnish National Electronic Patient Record Archive

Protecting Students on the School Computer Network Enfield High School.

Can an Authentic Interest for Research Integrity be Fostered? From a Government Driven Promotion to a Voluntary Self- education and Consensus Forming on.

Application Services COM211 Communications and Networks CDA College Theodoros Christophides

Intranet Technology in Hospital Information Systems James J. Cimino, M.D. Department of Medical Informatics Columbia University.

M JEPPESEN, PH.D. STUDENT MAY 2009 DEPT. OF GENERAL PRACTICE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF AARHUS 1 Patient addressed Internet based decision support.

Database Systems: Design, Implementation, and Management Eighth Edition Chapter 14 Database Connectivity and Web Technologies.

Secure Systems Research Group - FAU SW Development methodology using patterns and model checking 8/13/2009 Maha B Abbey PhD Candidate.

McLean HIGHER COMPUTER NETWORKING Lesson 8 E-Commerce Explanation of ISP Description of E-commerce Description of E-sales.

HIT Standards Committee Overview and Progress Report March 17, 2010.

Chapter 19 Manager of Information Systems. Defining Informatics Process of using cognitive skills and computers to manage information.

Vision: Impact of Information on the Health Field in the Future James J. Cimino Department of Medical Informatics Columbia University.

Infobuttons: Context-specific Links from Clinical Systems to On-Line Knowledge Resources to Anticipate and Address Clinician Information Needs at the Point.

The Shaw Group Inc. WebVPN - Access Anywhere Users Manual.

Architecture for a Web-Based Clinical Information System that Keeps the Design Open and the Access Closed James J. Cimino, Soumitra Sengupta, Paul D. Clayton,

Information systems and management in business Chapter 2 Electronic Business and Business Mobility.

Explorations in Internet-Based Collaborative Informatics Research: A Cognitive Evaluation Vimla L. Patel, PhD, DSc Departments of Medical Informatics and.

Informatics and Evidence-based Practice M8120 Fall 2001 Suzanne Bakken, RN, DNSc, FAAN School of Nursing & Department of Medical Informatics Columbia University.

Internet Privacy Define PRIVACY? How important is internet privacy to you? What privacy settings do you utilize for your social media sites?

Mary Trauner Senior Research Scientist Georgia Institute of Technology Middleware for Video.

Lessons learned from implementing a full-package Electronic Medical Record System in Lesotho Outpatient Departments to improve Patient Waiting Time and.

Chapter 4: Nursing Resources for Epidemiology. Introduction Data collection and analysis is a core area of epidemiology. Epidemiologists gather data from.

Web Development Life Cycle

Web Applications Security INTRO

Database Driven Websites

Patient Access to Clincial Information on the Web: PatCIS

Department of Medical Informatics

Access to the Clinical Encounter via the World Wide Web

Use of the Internet for Database Access

Patient Access to Electronic Medical Records

Overview of Medical Computing

University of Oklahoma Health Sciences Center

Presentation transcript:

Personal Health Information: The Last Frontier on the World Wide Web James J. Cimino, M.D., Soumitra Sengupta, Ph.D., Eneida Mendonça, M.D., M.S., Department of Medical Informatics Columbia University Vimla L. Patel, Ph.D., Andre Kushniruk, Ph.D. Centre for Medical Education, McGill University

Things You Can Do On the Web Read a newspaper Buy groceries Banking Trade stocks Track your Fed Ex package Get health information

Kinds of Health Information You Can Get Medline citations Drug advertisements Quack therapies Viagra prescriptions

Kinds of Health Information You Can’t Get Your cholesterol level Your mammogram report A list of your current medications Advice from your doctor

Personal Health Information on the Web Access to your electronic medical record Ability to contribute to your medical record Relevant, reliable, understandable advice Fostering patient-clinician communication

Challenges Web access to electronic records Security and confidentiality issues Political issues Ethical issues

Web Access to Electronic Records Data in electronic form? Data accessible? Data queries Presentation Writing to record

Security and Confidentiality Issues Identification Authentication Authorization Privacy

Political Issues Clinician response Medicolegal issues Institutional Review Board

Ethicial Issues Discovery without supervision Misunderstanding and worry Misunderstanding and complacency Patient-clinician communications –better –shorter –worse –longer

PatCIS: An Experiment to Gain Experience Funded by the US National Library of Medince Architecture Applications

PatCIS Screen shot

Data Entry Review Advice Education Comments Help Logout Java script Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Session Registry Re-enter Password Usage Log Internet Javascript Link CGI 11

PatCIS Architecture Integration Security Tracking Evaluation Feature blocking

PatCIS Domains Data entry Data review Education Advice “Infobuttons”

Data Entry screen shot

Data Review graph? More screen shots

Mammogram Advice screen shot

more screens

Current Experience Small number of users No problems thus far Favorable response Evaluation under way

Potential Areas of Expansion Advance directives Pap smear infobutton

Addressing the Challenges Web access to records Security and confidentiality issues Political issues Ethical issues

Conclusions