Introduction to Medical Informatics Class 1

Agenda 3:00-3:15 Announcements 3:15-3:30 About the course 3:30-3:50 Introduction - What is medical informatics?

Note: Lecture notes/slides will be posted before each class Write this down Course website: http://www.cs.colorado.edu/~ksiek/Teaching/CSCI5312/F08/ Note: Lecture notes/slides will be posted before each class

Who am I? Katie Siek, Assistant Professor ksiek@cs.colorado.edu ECOT 743 by appointment Put MI: in email subjects

Classroom Policies Where to sit Laptops Information Appliances

Absentee Policies Religious Observances (2 weeks notice) Documentation Illness (must say cannot attend class) Death Law Incidents Travel (2 weeks notice)

Who is this class for? People interested in medical informatics or interdisciplinary research People interested in gaining research skills People interested in user interface design, human computer interaction, ubiquitous computing There will be a lot of reading There will be a lot of group collaboration There will be some programming within groups

What are we going to do in this class? Topics in Medical Informatics Intense Synthesis Paper Techniques to use when conducting medical informatics research More time for project Final Project

Class Goals To develop the skills and practices necessary to collaborate with medical researchers and create assistive and performance support applications. To develop practical research oriented skills for interdisciplinary (or transdisciplinary) research. To provide an overview of ongoing and emerging research topics in medical informatics.

About the Course 20% Quizzes 8 short quizzes based on readings 20% Class Participation Grad 5% class participation 15% research paper, paper approval, 15 minute presentation, 10 minute discussion (includes CAETE students) 30% Synthesis Paper 3 papers from highly selective conferences or journals Construct a taxonomy and use the taxonomy as an organizing principle for the paper 30% Final Project

Course Management Course Website Links to readings, slides, handouts, assignments Google Group (CSCI5312) Google Docs (wiki usage) Assignments posted on the week they are assigned, not day they are due (see Due Date table) Who has used Google Docs before?

When did Medical Informatics start?

A definition Medical informatics is a systematic study of the identification, collection, storage, communication, retrieval, and analysis of data about medical care services to improve decisions made by clinicians.

ﾒWedgesﾓ diagram (polar diagrams) created by Florence Nightingale to show that most deaths during the Crimean War were caused by illness from lack of hygiene (Picture from H. Small [131]). H. Small. The “coxcomb”: Florence Nightingale’s most famous statistical diagram (1858). http://www.florence-nightingale-avenging-angel.co.uk/Coxcomb.htm.

Standard idea of medical informatics

…or… Good or Bad?

Different Idea, Same Medium

Key piece missing in the definition - information technology Database Retrieval 1958 National Library of Medicine and IBM work to create bibliographic database 1966 Massachusetts General Hospital Utility Multi-Programming System

Key piece missing in the definition - information technology Database Retrieval Clinician Support 1973 Robert Ledley creates Computer Topography Scans at NIST 1974 MYCIN created - expert system to help diagnose infections

Key piece missing in the definition - information technology Database Retrieval Clinician Support Spread Mobile Support 1997 Apple researchers use Newton PDA in India 1996 Health Insurance Portability and Accountability Act 1980s Technology spread

Key piece missing in the definition - information technology Database Retrieval Clinician Support Spread Mobile Support Field Split 2000 Consumer Health Informatics 2002 UbiHealth 1980s Technology spread

Exertion application for preventative healthcare Mueller, F. '. and Agamanolis, S. 2005. Sports over a distance. Comput. Entertain. 3, 3 (Jul. 2005), 4-4. DOI= http://doi.acm.org/10.1145/1077246.1077261

Assistive systems to help children and families Toscos, T., Faber, A., An, S., and Gandhi, M. P. 2006. Chick clique: persuasive technology to motivate teenage girls to exercise. In CHI '06 Extended Abstracts on Human Factors in Computing Systems (Montréal, Québec, Canada, April 22 - 27, 2006). CHI '06. ACM Press, New York, NY, 1873-1878. DOI= http://doi.acm.org/10.1145/1125451.1125805 To Be Submitted: Jan. 2007

Want to help a pre-term baby? Siek, IU, 2005

Ever forget to take your medicine? Improving the Effectiveness of Medical Treatment with Pervasive Computing Technologies. Christian Floerkemeier and Frank Siegemund, UbiHealth 2003. Floerkemeier and Siegemund, 2003

Want to see how much nutrition your consuming fast? Mobile Applications that Empower People to Monitor their Personal Health. Kay H. Connelly, Anne M. Faber, Yvonne Rogers, Katie A. Siek, and Tammy Toscos. In Springer e&i, 123(4):124, 2006. Siek, Rogers, Connelly, IU, 2005

Help evaluations become more consistent with multiple users… Kientz, J.A., G.R. Hayes, G.D. Abowd, and R.E. Grinter. From the War Room to the Living Room: Decision Support for Home-based Therapy Teams. To appear in the proceedings of CSCW 2006. Banff, Alberta, Canada. 2006.

Let’s try thinking of a solution… Hospital Waiting Room Waiting room is too small Need to utilize technology Decrease wait time Efficient use of resources Goal: Maximize the patients’ time getting medical attention

This is a real problem happening at local hospital!

Looking forward Week 1 – Medical Informatics – Overview, Finding Papers Week 2 – Pervasive Healthcare September 1 NO CLASS – Labor Day Week 3 – Assistive Technologies Week 4 – Qualitative Field Methods and Exercises September 17 NO CLASS – Field Exercise

Assignment Create your account with the google group Introduce yourself in the google profile Questions in Assignment (Due: Friday, August 29) 2 Assigned readings (Quiz: Wednesday, September 3) Grad: Sign up for your top three picks for class participation presentations on the Google doc (Due: August, 31)