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

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

3. 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

4. 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.

5. 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.

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

7. Training offers in Health Informatics
Hospital Italiano
de Buenos Aires

8. 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

9. 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

10. 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

11. 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.

12. 33 graduates
HOSPITAL ITALIANO
de Buenos Aires

14. 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

15. Introduction to Biomedical Informatics
HOSPITAL ITALIANO
de Buenos Aires

16. Collaborative Scholarship
MSc in Health Informatics

17. 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.

18. Why a Professional Masters’ Degree?

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

20. 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.

21. 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.

22. 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

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