1. The AMIA 10x10 Program: An International Approach to Building Informatics Capacity Latin-American experience…not Lost in Translation Paula Otero, MD Department of Health Informatics - HIBA IMIA WG on Health and Medical Informatics Education paula.otero@hospitalitaliano.org.ar

2. Capacity Building Detmer. Yearb Med Inform 2010:101-5

3. Hospital Italiano de Buenos Aires

4.   Academic tertiary care center founded in 1853 → University (School of Medicine /nursing) → 2 Hospitals → 23 outpatient clinics → 300 affiliated private practices   800 beds (200 ICU)   40 OR   600 homecare beds   3.000.000 outpatient visits/year   50.000 inpatient admissions/year   2500 births/year   300 transplants/year   7.200 people → 2.700 physicians → 2.700 allied healthcare staff → 1.800 administrative staff

5. Areas Departments Vice Director Director Medica Direction Plan de Salud (HMO) Hospital MedicinePediatricsSurgery Health Informatics Applications and Software Development Technology & Networking Testing and Implementation P&P Clinical Informatics Statistics, Epidemiology NursingDx y TherapyR&T Institute Agustín Roca (36) (32) (6) (6) (30) (9) Department of Health Informatics

6. Capacity Building Undergraduate (Futures IT users) User IT (Training & Support) Posgraduate (Future informaticians)

7. Capacity Building Undergraduate (Medicine, Nursing, Pharmacy, Biochemestry) Posgraduate (Msc, Speciality & 10x10 programme, HL7, PMI, Epidemiology, Management ) IT Users Help desk 24x7 & E-learning courses (EHR, IR, IT skills)

8. Core Content for Clinical Informatics Gardner. JAMIA 2009;16:153–157 Clinical Care IT knowledge and skills Healthcare System IC

9. Education in Clinical Informatics Ciencias Relacionadas Clinical Informatics

10. Objectives of Education in Clinical Informatics   Understand the process by which information is captured   Understand the methods for classifying and computerize the data   Methods for archiving and storing   The best way to recover ensuring continuity of care through continuity of information (standards)   How to care for the Security, Privacy and Confidentiality of Information   Understanding the culture of care (doctors and nurses) and human adaptation to changes   Bring appropriate knowledge at the point of care   Research and asses health information system

11. Postgraduate, Introductory level: 10x10   Introduction to Health Informatics (10x10) → MOU between IUEMHI - AMIA - OHSU → 16 weeks with 5 modules → Distance learning modality through virtual campus HIBA → Lectures, reading material, activities and interaction with tutors → More than 1000 students (2006 – actual)

12. Students’ nationality 23 countries n 1020

13. 10x10 Spanish course - Current contents   Health System Information Systems (4 weeks) → Introduction to healthcare systems (characteristics and problems) → Role of Health Information Systems (HIS) and the Health Informatics discipline.   Legacy Systems Integration (3 weeks) → Implementing clinical layer (or care) and its integration with the administrative layer → Concept of interoperability and standards.   Clinical Information Systems (6 weeks) → Electronic Health Records with focus on how they need to be scalable and interoperable in order to provide support systems for decision-making → Security, privacy and confidentiality of health information.   Clinical Data Management (2 weeks) → Impact of clinical information systems in decision making for the management of organizations promoting healthcare, education and research.   Management of Change (1 week) → Change management challenges that must accompany the transformation of information systems.

14. 10x10 course topics   Characteristics of Healthcare Systems;   Health informatics: the development of a new discipline;   Anatomy of Health Information Systems. Components;   Interoperability and Standards;   Introduction to Biomedical Computing;   Privacy, Confidentiality and Data Security;   Structure of Administrative Systems. Standards in Healthcare: an strategic need;   Knowledge Representation and Coding Systems;   The Heart of a Health Information System: The Electronic Health Record;   Without frontiers: Personal Health Records;   The “Reason of Being”: Clinical Decision Support Systems. Examples of Applications;   Images, Signals and Reports in Simultaneous;   Organizational Aspects and Project Management: Strategies to Accompany Change, Evaluation and Certification of Health Information Systems;   A general view of other Disciplines in Health Informatics: Nursing Informatics, Telemedicine and Bioinformatics;   A different point of view: Healthcare from Individuals to Populations. Chronic Disease Management.

15. Teaching modality  Activities → Movie that shows the current situation of healthcare systems  The death of Mr. Lazarescu  Do people resist change?  Syncrhronous meeting → Aims to review the core concepts of the modules addressed, and clear the doubts, whether conceptual or the activities to be undertaken → Adobe Connect recorded for later vieweing of for those who could not attend  Self-assessment → Self testing of the concepts acquired in the reading material (mandatory)  Supplementary Material → Journal articles, book chapters, multimedia

16. Activities  Movie → Movie that shows the current situation of healthcare systems  The death of Mr. Lazarescu → Problems encountered in the care of the patient → Possible interventions from the perspective of the HIS  Why?  For what?

17. Activities  Movie → Recognize the factors that predispose or not people to change. → Identify appropriate strategies for change management.

18. CME – Continuing Medical Education  Journal Club → 300 papers → Each week → Integration with students  Different countries  Different specialities  Webinars → Topics for professional development in Health Informatics → Each month http://www.hospitalitaliano.org.ar/infomed

20. Thank you Tak Gracias Paula Otero, MD Department of Health Informatics - HIBA IMIA WG on Health and Medical Informatics Education paula.otero@hospitalitaliano.org.ar