1. Future of Medical Informatics Janis F. Brown USC Norris Medical Library

2. Future Scenarios Hospital clinical information systems Paramedic information systems Home medical information systems

3. Medical Informatics Goal Medical information directed to a specific need at the right time in the right place to the right person

4. Are we there yet? Michael L. Millenson says: Barriers are not technology nor cost Barriers are cultural, i.e. the doctors The doctors say: Medicine is too complex

5. History 1970s LDS Hospital Help System Duke TMR System 1978 2 nd Annual SCAMC Clinical path lab into CIS Knowledge bases for processing patient data PROMIS – medical knowledge representation

6. Current Status – AMIA 2000 IV monitors directly linked to CIS HIV patients getting paged reminders to take drugs Diabetes patients directly linking glucometers to EMR in MDs office Patients viewing own EMR online Many commercial EMR and knowledge base products

7. Forces Driving a Brighter Future Quality of care Institute of Medicine report Leapfrog Group Cost containment Aging population, increased demand HIPAA Technology advances Computers, networks, the Internet, authentication, voice recognition New generation of computer savvy MDs

8. Address and Sites Janis Brown jbrown@usc.edu IOMs To Err is Human http://books.nap.edu/catalog/9728.html Leapfrog Group http://www.leapfroggroup.org American Medical Informatics Association http://www.amia.org