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Chapter 1

Introduction: The Evolution of Health Informatics

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Introduction

Health informatics incorporates processes, procedures, theories, and concepts from:

Computer and informatics sciences

Health sciences (e.g., nursing or medical science)

Social sciences (e.g., cognitive and organizational theories)

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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Informatics Roots

Nurses and other healthcare professionals apply computer and information sciences to healthcare problems.

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Computer Science

Uses mathematics and engineering to study methods for representing and transforming data.

Evolution of computers:

Human “computers” – prone to error

Babbage approach – input and output

Electronic numerical integrator and computer (ENIAC) – moved from mechanical to electronic power

Personal computer (PC) – increased use and computer literacy

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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What is the next step in this evolution?

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Information Science

Key dates:

1937 – The American Documentation Institute was established.

1948 – Royal Society of Great Britain held a conference.

1963 – First information science textbook was published.

1964 – Medical Literature Analysis and Retrieval System (MEDLARS) database was established.

1971 – National online access to MEDLINE was provided.

1972 – Physicians and other health scientists were trained in the use of computer technology for the delivery of healthcare.

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Health Informatics

Dates to the 1950s

Informatics: The study and use of information technology to the arts, sciences, and professions; and its use in society as a whole

Medical informatics: Branch of informatics that focuses on disease diagnosis and management

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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Establishing the Specialty of Health Informatics

Health informatics, a new specialty, is evident in the:

Publishing of health informatics books

Development of new journals

Establishment of professional organizations

Number of informatics conferences that are now recurring events

Creation of university-level educational programs

Development of certification programs

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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General Trends in the Development of Knowledge within a Discipline

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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Figure 1-1.

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Books

Books were first published in the 1960s.

The use of the word informatics in a book title did not appear until 1971.

Today, most, if not all, of the major publishers in the healthcare arena publish books related to health informatics.

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Journals

New journals began to be published in the 1960s.

The first peer-reviewed informatics journal, Computers in Biomedical Research, began publishing in 1967.

The first journal article using the term nursing informatics was indexed in MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) in 1986.

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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Professional Organizations

American Medical Association (AMA)

International Medical Informatics Association (IMIA)

Symposium on Computer Applications in Medical Care (SCAMC)

American Association for Medical Systems and Informatics (AAMSI)

American College of Medical Informatics (ACMI)

American Medical Informatics Association (AMIA)

Healthcare Information and Management Systems Society (HIMSS)

Alliance for Nursing Informatics (ANI)

American Health Information Management Association (AHIMA)

Council on Computer Applications in Nursing

National Forum on Computers in Healthcare and Nursing

Capital Area Roundtable on Informatics in Nursing (CARING)

American Nursing Informatics Association (ANIA)

Association of Record Librarians of North America (ARLNA)  American Association of Medical Record Librarians (AAMRL)

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Educational Programs

1950s: Educational programs began.

1964: One of the earliest medical informatics departments was established.

1977: First computer-related nursing course was conducted.

1984: Integrated Advanced Information Management Systems (IAIMS) grant program was announced.

2009: The Health Information Technology for Economic and Clinical Health (HITECH) Act gave funding to programs.

2012: Medical informatics and nursing informatics were both established as subspecialties of health informatics.

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What did the IAIMS grant program do?

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Certification

2011 breakdown of the Certified Professional in Healthcare Information and Management Systems (CPHIMS) certification:

68.5%—Registered nurse

18.3%—Medical physician

8.8%—Registered pharmacist

4.4%—Other

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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Recognition of the Specialty

Health informatics is a specialty within:

Computer science

Information science

In each of the various healthcare disciplines or in:

An interdisciplinary healthcare specialty with students from different healthcare specialties combined; or

A new specialty distinct from its historical roots in the other disciplines

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Naming the Specialty

1950s—Bioengineering

2002—Health Informatics

2006—Biomedical Informatics

Led to health and biomedical informatics

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Umbrella Model of Health Informatics

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Figure 1-2.

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Venn Diagram Model

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Figure 1-3.

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AMIA Position: Biomedical Informatics and its Areas of Application and Practice

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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Figure 1-4.

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Hierarchy of Informatics

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Figure 1-5.

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Conclusion and Future Directions

Health informatics is influenced by:

Healthcare professionals

Healthcare organizations

Infrastructure

Advances in technology

Health informatics will evolve to shared, core competencies, knowledge, and skills, rather than emphasizing differences.

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