Nursing informatics is a combination of computer science, information science, and nursing

science, designed to assist in the management and processing of nursing data, information,
and knowledge to support nursing practice, education, research, and administration (Graves
& Corcoran, 1989). "Information is an essential phenomenon of study for an information-
based discipline such as nursing," (p. 2). Nursing informatics can be applied to model the
human processing of data, information, and knowledge within a computer system in order
to automate the processing of nursing data to information and the transformation of nursing
information to nursing knowledge. "In the current Information Age, the doubling of
knowledge every five years and the increased specialization of knowledge make it
imperative that nurses have access to the latest scientific information to assist in the
delivery of high quality care," (Hudgings, 1992, p.7).

Toffler (1990) described the 1990's as a new era for informatics, the process of gaining
power through the data-information-knowledge triad. This era continues as we enter the
new millennium. The need for nurses to feel comfortable working with computerized data
and information is escalating

Health and nursing information science is the study of how health care data is acquired,
communicated, stored, and managed, and how it is processed into information and
knowledge. This knowledge is useful to nurses in decision-making at the operational,
tactical, and strategic planning levels of health care.

Information systems used in health care include the people, structures, processes, and
manual as well as automated tools that collect, store, interpret, transform, and report
practice and management information.

The realization that health care data and information can be effectively managed and
communicated using computer systems, networks, modems and telecommunications has
catalyzed the emergence of the science of nursing informatics. As Virginia Saba (1992)
predicted, "By the turn of the century, most health care delivery systems will function with
computers and will be managed by computer literate nurses. I believe, that by the turn of
the century, "high tech and high touch" will be an integral part of the health care delivery
system," (p. xv).

At present, nursing informatics is an emerging field of study. National nursing

organizations support the need for nurses to become computer literate and versed in the
dynamics of nursing informatics. We are at a transition period. Becoming educated in
nursing informatics is, for the most party, a self-directed and independent endeavor.
Programs that offer basic and further education in nursing informatics are beginning to
spring up around the globe, but many more are needed to provide easy access for
motivated nurses.
Canadian advances in nursing informatics are in the infancy stage, yet, show promise for
the future where this science will contribute significantly to our envisioned, new health care
delivery system. The Canadian Nursing Informatics Association, ( www.cnia.ca ) an
associate group of the Canadian Nurses Association, has been organized to address the
educational, research and collaborative needs of Canadian nursing students, faculty,
practicing nurses, researchers and administrators.

The CNA wrote this policy statement to highlight the importance of developing the nursing
data components that will be included in our emerging national health information system.
The CNA has also spearheaded an initiative, the National Nursing Informatics Project, to
begin to develop a national consensus on definition, competencies, and educational
strategies and priorities.

The use of technology in nursing is not new, in fact nurses have become proficient in
utilizing and adapting complex technology into caring nursing practice for decades, at least
since the time of Florence Nightingale in the United Kingdom and even earlier, when Jeanne
Mance (1606-1673) founded the first hospital in Montreal, Canada in 1642. Various forms of
machinery such as ventilators and physiological monitors were first used in intensive and
critical care settings, and are now currently used in adapted form in less acute areas, even
in home care. Nursing has evolved significantly over the past few decades, with many of the
changes being driven by advances in information and communication technology (ICT). ICT
has permeated all aspects of society, including health care and affects all members of the
interdisciplinary health team. Since nurses are the largest group of health care providers,
discipline-specific competencies in the use of ICT and other technologies are imperative.
This realization has catalyzed the steady development of nursing informatics. “Nurses in
Canada have made an enormous contribution to all aspects of Canadian society. Their
involvements have influenced the wider social, economic and political history of Canada, as
well as the history and politics of health care. Nursing history provides the public with
valuable perspectives on emerging technologies, health care reform and gender issues in
Canadian history” (Canadian Nurses Association, 2004, p. 2).

Nursing informatics began to evolve as nurses participated in the early initiatives in

hospital information system adoption in various health agencies across the nation. As these
systems improved, specialized nursing components and even free-standing nursing
information systems began to sprout up. Early systems were primarily imported from other
countries, especially the USA. By the late 1980s, most hospitals had at least a rudimentary
information system that required nurses to enter common data such as admission profiles
and basic care requirements like diet, medications, and treatments into a computer as part
of their routine duties.

The National Nursing Informatics Project

In 1998, the Canadian Nurses Association spearheaded another initiative, the National
Nursing Informatics Project, to begin to develop a national consensus on definition,
competencies, and educational strategies and priorities in nursing informatics development.
"In 1998 a national steering committee was formed to address Nursing Informatics issues
and develop strategies to ensure that Registered Nurses have the competencies required to
successfully carry out the responsibilities of their practice - whether that be clinical,
administrative, educational or research. The committee membership represented the
Canadian Association of University Schools of Nursing, Canadian Nurses Association,
Registered Nurses Association of British Columbia, Academy of Canadian Executive Nurses
and the COACH Nursing Informatics Special Interest Group. Each participating organization
appointed a nurse expert in Nursing Informatics to a five-member working group to develop
and initiate a plan to:

• develop consensus on a definition of Nursing Informatics for Canada;

• recommend Nursing Informatics competencies for entry level nurses and specialists,
managers, educators, and researchers;
• identify curriculum implications and strategies for both basic and continuing nursing
education; and
• determine priorities for implementing national nursing informatics education
strategies.

The first phase of the project was the development of a Discussion paper in 1999, and the
collection of feedback on key issues related to nursing informatics competencies
development from Canadian nurses.

Nursing Minimum Data Set

The Nursing Minimum Data Set was the first major Canadian Nurses Association
informatics initiative beginning in 1990. This was in response to the strong conviction that
nursing data must be included in the centralized national health data system being planned
by the Canadian Institute of Health Information (CIHI) described in Chapter 2.”Registered
nurses, as the single largest group providing health care services, play a major role in
health care in Canada. Incredibly, this contribution is not abstracted from client records and
saved in a permanent database of health information. Most health care data collected in
Canada include medical diagnoses and interventions but do not reflect the contribution of
other health care professionals. Decisions are made in the absence of data reflecting the
value of nursing” (Canadian Nurses Association, 2000, p. 5). .The Canadian Nurses
Association considered it imperative that nursing data, that distinctly reflected nursing care
became part of the permanent health record being designed for the nation. “The impact of
nursing should be captured in national health care databases through the use of effective
nursing classification systems” (Canadian Nurses Association, 2003, p. 1).

Raising Canadian Nursing Awareness

The Canadian Nurses Association released a number of other supportive documents in

2001. A key one was published in the September Nursing Now Bulletin, entitled: What is
Nursing Informatics and why is it so important? This publication was a critical overview of
the essential characteristics of the emerging field of nursing informatics in Canada. It also
introduced a definition of nursing informatics, formulated by the National Nursing
Informatics Project working group. “Nursing Informatics (NI) is the application of computer
science and information science to nursing. NI promotes the generation, management and
processing of relevant data in order to use information and develop knowledge that
supports nursing in all practice domains” (Canadian Nurses Association, 2001, p.1).

Another influential group, the Canadian Institute for Health Information (CIHI) also
plays a unique and crucial role in the development of this new Canadian health information
system. CIHI has described its' role as:

1. Setting National standards for financial, statistical, and clinical data

2. Setting National standards for health information technology,
3. Collecting, processing, and maintaining health related databases and registries

The CIHI links federal, provincial, and territorial governments with non-government,
health-related groups. Rhial LeBlanc, President and Chief Executive Officer of CIHI described
the organization as having one main focus, "The work of health care facilities and
professionals is what CIHI supports, and truly improving that service is our constant
objective," (1996, p.1). LeBlanc was clear that CIHI exists to "...serve all elements of
Canada's health care system in an equal and responsive way." Even though CIHI was
initially formed by federal, provincial, and territorial Ministers of Health, the Institute has
been given latitude to grow and chart it's own course. CIHI members have chosen to keep
at "arms-length" from the various levels of government and do not report directly to
government officials. The Canadian Nurse's Association (CNA) and the provincial nursing
associations (for example, the R.N.A.B.C.) plan to link more and more with CIHI in the
future.

The CIHI helped introduce the Strategic Plan for Health Information Management in British
Columbia in 1996 that provides guidelines for holistic assessment and processing of
information. The Plan is based on the four domains of people, environment, health system
and processes. In 1995, the CIHI initiated a project to provide a cohesive set of guidelines
for Canadian health information privacy. In 1999, a second edition of these guidelines was
produced, which incorporated issues related to the advancement of health information and
techology. In 2002, an updated version Privacy and Confidentiality of Health Information at
CIHI: Principles and policies for the protection of health information , the 3rd edition is
available in PDF (437 k) format

In March 2000, the CIHI published an updated version of the Roadmap Initiative, a national
vision and four-year action plan to modernize Canada's health information system. Led by
CIHI, this Initiative is a collaborative effort with Statistics Canada, Health Canada and many
other groups at the national, regional and local levels.
The CIHI also provide a comprehensive Goodsourcing Statistics website related to
Canadian health and health care, society, the environment and National populations. Dozens
of other reports are available on the CIHI website, related to population health, health
indicators, health workforce, issues in health and health care institutions.

Another national organization, the Canadian Organization for the Advancement of

Computers in Health or COACH, founded in 1975, has actively initiated professional
protocols for using computer systems in Canadian health care. One important document,
Guidelines to Promote Confidentiality and Security of Automated Health-related Information
(1979), has been incorporated into the national accreditation guidelines approved by the
Canadian Council of Health Facilities Association in 1991. These guidelines were also
supported by the CNA in 1993.

In 2001, COACH, as Canada's Health Informatics Association, launched the Patron

Program. As an individual member based organization, COACH promotes understanding and
effective utilization of information and information technologies within the Canadian
Healthcare industry through education, information, networking and communication. With
the development of the Patron program, members are hoping to build stronger links
between COACH and private and public enterprise in pursuit of this mission. It is an
opportunity for corporations to join in partnership with COACH. COACH's vision is to be THE
catalyst in advancing the practice of health information management in Canada.

Today, COACH is a leading organization with an evolving membership. It is in the forefront

of the Canadian Healthcare information resource and technology field by working
cooperatively with health institutions, professions, associations, consultants, vendors of
information technology and applications, government and regulatory organizations in the
pursuit of its mandate.

The backgrounds of COACH members range from health executives, physicians, nurses and
allied health professionals, researchers and educators to information systems managers,
technical experts, consultants, and information technology vendor representatives.
Organizations represented include the broad range of healthcare institutions, community
and public health, private practice, government, consulting firms, commercial providers of
information and telecommunications technologies, educational institutions and industry.

In February 1999 the Canadian Federal government published the timely document,
Strengthening Health Care for Canadians, outlining new initiatives and funding to promote
health care technology and informatics initiatives.

Various nursing programs are beginning to offer courses and content in Nursing
Informatics. Some programs integrate informatics into individual courses, which is the
model we have adopted in the BSN Nursing Program at Kwantlen. Others offer individual
stand alone courses which provide computer skills and some theory. A generous list of
educational opportunities in informatics is available on the CNIA site

Slowly but steadily, other colleges and universities are expanding their curricula to include
Nursing Informatics at both the undergraduate and graduate levels. As more nurses become
computer literate, and become aware of the potential of technology to support nursing
documentation, decisions, and professionalism, Nursing Informatics can become a strong
and integral part of Canadian nursing science. With this goal in mind, the The BSN Nursing
Program has adopted Nursing Informatics as an integral component of the curriculum.

The Canadian Nursing Informatics Association

In 2001, a new group, the Canadian Nursing Informatics Association (CNIA) received
emerging group status from the CNA and affiliate status in 2003. The CNIA now has full
associate status with the CNA. The CNIA has a website and the executive board encourages
new members, including student members.

The mission of the CNIA is to be the voice for Nursing Informatics in Canada. Recognizing
the importance of the work the CNIA is undertaking, the Canadian Nurses Association has
granted associate group status to the CNIA. The CNIA is also affiliated with COACH,
Canada's National Health Informatics Association. Through this strategic alliance CNIA is the
Canadian nursing nominee to the International Medical Informatics Association - Special
Interest Group in Nursing Informatics (IMIA-SIGNI).

The CNIA conducted a study in 2002 - 2003 on the Informatics Educational Needs of
Canadian Nurses, funded by the Office of Health and the Information Highway, Health
Canada or OHIH called Educating Tomorrow's Nurses: Where's Nursing Informatics?

The intent of the study was to describe the current state of:
• informatics education opportunities currently available to students of nursing across
the country,
• the level of preparedness of nursing faculty to deliver these offerings,
• information and communication technology infrastructure and support for faculty in
delivering these offerings, and
• opportunities to enhance nursing curricula, faculty preparedness, and ICT
infrastructure and support in schools of nursing across Canada.

The study was conducted across Canada and included a representative sample of nursing
schools from across the country. The final report of this study can be viewed on the CNIA
site. A Kwantlen nursing faculty is a longtime member of the CNIA Executive Board. June
Kaminski (Kwantlen Polytechnic University, author of this informatics curriculum) was
Director of Communications (and designer of the CNIA website) and is now the the
President of the Association. The Canadian Journal of Nursing Informatics was launched by
the CNIA in 2006, which invites papers, multimedia, and other electronic media focused on
the diverse arena of nursing informatics.

The Canadian Nurses Portal Project, NurseONE, E-Nursing Strategy

Over the last two decades Canadian leaders in nursing informatics have discussed and
conceptualized a nation wide nursing informatics strategy that would benefit all nurses and
nursing students. In 2006, the Canadian Nurses Association launched the Canadian
Nurses Portal Project, shortened to NurseONE to address this vision, in the form of a e-
nursing strategy. “The purpose of the e-nursing strategy is to guide the development of ICT
initiatives in nursing to improve nursing practice and client outcomes” (Canadian Nurses
Association, 2006, p. 7).

Initial goals of this e-nursing strategy include:

• advocating for nurses' access to ICT and the resources required to integrate ICT into
nursing practice;
• supporting the development and implementation of nursing informatics competencies
among the competencies required for entry-to-practice and continuing competence;
and
• advocating for the involvement of nurses in decision-making about information
technology and information systems. (Canadian Nursing Association, 2006, p. 10).

The e-nursing strategy will address these goals by adopting a three pronged approach:
• Access – better connectivity in work environment, more access to a variety of
computer technologies, e.g. PDAs, hardware, software, station computers.
• Competency- ongoing ICT skill development, integration into nursing curriculum
• Participation - “as knowledge workers in this technological age, it is essential that
nurses play an increased role in the development of ICT solutions” (Canadian Nursing
Association, 2006, p. 15).

Nursing Informatics at Kwantlen Polytechnic University

Kwantlen Polytechnic University offers The BSN Nursing Program which integrates both
theory and practice of Nursing Informatics across the program in BC, Canada. The faculty of
the BSN Nursing Program fully support that Nursing Informatics is central to nursing in the
various domains of practice. Since 1996, Kwantlen University College faculty have
integrated Nursing Informatics into all eight semesters of the program.
Learning activities which include:
1. a Cognitive, ("to know" or epistemological),
2. an Interactive, ("to do" or ontological) as well as
3. a Reflective, ("to be" or phenomenological) component

have been written to facilitate students' awareness and initiation into the science and
practice of Nursing Informatics.

The assumption is that as students use computers to manage information in their student
role, they will more readily use their critical thinking skills to learn related applications in
their work as nurses. The BSN Nursing Program curriculum is designed to prepare caring
nurses as "knowledge workers" for the changing economy of this new millennium.

The faculty at Kwantlen are committed to the philosophy that Nursing Informatics should
be integrated throughout the program. To meet this directive, learning activities related to
Nursing Informatics have been created by June Kaminski for every Nursing course in the
program, except the Consolidated Practice Experiences. Faculty are dedicated to fostering
computer literacy in all nursing students, and to help students realize the need to devise a
long term personal plan to keep abreast of the quickly developing field of Nursing
Informatics.

Kwantlen Polytechnic University is working diligently to offer Internet access to every

student, and on-campus access to a generous assortment of up-to-date computers and
related technology. Computers are available for student use in a variety of computer labs
and areas in Buildings "A", "D" and "G" and in the "Nursing Resource Center" on the Surrey
campus, where the nursing program is offered.

The Nursing Informatics learning activities in this program encourage you the student to
develop your literacy in a number of computer applications. Word processing, graphical
design, using databases, desk-top publishing, spreadsheets, using the Internet, web page
design, multimedia design and the use of Nursing Information Systems (NIS) are some
examples.

Concepts such as caring, empowerment, self-reflection and expression, computer literacy,

confidentiality, bioethical decisions, networking, patient education, community development
and cyberphobia represent some of the issues and actions explored.

With the advent of this online version of the Kwantlen Polytechnic University BSN
Program's Nursing Informatics learning activities in 1999, new modes of interaction and
computer use were made possible. As both faculty and students become more comfortable
and adept in using computer applications, creative use of computers can become more
prevalent in the program. In time, interactive communication using computers will occur as
easily as in class communication.

As well, more extensive web site design; use of virtual reality; establishing links with local
health care agencies, and with schools in other national or global areas can eventually be
incorporated. The possibilities are endless - only availability of funds, level of computer
literacy, commitment and access to knowledge about new developments in the field inhibit
the process.

As Nursing Informatics develops in Canada as a recognized component of nursing,

Kwantlen Polytechnic University Nursing faculty plan to offer related education in an
increasingly sophisticated and creative way. Our goal is to assist nursing students to
become aware of and comfortable using the diverse computer applications available in
working with clients both in the community and in hospital settings. Faculty intend to
acquaint nursing students with computers as "enabling tools" for nursing practice,
education, administration, and research. We hope that our students find value in these
learning activities and enjoy their initiation into the science and practice of Nursing
Informatics.

Health Informatics In Asia (Gunadarma U)Joko - Presentation

Transcript

1. Health Informatics in the Asia Pacific Professor K. C. Lun Past President, International
Medical Informatics Association, CEO, CEO Gateway Consulting, Consulting Professor
(Adjunct), Duke-NUS Graduate Medical School Duke- Professor (Adjunct), School of
Biological Sciences Nanyang Technological University Singapore University,
kclun@ntu.edu.sg kclun@ntu edu sg Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
2. The Asia-Pacific: A vibrant and diverse region di i in terms of • geography • socio-
economy socio economy • culture • politics liti Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
3. The Asia-Pacific Diversity also Di it l presents many challenges i th h ll in the
development of health informatics: informatics • communication • information sharing •
pace of development • standards implementation • manpower training Medical
Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
4. Health Informatics Development in the Asia-Pacific f • Wide ranging • Highly correlated
with socio-economic development • Depends on government and industry commitment to
health infocomm infra-structures Medical Informatics Seminar, Gunadarma University, 3
Nov 2007 © KC Lun, Singapore
5. Asia Pacific - a major player in telemedicine Factors contributing to need: √ large sized
countries √ low specialist:population ratio √ technology and telecommunication costs
increasingly affordable √ helps developing countries jumpstart medical informatics √
High penetration rate for equitable distribution of healthcare services Medical Informatics
Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
6. Health Informatics Initiatives - Asia Pacific Showcases Telemedicine in Bhutan •
ITU/IDRC project • multipurpose community telecentre in Jakar • email consults,
teleradiology, epidemiologic surveillance Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
7. Health Informatics Initiatives - Asia Pacific Showcases • Japan – a leader in telemedicine
projects in the Asia Pacific • National Cancer Center of Japan: p • Network of 14 Cancer
Centers throughout Japan • 130 teleconferences per year with 16,000 participants i i •
High-resolution image transfers – 2000 x 2000 pixels (source: H Mizushima) Medical
Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
8. Special Issue: Telemedicine in the Asia Pacific May 2001 edition: International Journal
of Medical Informatics (Vol 61, Issues 22–23 ) Guest Editor: Dr K C Lun Medical
Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
9. Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
10. Health Informatics Initiatives - Asia Pacific Showcases China’s Golden Projects:
Modernizing the Chinese economy g y • Telecommunication and information
infrastructure initiatives beginning 1993 • Project categorized into 4 phases h • Phase 3:
Golden Health Project • China Golden Health Medical Network (CGHN) started in 1996
by Ministry of Public Health linking 30 hospitals and > 3000 medical experts Medical
Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
11. Health Informatics Initiatives - Asia Pacific Showcases China’s Golden Projects:
Modernizing the Chinese economy g y • Chinese Medicine International Telemedicine
Center (1997) to provide TCM consultation for id lt ti f Chinese and non-Chinese patients
worldwide • Dalian Telemedicine Center (1996) connecting Beijing Sino- Japanese
Friendship Hospital and two remote sites (Changhai and Zhuanghe Hospitals) as well as
with the European Institute in ith th E I tit t i Strasbourg, France Medical Informatics
Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
12. Health Informatics Initiatives - Asia Pacific Showcases Health Informatics projects of the
Hospital Authority of Hong Kong • Clinical Management System since 1995 – Integrated
clinical g workstation supporting order entry, electronic patient record, clinical record
data reporting and analysis, medication decision d i i support, t outcome documentation
Source: Dr C P Wong, H.K. Medical Informatics Seminar, Gunadarma University, 3 Nov
2007 © KC Lun, Singapore
13. Health Informatics Initiatives - Asia Pacific Showcases Health Informatics projects of the
Hospital Authority of Hong Kong eSARS system • Set up by HA in March 2003 to
combat SARS • Connected HA CMS with the HK police MIIDSS to trace relatives and
contacts of SARS patients • Largescale use of the internet to help manage a public health
problem Source: Dr C P Wong, H.K. Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
14. Health Informatics Initiatives - Asia Pacific Showcases Malaysia Telemedicine Flagship
Project Four Applications: F A li ti • Tele-consultation • Tele CME for health Tele-CME
professionals • Mass customized Personalized Information & Education • Lifetime Health
Plan Good example of g government commitment Source: Dato Dr Abu Bakar Sulaiman
Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
15. Health Informatics Initiatives - Asia Pacific Showcases Taiwan Healthcare IC Card
Project • NHI project using Java card technology • 4 kinds of information personal info
NHI-related info medical service info public health administration info • As of Sept 2003,
95% of 22.5m population issued with smart cards • Accepted in 70% of hospitals and
clinics • Problems with paper cards – identity Source: Smart Card Alliance fraud and
false claims Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC
Lun, Singapore
16. Health Informatics Initiatives - Asia Pacific Showcases Singapore iN2015 – 10-year
Masterplan Goals for Healthcare and Biomedical Sciences: • Personal health records to
give public greater ability t manage th i h lth t bilit to their health • Infocomm systems to
support well- integrated q g quality healthcare y • Clinical decision support systems to
provide POC clinical practice information • Conducive regulatory framework to facilitate
data collection and sharing for biomedical and h lth services bi di l d health i research
Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
17. Tapping Singapore’s EHR capabilities Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
18. • CXO Forum • 1-day Conference with the theme: Integrating 1 day Healthcare /
Empowering Patients • Featured Distinguished Industry Speaker, invited international
speakers and showcased Singapore projects • 5 day Executive Medical Informatics
Course 5-day Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC
Lun, Singapore
19. National Health Informatics Initiatives: Key Success Factors y • National vision and
commitment – Taiwan’s Healthcare IC Card – Malaysia’s Telemedicine Flagship –
Singapore’s iN2015 Initiative Singapore s • Funding – National (government, govt &
(government industry) – International agencies (e.g. Bhutan telemedicine project)
Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
20. National Health Informatics Initiatives: Key Success F t K S Factors • Good Health &
Infocomm Infrastructures – Lack of good infocomm infrastructure limits the HI activities
achievable • Dynamic leadership to drive projects – Needed to lead development and
sustain it • Strong customer buy-in – Large and sustainable user-base to ensure project
long-term viability • International Networking – Know what resources and expertise are
available and how to tap them Medical Informatics Seminar, Gunadarma University, 3
Nov 2007 © KC Lun, Singapore
21. Networking for Skills d R Skill and Resource Sharing Sh i • Asia Pacific projects show
that there is no shortage of health informatics skills and experience i th f h lth i f ti kill d i
in the region • Useful for Asia-Pacific countries with expertise and resources to share
them with other countries in the region • Sharing formula could be bilateral, bil t l
multilateral or ltil t l through international agencies such as ADB ADB, UNDP and
 World Bank Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC
Lun, Singapore
22. APAMI as Regional Networking Facilitator • Established in 1994 as an IMIA regional
group to promote regional co-operation and i l ti d development of health informatics •
To-date, APAMI has 15 national members and 4 corresponding members • APAMI
conferences: • Singapore (1994) • Sydney (1997) • Hong Kong (2000) • Daegu, K D
Korea (2003) • Taipei (2006) Web: www.apami.org Medical Informatics Seminar,
Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
23. APAMI Leadership Roles Hosting the 9th World Congress on Medical Informatics in
Seoul, Aug 18-22 1998 and the 12th World Congress in Brisbane, Aug 20-24 2007
Spawned national health informatics associations in Malaysia, Indonesia, Sri Lanka,
India and the Philippines Promoted cross country scientific interaction at national cross-
country health informatics meetings of Singapore, Hong Kong, Australia, Japan, Korea,
Thailand, Malaysia, Sri Lanka, the Philippines and Taiwan Ge e ated ea t Generated
health informatics a a e ess in India, o at cs awareness d a, Pakistan, Sri Lanka, Vietnam
and Fiji Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun,
Singapore
24. Need for standards Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 ©
KC Lun, Singapore
25. Importance of Standards in Health Informatics • Data standards have always been a major
focal point in health informatics • Impact on: – data quality and patient safety –
interoperability - the ability of one computer system to exchange data with another
computer basic interoperability functional interoperability semantic interoperability
Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
26. Data exchange in a hospital Source: Dr Michio Kimura, Japan Medical Informatics
Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
27. Facilitating data exchange with one format ith f t Source: Dr Michio Kimura, Japan
Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
28. APAMI Committee for Asian Health Informatics Standardization (CAHIS) • Established
at APAMI 2003 in Daegu • Recognizes need to harmonize differences in health
informatics standards between Asian and non-Asian countries • Differences arising from:
g – Language and character sets – Data vocabularies a a ocabu a es – Practice pattern and
systems Contact person – Dr YS Kwak, Korea (yskwak@kyungpook.ac.kr) Medical
Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
29. APAMI Committee for Asian Health Informatics Standardization (CAHIS) I f ti St d di ti
• CAHIS complements the work of ISO/TC 215 and CEN/TC 251 • Focuses on standards
issues that are specific to Asian region • Proposed CAHIS working groups: – Electronic
Health Record (EHR) – Messaging and Communication – Healthcards – Vocabulary –
Character sets Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC
Lun, Singapore
30. Growing HI development in Asia • eHealth Consortium in Hong K H Kong • Healthcare
IT Innovation Week i Singapore W k in Si • Health informatics courses in Korea (D i K
 (Daegu), H ) Hong Kong, Taiwan and Singapore (?) • e-JHI (Australia) Medical
Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
31. Looking beyond the Asia Pacific region Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
32. International Medical Informatics Association Global Network (founded 1968)
(www.imia.org) Goal and Objectives: • the promotion of informatics in health care and
biomedical research EFMI • the advancement of international cooperation • the
stimulation of research, development and education • the dissemination and exchange of
information APAMI IMIA-LAC Helina 49 Member Countries 3R i Regional G l Groups
12 Corporate Institutional Members 15 Academic Institutional Members
33. (www.imia.org) (www imia org)
34. 2007 年国际医药信息大会将在澳大利亚举行 2007 年国际医药信息大会将在澳大利
亚举行 www.medinfo2004.org di f 2004 Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
35. Other Major IMIA Activities IMIA World, World IMIA Code of C d f Recommendations
Regional and Ethics for for Informatics WG/SIG Health in Health and Professionals
Medical Conferences Education Ed ti Official Recommendations Publications Medical
Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun, Singapore
36. IMIA Yearbooks of Medical Informatics Medical Informatics Seminar, Gunadarma
University, 3 Nov 2007 © KC Lun, Singapore
37. IMIA Working Groups & Special Interest G oup on Nursing te est Group o us g Special
Interest Group 1: Nursing WG1 Health and Medical Informatics Education WG2
Consumer Health Informatics C H lth I f ti WG3 Intelligent Data Analysis and Data
Mining WG4 Data Protection in Health Information Systems WG5 Primary Health Care
Informatics WG6 Medical Concept Representation WG7 Biomedical Pattern Recognition
WG8 Mental Health Informatics WG9 Health Informatics for Development WG10 HIS
and Health Profession Workstations WG11 Dental Informatics WG13 Organization and
Dental Issues WG15 Tech Assessment & Quality Developn in Hlth Info WG16 Standards
in Health Care Informatics WG17 Computerized Patient Records WG18 Telematics in
Healthcare Medical Informatics Seminar, Gunadarma University, 3 Nov 2007 © KC Lun,
Singapore
38. Asian Penetration of HI Journals • Survey of Paper Authorship in last 5 issues of
International Journal of Medical Informatics and Methods of Information in Medicine •
Out of 134 papers, only 10 (7.5%) * were from the Asia Pacific region (including
Australia and New Zealand) • Publications and conference presentations are the two
major channels through which we can get our HI work recognized by the international
community! * by 1st author only Medical Informatics Seminar, Gunadarma University, 3
Nov 2007 © KC Lun, Singapore