Emerging Trends in Healthcare
Informatics and Global Health
Presented by:
Sin Ting Chan
Lauren Mountanos
Nicole O’Neil
Elsa Owens
Alexsandra Youkhanneh
Overview, Beginnings, and Present Day
Evolution of Emerging Technologies
Impact on Nursing and Global Health
Today’s Discussion:
Origination of Technology and Technology Trends
Highlight Misleading/Misinformation
Explore and Discuss Current and Future Impacts
The Air Force, the 50’s and the Lusted
Brothers:
Informatics Present Since the 20
th
Century
Military Introduction: Dental Project
Ledley and Lee Lusted
NIH-1
ST
Major Effort in Uniting Medicine and
2010 and Forward
Meaningful Use
The Perils of Misleading Information In
Health Care Technology
Origination & Spread
Flawed Information
Insubstantial New Reporting
Emerging Technology– Vehicle for
Combating the Spread of Misleading
Information?
Leveraging Same Technology
Social Networking
Public Health Crisis Management
Emerging Technology & Patient Protection
and Affordable Care Act (PPACA)
PPACA = Potential for Improved Outcomes
Improved Health Outcomes
Long-term financial benefits
In the struggle to provide high-quality patient care economically and
ethically, the Patient Protection and Affordable Care Act (PPACA) aims
to “expand insurance coverage, control costs and target prevention”
Emerging trends in healthcare informatics and global health
impact on
patient care
.
In terms of
QUALITY
,
EHR (Electronic Health Records):
Manage longitudinal health records,
exchange healthcare information, and integrate records across providers (Cohen,
Grote, Pietraszek, & Laflamme, 2010, p. SP40).
CPOE (Computerized Physician/Provider Order Entry):
Helps physicians in
making better plan and treatment decisions for their patients.
Telemedicine or telehealth technologies
: Enable health care providers to
monitor, educate, and administer care remotely.
Robotics
: Helps provide a less invasive and more comfortable experience for
patients
.
Bioinformatics
: Helps provide better healthcare services and treatments by
Emerging trends in healthcare informatics and global health impact on
patient care
.
In terms of SAFETY
,
EHR and CPOE: Reduce communication and medication errors.
Telemedicine or telehealth technologies: Guard patients’ safety
with a series of technical standards, telemedicine guidelines, and
best practices for the health care providers to follow (ATA, 2012).
Robotics: Robotic surgery will have less blood loss and trauma on
patients when performed by a certified provider (UK HealthCare,
2014).
Bioinformatics: Patients’ diseases could be identified and treated
Emerging trends in healthcare informatics and
global health impact on
patient care
.
In terms of
COST SAVING
,
EHR and CPOE:
Reduce errors and adverse drug events which translate to
significant cost savings.
Telemedicine or telehealth technologies
:
a. Offers significant savings on transportation and office visit fees.
b. Medicare and Medicaid coverage
Robotics:
Robotic surgery helps decrease patients’ hospital length of stay.
Bioinformatics
: With the bio data analyzed and correct disease identified with
Emerging trends in healthcare informatics and global
health impact on patient care in the
Future
.
A. Emerging trends in healthcare informatics will continue to grow to
raise quality of patient care.
1.
Genetic advances allow new organs to be grown from a
patient’s own tissues (Huston, 2013).
2. Clinical trials for clone teeth are in progress in Europe (Cohen, Grote,
Pietraszek, & Laflamme, 2010).
B. Emerging trends in healthcare informatics will continue to
enhance
patient safety
.
In the hospital of the future, for example, ambient intelligence
would be embedded into the work environment functioning to
Emerging trends in healthcare informatics and the
privacy
or ethical implications
.
In Terms of
Computer Order Physician Entry and Electronic
Health Records
:
Patients Fear
A fear their information may get in the wrong hand
Fear seeing their personal information on social media
Fear loosing personal information to others to be used for
fraud
Computer generated information may be wrong for their
personal needs
How Patients View:
Emerging trends in healthcare
informatics.
COPE:
•
Patients feel this ensures they are getting up to date information for their
plan of care
•
Feel the care is faster
•
Appreciate the added security features
Electronic Health Care Records:
•
Feel comfort in the ability to access their personal health information in
one spot
•
Feel secure in the knowledge that doctors can share or receive information
needed for their care promptly
Robotics:
•
Feels it is faster way of delivering care
•
Feel that safety measures are in place
•
Fear the loss of human interaction
How Caregivers View:
E
merging trends in
healthcare informatics.
Caregivers:
•
Fear that the increase in the use of technology will
create a lazy or unskillful workforce that depends on
technology to complete task and find solutions
•
Unsure what can be shared and with who to ensure
patients privacy rights are protected
•
Fear a decrease in healthcare personal due to
technology being able to complete task
The Adaptation of CPOE
Many incentives result from the incorporation of such practices such as:
•
it can decrease delays in order completion
•
reduce errors related to handwriting misinterpretation
•
allow order entry at the point of care or off-site which can save time
•
allow healthcare professionals to eliminate errors such as duplicate or incorrect doses
or tests.
This type of patient information management system also has a few disincentives worth
mentioning. For instance:
•
it can delay communication in an emergency situation as staff have to wait for order
retrieval and updates on plan of care
Also, since many providers and healthcare team members are working independently, it
can cause a breakdown in communication. Automation causes a false sense of security, a
misconception that when technology suggests a course of action, errors are avoided.
Another disincentive according to one source, frequent alerts and warnings can interrupt
The advancement of Mobile Technology &
Telemedicine in the Healthcare Field:
Many opportunities to improve health largely rely on cell
phone technologies, since cell phones are so rapidly expanding
in many parts of the world that otherwise don't have much
access to communication; therefore, research continues to
imply that mobile technology can be an excellent source and
incentive to improve patient care outcomes.
Telemedicine is a tool that has the potential to help millions
of people all over the world regardless of what their medical
conditions are or what their ethnic background is.
This form of healthcare information management can be a great asset to
An incentive of this tool is that it can be of use for military personnel as they are
oftentimes located in areas of the world that telemedicine is the only way to
diagnose and treat them.
Telemedicine can save provider time and decrease staffing as many times the
patient can be seen by a doctor through this device and it eliminates the need for
the patient to be seen in the office setting.
Robotics is another emerging trend and was first introduced to the healthcare
industry as a way to use modern technology to perform repetitive tasks.
Another emerging trend in the healthcare sector is bioinformatics.
Bioinformatics is the combination of biological computer science and medical
research.
As healthcare research and discoveries continue to grow, the need to involve
computers to categorize, organize, analyze and keep track of all the information is
critical.
The goal with bioinformatics is to record information in a way the machine can
The Effects of these Emerging Trends On
inter-disciplinary and intra-inter-disciplinary teams
As mentioned, CPOE can potentially obstruct inter and intra-disciplinary teams by
weakening communication related to potential delays in information.
The use of this newer system eliminates real time and face-to-face interactions and
communication with other members of the team; which in some instances, such as in an
emergency, this form of communication is most necessary.
The use of mobile technology can drastically improve inter and intra-disciplinary teams by
increasing availability of social networks so internal members of the team and health care
providers can easily communicate with one another to exchange needed medical data.
Telemedicine, as already mentioned, can bring together many different healthcare
providers that otherwise wouldn’t have the opportunity to collaborate on patient care;
therefore, it can be a great tool to improve intra-disciplinary teams.
Robotics, on the other hand, while effective at reducing errors, these types of procedures
References (1)
Agaku, I. T., Adisa, A. O., Ayo-Yusuf, O. A., & Connolly, G. N. (2014). Concern about security
and privacy, and perceived control over collection and use of health information are
related to withholding of health information from healthcare providers.
Journal of the
American Medical Informatics Association
, 21(2), 374-378.
Andrews, J. (2012).
Bioinformatics Evolution Continues.
Retrieved from:
http://www.healthcareitnews.com/news/bioinformatics-evolution-continues?page=1
Andrews, M. (2013, April 23).
Questions arise about robotic surgery's cost, effectiveness
.
Retrieved March 5, 2015, from Kaiser Health News:
http://kaiserhealthnews.org/news/042313-michelle-andrews-robotic-surgery/
ATA. (2012).
Telemedicine frequently asked questions
. Retrieved March 5, 2015, from
American Telemedicine Association:
http://www.americantelemed.org/about-telemedicine/faqs#.VPj4YfnF8Ys
ATA. (2013, April).
Examples of research outcomes: Telemedicine's impact on healthcare cost
nd quality
. Retrieved March 5, 2015, from American Telemedicine Association:
http://www.americantelemed.org/docs/default-source/policy/examples-of-research-outcomes---telemedicine's-impact-on-healthcare-cost-and-quality.pdf
Barris, M. (2014). Health marketers leverage mobile to correct Ebola misinformation. Mobile
Marketer. Retrieved from:
http://www.mobilemarketer.com/cms/news/software-technology/19229.html?utm_referrer=direct%2Fnot%20provided&utm_referrer=direct%
References (2)
Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014, October 14). Can Utilizing a
Computerized Provider Order Entry (CPOE) System Prevent Hospital medical errors and
adverse drug events? Perspectives in Health Information Management, 1-16.
Cohen, S., Grote, K., Pietraszek, W. E., & Laflamme, F. (2010, December). Increasing
consumerism in healthcare through intelligent information technology. The American
Journal of Managed Care, 16, SP37-SP43. Retrieved February 23, 2015
Collins, F. (2011). Mobile Technology and Health Care. Retrieved from:
http://www.nlm.nih.gov/medlineplus/magazine/issues/winter11/articles/winter11pg2-3.html
Fairbrother, P., Ure, J., Hanley, J., McCloughan, L., Denvir, M., Sheikh, A., & McKinstry, B.
(2014, January 1). Telemonitoring for chronic heart failure: the views of patients and
healthcare professionals – a qualitative study. Journal of Clinical Nursing, 23, 132-144.
Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005,
September/October). Can electronic medical record systems transform health care?
Potential health benefits, savings and costs. Health Affairs, 24(5), 1103-1117.
doi:10.1377/hlthaff.24.5.1103
Huston, C. (2013, May 31). The impact of emerging technology on nursing care: Warp speed
ahead. The Online Journal of Issues in Nursing, 18(2), Manuscript 1.
doi:10.3912/OJIN.Vol18No02Man01
Kim, M., Jung, Y., Jung, D., & Hur, C. (2014). Investigating the congruence of crowdso urced
information with official government data: the case of pediatric clinics. Journal Of
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Loscalzo, J. (20
11
, May). Systems biology and personalized medicine a network approach to
human disease.
American Thoracic Journal
, 11(2), 196-198.
Metzler, T. A., & Barnes, S. J. (2014, Janurary 1). Three dialogues concerning robots in elder
care.
Nursing Philosophy
,
15
, 4-13.
Pickering, B., Litell, J., Herasevich, V., & Gajic, O. (2012, April 26). Clinical Review: The
hospital of the future-building intelligent environments to facilitate safe and effective
acute care delivery.
Critical Care, 16
(220), 1-11. doi:10.1186/cc11142
Ranney, M. L., Choo, E. K., Wang, Y., Baum, A., Clark, M. A., & Mello, M. J. (2012, August).
Emergency Department Patients’ Preferences for technology-based behavioral
interventions .
Annals of Emergency Medicine
,
60
(2), 218-227.
Ross, G. (2012).
Robotics in Healthcare: Challenges and Opportunities.
Retrieved
from:http://medicaldesign.com/archive/robotics-healthcare-challenges-and-opportunities-0
UK HealthCare. (2014, December 18).
Quality and safety: Robotic surgery
. Retrieved March 5,
2015, from UK HealthCare:
http://ukhealthcare.uky.edu/quality/conditions-and-procedures/robotic-surgery/
University Alliance. (2015).
Telemedicine: The Future of Healthcare.
Retrieved from:
http://www.villanovau.com/resources/nursing/telemedicine-technology/#.VPlBT_nF-So
Versel, N. (2014).
CPOE: A 'new ball game'.
Retrieved from:
References (4)
Won, J. Y. (2014, April 15).
Bioinformatics-how data analytics is changing healthcare and our
lives
. Retrieved March 5, 2015, from Digital Assets: Data and Analytics:
http://blog.hbs.edu/dighbs/bioinformatics-how-data-analytics-is-changing-healthcare-and-our-lives/
World of DTC Marketing.com. (n.d.).The dangers of misinformation in healthcare. Retrieved
from:
http://worldofdtcmarketing.com/the-dangers-of-misinformation-in-health/health-information-online/
Annotated Bibliography (1)
Agaku, I. T., Adisa, A. O., Ayo-Yusuf, O. A., & Connolly, G. N. (2014). Concern about security
and privacy, and perceived control over collection and use of health information are
related to withholding of health information from healthcare providers.
Journal of the
American Medical Informatics Association
, 21(2), 374-378.
This article explores the range of social media platforms used by patients and examines
the benefits and challenges of using these tools from a patient perspective. Most relevant
to this paper, is the article’s key points surrounding challenges relating to privacy and
security concerns, usability, the manipulation of identity, and misinformation. Data in the
article suggests technology holds promise for improving patient engagement and
empowerment and community building.
This article was found this through the Fusion database through the folllowing search:
“misinformation and health technologies.”
Andrews, M. (2013, April 23).
Questions arise about robotic surgery's cost, effectiveness
.
Retrieved March 5, 2015, from Kaiser Health News:
http://kaiserhealthnews.org/news/042313-michelle-andrews-robotic-surgery/
This site discussed questions related to cost and effectiveness of robotic surgery. This
article is supported by research studies. The author revealed the benefits of undergoing
robot-assisted surgery might have been overstated. This article is useful when discussing
the cost saving and robotic surgery effectiveness.
This article was found through the Google search engine with a search of “Robotics and
Cost”.
ATA. (2012).
Telemedicine frequently asked questions
. Retrieved March 5, 2015, from
American Telemedicine Association:
http://www.americantelemed.org/about-telemedicine/faqs#.VPj4YfnF8Ys
This site provided an overview of telemedicine. It explained the differences between
telemedicine and telehealth, safety, patient access, and Medicare or Medicaid payment.
This article is useful when defining telemedicine and its payment for providers when
patients are utilizing the services.
Annotated Bibliography (2)
ATA. (2013, April). Examples of research outcomes: Telemedicine's impact on healthcare cost nd quality. Retrieved March 5, 2015, from American Telemedicine Association:
http://www.americantelemed.org/docs/default-source/policy/examples-of-research-outcomes---telemedicine's-impact-on-healthcare-cost-and-quality.pdf
This site discussed research outcomes related to telemedicine and health cost and quality. The authors cited multiple research studies to support the cost effectiveness and efficacy of many telemedicine applications. This article is useful when discussing the cost saving and viability of telemedicine.
This article was found through Google Scholar with the search “telemedicine and cost saving.”
Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014, October 14). Can Utilizing a
Computerized Provider Order Entry (CPOE) System Prevent Hospital medical errors and adverse drug events? Perspectives in Health Information Management, 1-16
This is a peer review study, examining if the adaption of Computerized Provider Order Entry (CPOE) will assist in decreasing hospital errors and patient injuries due to late order completion, unrecognizable hand writing and inability to retrieve patients charts for order entry or review. The study found the order completion was decreased from 100 minutes to 64 minutes. Hospitals that switch to a COPE system could see up to a 48% reduction in medical errors. Many COPEs are paired with Clinical Decision Support Services (CDSS) that can alert care providers of allergies, drug interactions and may alert a physician when another service may be in order. Many physicians feel that structured order sets and support systems tie their hands with scripting how physicians order care. According the study patients have also felt distant and disconnected to caregivers that seem to be working on the computer and not connecting with the patient.
Cohen, S., Grote, K., Pietraszek, W. E., & Laflamme, F. (2010, December). Increasing consumerism in healthcare through intelligent information technology. The American Journal of Managed Care, 16, SP37-SP43. Retrieved February 23, 2015
This article discussed the benefits of increasing consumerism in healthcare through intelligent information technology. It defined the current role of health information technology. The authors described four steps that lead to consumer engagement, which are attract, engage, change behavior, and sustain. Also, it provided an overview of different types of technologies that enable patient engagement, such as telemedicine and remote care management, clinical decision support, electronic health records (EHR), and health intelligence. The definitions of clinical decision support and EHR are useful in providing the background information for this project.
Annotated Bibliography (3)
Fairbrother, P., Ure, J., Hanley, J., McCloughan, L., Denvir, M., Sheikh, A., & McKinstry, B. (2014, January 1). Telemonitoring for chronic heart failure: the views of patients and healthcare professionals – a qualitative study. Journal of Clinical Nursing, 23, 132-144.
This is a quantitative study examining the patients and care providers views on use of Home Telemonitoring on the Congestive Heart Failure Patient. According to the study many patients felt cared for, more informed and better prepared to self manage after completion of the program. Many patients had issue with equipment and felt the technology could have been mare efficient and user friendly. Nursing had the following reflections: the program was not a good match with all patients in their caseload and wanted a more accurate screening tool for program entry, if the other systems did not pair well there was an disconnect between physician response and patients’ needs, the program caused patient dependence on program and caregiver, and that the
telemonitoring was limited in its capability.
Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005, September/October). Can electronic medical record systems transform health care? Potential health benefits, savings and costs. Health Affairs, 24(5), 1103-1117. doi:10.1377/hlthaff.24.5.1103
This article provided a detailed overview about the potential health benefits, savings, and costs associated with the adaptation of electronic health record (EHR) systems in health care. It discussed the estimating of potential of health information technology efficiency savings, estimating the costs of adoption, estimating potential safety benefits, and
estimating other potential health benefits. This article was written in 2005 but it includes useful data for the project, such as alert and reminder system in EHR, computerized physician order entry (CPOE), and elimination of adverse drug events using CPOE and its cost saving. The authors demonstrated the potential efficiency savings with adoption of EHR systems in 5 year, 10 year, and 15 year.
Huston, C. (2013, May 31). The impact of emerging technology on nursing care: Warp speed ahead. The Online Journal of Issues in Nursing, 18(2), Manuscript 1.
doi:10.3912/OJIN.Vol18No02Man01
This is a peer-reviewed journal that talked about how seven emerging technologies impact the practice of nursing care. It also discussed three skill sets and four challenges that nurses will need to develop and face in integrating these new technologies. This article is well written and supported by other research journal and articles. This article is useful when discussing details in robotics, EHR, and CPOE.
