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NI2012 – Pre-Conference Overview for Collaboration May 7, 2012

Posted by peterjmurray in AMIA, conference, education, IMIA, NI2012, nursing informatics.
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The next major event we will be blogging, tweeting, etc. will be NI2012 (www.ni2012.org), the 11th International Congress on Nursing Informatics, to be held in Montreal, Canada on 23-27 June, 2012.

We would like to hear from others who will be there and who will be using social media so that we can collaborate in sharing content, tools, experiences, etc.

There is a Twitter stream (@NI2012) and the hashtag #IMIANI2012 is encouraged.


Blogging MIE2011 from Oslo August 8, 2011

Posted by peterjmurray in conference, EFMI, Europe, IMIA.
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We will be blogging MIE2011 at the end of August.

MIE2011 – the XXIII International Conference of the European Federation for Medical Informatics – will be held in Oslo, Norway on 28-31 August, 2011. See http://www.mie2011.org for the latest information on the event.

See also on Twitter (http://twitter.com/#!/mie2011) and Facebook (https://www.facebook.com/group.php?gid=363398669412)

More information later as we get nearer the event.

Morning Keynote NI2009 07.01.09 (0800-0845) July 1, 2009

Posted by Scott Erdley in conference, health informatics, IMIA, Keynote, NI2009, nursing informatics, speaker.
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Evelyn Hovenga titled “Milestones of the IMIA-NI History and Future”. As this is closing day, as well as the session moved up 1/2 hour, the number of attendees is a bit sparse. Evelyn’s presenting style is to expound on the slide content. Opening setting reviewed is ‘having a vision’ begun in 1987 in Stockholm – nursing competencies. Key activities cited include reference term model, with ICN, begun in ’99 among others. Key facets of ’09 vision of IMIA-NI include EHR (using & informing nursing knowledge), clinical data standards dev’t, decision support & ebc options among others. Reviewed what IMIA-NI promotes (I’m guessing what she showed is from the website (http://www.imiani.org/). She discusses a national e-health record using a graphic (spoke-wheel design) with phr as the hub. Next up is discussion of integrated ehr (see ISO TR 20514:2002 Health Informatics – EHR Scope, Definition and Practice). EHR needs to be perceived as foundation of sustainable health system infrastructure, therefore requiring adoption of a set of HI standards along with comprehensive governance infrastructure. A description of ehr architecture is drawn from the open ehr foundation’s content. The bottom line is discrepancy between model (nicely structured) and proprietary systems with different reference models. Graphic of ehr structure is available at open ehr website (http://www.openehr.org/home.html). Clinical knowledge manager is next up and again seems to be also a component of the open ehr website (see ckm (clinical knowledge maanger) at site in previously mentioned link). Clinical content models, and the need for such, outlined at this point and the need for said models to relate to the structure (then dictates how data is used). Clarity is necessary for functionality – key point stressed by Evelyn.

Clinical knowledge repositories discussed with national examples cited (Singapore & Sweden with federated approach); need for repository hierarchy versus ‘flat set’ (need for interoperable for sharing via silo without sharing).  Terminology needs to be in context and should have national governance.  Future directions of IMIA-NI includes leadership for dev’t of standards of nursing clinical content knowledge. Collaboration with ICN needed to move forward with mindmaps of content, documentation of nursing processes, clinical templates (see Derek Hoy’s work in Scotland) and global nursing knowledge governance infrastructure. Other items needed to move forward range from national mtgs, recruitment of expert nurses and sharing / participating via technology and in-person. That’s all for now.

IMIA-NI General Assembly meeting June 28, 2009

Posted by peterjmurray in IMIA, NI2009, nursing informatics.
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The IMIA-NI SIG (Special Interest Group on Nursing Informatics – www.imiani.org) General Assembly meeting is taking place on Sunday morning (28 June) at the NI2009 conference venue in Helsinki. Over 40 members are present comprising many country representatives, working group chairs, honorary members, etc. from many countries, including Slovenia, USA, Finland, UK, Japan, Canada, Germany, Norway, Australia, Switzerland, Taiwan, Sweden, Ireland, Korea, New Zealand, Brazil and The Netherlands.

Anneli Ensio, from the NI2009 Organising Committee, reported that there had been 400 submissions to the conference, and attendance is expected to be over 540 participants from 40 countries.

Patti Abbott from the NI2012 Organising Committee reported that the event will take place in Montreal, on June 23-27, 2012 (www.ni2012.org).

Robyn Carr explained a number of revisions to the IMIA-NI Strategic Plan to help focus the activities of IMIA-NI and its constituent groups over the next few years.

This is the last meeting to be chaired by Robyn Carr (New Zealand), the current chair; Heimar Marin (Brazil) takes over as chair of IMIA-NI at the end of NI2009. Elections took place for the new vice chair positions; William Goossen becomes the vice chair for working groups, Patrick Weber becomes the vice chair for communications, Hyeoun-Ae Park becomes vice chair for membership and Lucy Westbrook becomes vice chair for administration and finance.

Blogging NI2009 June 11, 2009

Posted by peterjmurray in conference, IMIA, krew, nursing informatics.
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We will be blogging the NI2009 nursing informatics congress, to be held in Helsinki, Finland on 28 – 01 July, 2009 (www.ni2009.org). This 10th International Congress in Nursing Informatics is hosted by the Finnish Nurses Association and is organised under the auspices of IMIA-NI, the Special Interest Group on Nursing Informatics of the International Medical Informatics Association (www.imiani.org).

Karl, Margaret, Peter and Scott will all be in Helsinki, as will our colleague Ulrich. We hope to provide plenty of posts about the event. You can also follow on Twitter – either the @ni2009 feed, or search Twitter for hashtag #ni2009 in tweets from @peterjmurray, @ulrichs, @m2hansen and others.

For those unable to attend, there is also a Facebook event where you can follow the event if people find time to add materials there. We will add links to other people who are providing reports and opportunities to interact if you let us know – email hi.blogs[at]gmail.com

HISI Special Conference, Dublin 23 April April 28, 2009

Posted by peterjmurray in conference, IMIA.
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Peter is attending (and speaking at) the HISI (Health Informatics Society of Ireland – www.hisi.ie) special one day conference being held in conjnction with the IMIA Board meeting here in Dublin, Ireland.

Rather than try and capture all the input here, I am trying Twitter to upload short descriptions – see www.twitter.com/peterjmurray and/or search Twitter for #HISI09

The conference is very well attended; although it is free, it is oversubscribed with over 100 people attending.

InfoLAC, Pilar, Argentina October 30, 2008

Posted by peterjmurray in education, health informatics, IMIA.
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Moving around Argentina – if it’s Thursday, it must be Pilar, near Buenos Aires. After the IMIA Education WG conference earlier in the week, we moved yesterday to Pilar, where the InfoLAC 2008 conference is being held (http://www.infolac2008.com.ar). Due to meetings, I am not going to be at much of the event to report it, but a here for the opening session and my talk on open source and open access.

The event was opened by Dr Marcelo Villar, Rector of the Universidad Austral, who gave an opening address/welcome. He noted the gathering of different disciplines that are coming together to give a series of interlinked events under the InfoLAC2008 umbrella (primarily the Second Argentinian Congress on Medical Informatics, Third Latin American Congress on Medical Informatics, and Second Argentinian Symposium on Nursing Informatics). He sees basic science as being very important, but it needs to be linked to practical implementation, and the changes in speed of introduction of developments from basic science into technological change is resulting in new ways for science and technology to interact and influence decision-making on management of innovation.

Registrations, he says, have exceeded the expectations of the organisers, and a large number of organisations in Latin America are co-operating to deliver the event, which also has support of several local and national government organisations in Argentina. He says that in medical informatics we need to work together to be more than the addition of individual elements.

Dr Juan Carlos di Lucca, President of AAIM and of InfoLAC 2008 also welcomed participants. He talked of the need to redesign processes to improve efficiency in health care, and the important role that informatics has to play in these changes. He asked how do we measure the mission statements that many organisations have? – many organisations have such statements, but have not thought about issues of measuring them. Cultural issues in transformation can result in marked resistance effects in implementation of informatics systems.

The opening keynote address was given by Reinhold Haux, IMIA President, on ‘eHealth and patient-centred care’. He began by highlighting the importance of interdisciplinarity, with different disciplines working together. He began by giving an overview and introduction to IMIA, and on the Peter Reichertz Institute, named after a pioneer of health informatics in Germany. He talked about the hospital information systems circle, of planning, directing and monitoring, through systematic management, monitoring of projects and good information processing practice in a continuous circle of interaction. Today, hospital information system management and architectures are well-established for physical institutions such as hospitals. We are now moving to eHealth and the need for trans-institutional systems, and need to develop professional approaches to the wide range of issues that arise due to sharing information between independent healthcare providers, but working to achieve a common purpose; need to move to patient-centred care and not institution-centred approaches to care. He suggests that basic information management principles remain relevant.

Moving to global health information management issues, he highlighted the important of the WHO eHealth resolution of 2005, and noted the IMIA-WHO collaboration communique agreed at medinfo2007, with its focus on working together on the Global Observatory for eHealth and other projects.

I participated in an open source panel that drew a full room and was chaired by Jorge Rodriguez, from the Biolinux Group in Argentina. My presentation was on wider issues of open access and overcoming the digital divide – I will add a link to it when I upload it to Slideshare later.

The second presentation was about the PESCA project, from Julio Lorca from Spain. The third talk, about open source and thin clients in hospital networks, was presented by Abel Cardenas, from the Grupo Biolinux in Argentina. The final presentation was from Alberto Menini on the use of the i-Path open source telemedicine platform.

IMIA Education WG – updating IMIA recommendations October 30, 2008

Posted by peterjmurray in education, health informatics, IMIA.
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In the final session, John Mantas from Greece, Co-chair of the IMIA Education WG, presented ‘New Recommendations of the International Medical Informatics Association (IMIA) on Education in Health and Medical Informatics’. He reported to results of the work that the IMIA taskforce has been undertaking over the past year to revise and update the IMIA recommendations, which were first published in 1999. He explained that as a result of development of a new knowledge core, and the development of new domains, environments and requirements, it has been necessary to update the recommendations. The revised document will shortly be sent out to WG members and to IMIA Academic members to invite comment.

John says that, despite the documented benefits of heath informatics, there is still a need for education, and there remain many issues over the precise name and description of the domain, the nature of the boundaries with other disciplines, and issues around certification, and recognition of the profession, among others. The revision of the recommendations is also needed due to the development of the IMIA Strategic Plan, and the focus it has on education and knowledge. The revised recommendations, as the previous version, are intended to act as framework and guide to the development of health and medical informatics education programmes, courses etc at various levels of education and for a variety of professionals, including health informatics specialists and healthcare professionals who need varying levels of skills and knowledge in informatics.

IMIA Education WG – Tuesday afternoon papers October 28, 2008

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After attempts to take an ‘official group photo’ lost several people on the walk through the hospital, we managed to get most people together; will provide links to various versions when I get them.

The afternoon session began with a further series of short paper presentations. The first paper, by  Kathryn Brillinger from Conestoga College in Canada, on ‘Intercultural Communication: A “Foundation” Competency in Health Informatics’. The skills are necessary due to the diversity of the student group in terms of gender, ethnic, generational, religious, geographic differences, and especially when they have work experience in Toronto, where 1 in 2 people are from another country. Intercultural communication (ICC) and competency in it are seen as important for health informatics students to work in teams and on projects; teaching team looked at over 150 definitions of culture, and came to a short definition of ‘shared meaning’. Her team have found that health informatics tends to be Western-centric in terms of what is covered in health record systems, and that many of their students are often not aware, when they come to the courses, of many wider ‘political’ and cultural differences between different parts of the world.

Jeannette Murphy presented on ‘Designing an Induction Programme for a Blended Learning Postgraduate Program in Health Informatics’. She reported that both online and face-to-face inductions were needed, due to lack of experience by both teachers and students in online learning; they wanted to prepare students for using the virtual learning environment, and to foster a supportive learning community. Study skills were seen as important due to many of the students having been away from education for some time.  Jeanette described the sequencing and rationale for having face to face induction before online induction; her team’s evaluation, from student feedback, is that face to face feedback is necessary.

Fernando Martin Sanchez, from Spain, on behalf of Victoria Lopez-Alonso, presented on ‘NBIOTIC, an Educational Resource on Convergent Technologies (NBIC) for BioMedical informaticians’. Around 2000, the team began to look at the potential impact of increasing amounts of genomic and bioinformatics data on all levels of health informatics. He says that a new wave/trend that will impact medicine is regenerative and nano medicine, for example development of drugs that bind to nanoparticles. However, as these nw developments are being explored, possible toxic and pathological effects are emerging and need to be explored (eg possibility of carbon nanotubes having similar deleterious effects to asbestos fibres). He described nanoinformatics as ‘ a new discipline to organise, standardise, share, compare, analyse, etc. the vast amounts of data being gathered at the nano scale’. This potentially adds a new level to the spectrum of health/informatics from the nano to population levels, and provides for converging technologies that complement each other at difference levels/scales. The Spanish team are developing a new educational resource to bring together information; part of this work is the EU-funded ACTION-Grid to provide EU-Latin American co-operation.

Paula Otero, from Hospital Italiano in Buenos Aires, presented on ‘Variables and reasons for student’s dropout in elearning courses at the Virtual Campus and distance education in medical informatics’. She says this is the first part of a larger project, and she will present the initial findings.
She summarised the pro’s and con’s of elearning, with the latter including poor local Internet access and lack of motivation. The Virtual Campus was created in 2004, and has 9,000 students registered; Moodle is used as the VLE and there are 80 courses. Drop-out rates in postgraduate courses (health informatics, healthcare management, epidemiology and medicine) in 2007 were explored; informatics courses had one of the lowest completion rates. Older students tended to have higher dropout rates, males had higher rates, as did non-Argentinian students. Further work is going to be undertaken to explore in more detail the reasons for dropping out of courses.

Joanne Valerius, from Oregon Health Sciences University (OHSU) in USA, presented on ‘Workforce Development and Education of Professionals in Health Information Management and Health Informatics’. OHSU developed a graduate level certificate, through an analysis of established biomedical informatics and health information management programmes and courses.

Sedick Isaacs, from Cape Peninsula University of Technology in Cape Town, South Africa, presented ‘Some thoughts on trans-national course selection in Medical Informatics’. He said that availability of courses often compels students to seek education in different parts of the world. As a result, culture and human knowledge can influence decisions made, as can differences in language, differences in mental models and traditional views. The student may become acculturated to the new culture in which they study; this may cause problems when they return to their own original culture. He suggested that acculturation may also happen through distance education. Sedick reported how one of his students explored the introduction of the same information systems in hospitals with different cultures, and differences were found in the degree of success in implementation. Professionalisation, a socialisation process, has an effect on acquisition of knowledge, and this has effect on ways in which the profession is practiced; Sedick says that while studies have been done in medicine, there seem to be no such studies for health informatics.

Sedick explored a spectrum of health informatics, from micro to macro levels; in Africa, the focus is more at the macro and sociological and population health levels, and less on the cellular level. Commodification of education/knowledge, the selling of courses, may result in imbalances of course provision and development of some professions in some African countries.

The final short presentation of the afternoon is from Ken Toyoda, from the Japan Association for Medical Informatics, talked about the ‘Certification programme of healthcare information technologist in Japan’. The Japanese association was founded about 25 years ago, as a result of the  medinfo conference held in Tokyo. A certification programme has been developed; starting in 2003, the annual certification examination focuses on healthcare professionals, and many other sectors of the health informatics community, and as a result over 7,000 healthcare information technologists have been certificated. The programme examines skills and knowledge in IT, healthcare and health information systems in Japan; textbooks have been published to accompany the certification. Issues covered include not only technical subjects, but also health information ethics, as well as communication and collaboration. In 2007, a ‘senior healthcare information technologist’ examination was developed, for those with five years experience in healthcare information systems.; this also includes an essay and interview, as well as paper-based test.

IMIA Education WG – Tuesday morning October 28, 2008

Posted by peterjmurray in education, health informatics, IMIA.
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The wireless networks are much more flakey this morning, so I will upload this post hoc from notes. The first session this morning was looking at ‘Designing an international survey on curricular needs’, lead by Harold Lehman from Johns Hopkin in Baltimore. Harold, Bill Hersh from Oregon and Julio Facelli from Utah gave some opening remarks setting the context for the workshop. Bill mentioned the need for learning more about our students’ education needs, and Julio talked about the need for a quantitative framework for assessment of effectiveness and needs in biomedical informatics.

Harold talked about a similar survey he had done in public health informatics; this had several axes, ie the essential services, the informatics competencies, and the skill levels (referring to practitioners, as opposed to informaticians).

We had a workshop discussion of a range of issues in what kind of survey to develop, and who to survey; opinion seemed evenly split on whether it was more important to survey informaticians or clinical professionals who are not informaticians. Several people gave their experiences of doing previous surveys and of what work existed on which the development of the survey might draw. An example was given of contrasting online and paper-based surveys, with the former being returned more by informaticians and the latter returned more by clinicians. Consensus after discussion was that, for the first iteration, we should focus on surveying health informatics alumni, and that members of the IMIA Education WG might form a pilot group for the survey. Work on this will be developed further following the meeting.

For the second part of the morning, Don Detmer and Alvaro Margolis presented a report on ‘Making the ehealth connection: health informatics and ehealth capacity building’, based in a report on the Bellagio eHealth meetings organised earlier in 2008 by the Rockefeller Foundation.  A session was organised by AMIA and IMIA as part of the Bellagio meetings on ehealth capacity building, and in particular through looking at the global ‘south’ components of needs and 20/20 vision for assuring ehealth capacity. Don talked about the need for surveying national readiness for developing informatics skills and knowledge, and for assessment instruments and other tool kits. He cited the idea of 20/20 ‘bits and bytes’  knowledge and skills offerings, as well as the need for executive seminars, training and advocacy to develop informatics awareness among leaders.

Alvaro summarised the goals of the Bellagio week, including defining 2-5 year actions that IMIA, AMIA and other stakeholders could undertake, the need for a network of people to support the work, and for identifying the informatics needs of developing countries. A useful and dynamic discussion explored a lot of ideas, and the attendees seemed generally enthusiastic for involvement in aspects of the proposals being explored.