Scribd Logo
Загрузить

Добро пожаловать в Scribd!

  • Improving Information Technology Support For Oral Medicine: A Proposed Agenda

    Загружено:

    Titus Schleyer
    98 просмотров15 страниц
    This presentation summarizes the findings and recommendations of Group 6 (Information Technology) of the World Workshop on Oral Medicine held in London on Sept. 21 and 22, 2010. Current support of oral medicine (OM) through information technology is limited. OM professionals typically use multiple software programs, which are not designed to support OM specifically, to manage patient and research data in a fragmented manner. The dearth of standards for OM findings, diagnoses and outcomes makes it difficult to store data in a comprehensive and consistent manner, and to exchange and collate them to generate new knowledge. IT vendors typically do not provide solutions for the specific needs of OM, and very little informatics research has been conducted in the domain. This presentation speaks to two audiences, OM and IT/informatics professionals, because the problems we identified can only be solved through a close collaboration of the two disciplines. The presentation first discusses determining the needs and requirements for electronic support of OM practice and research. Among those are the information needs of clinicians and researchers; data representation, standardization, input and display; computerized analyses of data to evaluate clinical trends and outcomes, and to generate knowledge; the integration of external information (such as drug side effects or evidence-based approaches) with patient data and the clinical care workflow; and the possible role of decision support systems. The presentation then describes possible strategies to develop needed solutions. Providing OM with better IT solutions involves not just technical, but also social, cultural, professional and behavioral aspects. In addition, any solutions considered must be firmly centered around the needs of the user, whoever he or she may be. Needed strategies include reviewing and possibly reengineering the OM workflow; agreeing on terms and definitions; defining and validating findings, diagnoses and treatment outcomes; establishing focused expert panels and multi-center collaborations; and determining whether decision support systems (DSS) would be useful in OM. The IT/informatics community should survey IT use in the OM community to establish a much-needed baseline; develop controlled vocabularies/ontologies; develop flexible EPRs that support cognitive and functional requirements; determine how various systems should and can be interconnected; integrate external information with electronic patient records; and design DSSs, if needed. The ambitious vision articulated in this presentation requires that the OM community coalesce around a shared vision for IT. In addition, OM professionals should attempt to activate stakeholders, such as the commercial IT sector, and begin educating OM professionals in IT/informatics.

    Оригинальное название

    Improving information technology support for oral medicine: A proposed agenda

    Авторское право

    © Attribution Non-Commercial (BY-NC)

    Доступные форматы

    PPTX, PDF, TXT или читайте онлайн в Scribd

    Этот документ был вам полезен?

    Это неприемлемый материал?

    Пожаловаться на этот документ
    This presentation summarizes the findings and recommendations of Group 6 (Information Technology) of the World Workshop on Oral Medicine held in London on Sept. 21 and 22, 2010. Current support of oral medicine (OM) through information technology is limited. OM professionals typically use multiple software programs, which are not designed to support OM specifically, to manage patient and research data in a fragmented manner. The dearth of standards for OM findings, diagnoses and outcomes makes it difficult to store data in a comprehensive and consistent manner, and to exchange and collate them to generate new knowledge. IT vendors typically do not provide solutions for the specific needs of OM, and very little informatics research has been conducted in the domain. This presentation speaks to two audiences, OM and IT/informatics professionals, because the problems we identified can only be solved through a close collaboration of the two disciplines. The presentation first discusses determining the needs and requirements for electronic support of OM practice and research. Among those are the information needs of clinicians and researchers; data representation, standardization, input and display; computerized analyses of data to evaluate clinical trends and outcomes, and to generate knowledge; the integration of external information (such as drug side effects or evidence-based approaches) with patient data and the clinical care workflow; and the possible role of decision support systems. The presentation then describes possible strategies to develop needed solutions. Providing OM with better IT solutions involves not just technical, but also social, cultural, professional and behavioral aspects. In addition, any solutions considered must be firmly centered around the needs of the user, whoever he or she may be. Needed strategies include reviewing and possibly reengineering the OM workflow; agreeing on terms and definitions; defining and validating findings, diagnoses and treatment outcomes; establishing focused expert panels and multi-center collaborations; and determining whether decision support systems (DSS) would be useful in OM. The IT/informatics community should survey IT use in the OM community to establish a much-needed baseline; develop controlled vocabularies/ontologies; develop flexible EPRs that support cognitive and functional requirements; determine how various systems should and can be interconnected; integrate external information with electronic patient records; and design DSSs, if needed. The ambitious vision articulated in this presentation requires that the OM community coalesce around a shared vision for IT. In addition, OM professionals should attempt to activate stakeholders, such as the commercial IT sector, and begin educating OM professionals in IT/informatics.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    98 просмотров15 страниц

    Improving Information Technology Support For Oral Medicine: A Proposed Agenda

    Загружено:

    Titus Schleyer
    This presentation summarizes the findings and recommendations of Group 6 (Information Technology) of the World Workshop on Oral Medicine held in London on Sept. 21 and 22, 2010. Current support of oral medicine (OM) through information technology is limited. OM professionals typically use multiple software programs, which are not designed to support OM specifically, to manage patient and research data in a fragmented manner. The dearth of standards for OM findings, diagnoses and outcomes makes it difficult to store data in a comprehensive and consistent manner, and to exchange and collate them to generate new knowledge. IT vendors typically do not provide solutions for the specific needs of OM, and very little informatics research has been conducted in the domain. This presentation speaks to two audiences, OM and IT/informatics professionals, because the problems we identified can only be solved through a close collaboration of the two disciplines. The presentation first discusses determining the needs and requirements for electronic support of OM practice and research. Among those are the information needs of clinicians and researchers; data representation, standardization, input and display; computerized analyses of data to evaluate clinical trends and outcomes, and to generate knowledge; the integration of external information (such as drug side effects or evidence-based approaches) with patient data and the clinical care workflow; and the possible role of decision support systems. The presentation then describes possible strategies to develop needed solutions. Providing OM with better IT solutions involves not just technical, but also social, cultural, professional and behavioral aspects. In addition, any solutions considered must be firmly centered around the needs of the user, whoever he or she may be. Needed strategies include reviewing and possibly reengineering the OM workflow; agreeing on terms and definitions; defining and validating findings, diagnoses and treatment outcomes; establishing focused expert panels and multi-center collaborations; and determining whether decision support systems (DSS) would be useful in OM. The IT/informatics community should survey IT use in the OM community to establish a much-needed baseline; develop controlled vocabularies/ontologies; develop flexible EPRs that support cognitive and functional requirements; determine how various systems should and can be interconnected; integrate external information with electronic patient records; and design DSSs, if needed. The ambitious vision articulated in this presentation requires that the OM community coalesce around a shared vision for IT. In addition, OM professionals should attempt to activate stakeholders, such as the commercial IT sector, and begin educating OM professionals in IT/informatics.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 15

    Improving information technology

    support for oral medicine: A


    proposed agenda
    Titus Schleyer, DMD, PhD
    University of Pittsburgh, School of
    Dental Medicine, Pittsburgh, USA
    Group 6 acknowledgements
    • Ulf Mattsson • Mats Jontell (Sweden)
    (Sweden) • Richeal Ni Riordan
    • Rachel Badovinac (Ireland)
    (USA) • Thankam Thyvalikakath
    • Vlaho Brailo (Croatia) (USA)
    • Jeffrey Burgess (USA) • Stuart C. White (USA)
    • Jung-Wei Chen (USA) • Rosnah Binti Mohd Zain
    • Michael Glick (USA) (Malaysia)
    I have applied everywhere for
    information, but in scarcely an
    instance have I been able to
    obtain hospital records fit for
    any purpose of comparison [...] If
    wisely used, these improved
    statistics would tell us more of
    the relative value ofFlorence
    particular
    Nightingale, 1863
    Abbreviations
    • OM = oral medicine
    • IT = information technology
    • EPR = electronic patient record
    Two audiences
    • OM professionals
    – manage ALL information
    • informatics/IT about individual patients
    professionals
    – improve diagnostic and therapeutic activities
    – generate new knowledge
    – facilitate consultation and collaboration
    – understand the importance of standardization

    – understand needs and desires of the OM community


    – appreciate barriers and challenges to the use of EPRs
    How data get into the computer …
    An alternative:
    Natural
    language
    processing
    Jeannie Irwin. Speech to chart: speech
    recognition and natural language
    processing for dental charting. PhD
    thesis. 2009.
    Supported in part by NIDCR awards 1R21DE018158-01
    and 5 T15 LM007059-21 (through NLM)
    Why information displays matter …
    Why information displays matter …
    (cont.)

    Correct decisions were significantly more


    common with the icon displays (82%) than with
    either pie charts or bar graphs, both 56%
    (McNemar test = 4.8, P = 0.03).

    Elting et al. Influence of data display formats on physician investigators' decisions to stop clinical
    trials: prospective trial with repeated measures. BMJ 318 (7197):1527-1531, 1999.
    What do we need to find out about
    OM?
    • information needs
    • cognitive processes
    • data representation
    • data definitions and standards
    • data display
    • computerized analyses
    • external knowledge sources
    • decision support systems (?)
    A joint research and action agenda
    • Developing better IT solutions requires close
    collaboration of OM and informatics.
    • New solutions must be focused on the user
    (user-centered design philosophy).
    Research and actions for OM
    • review/possibly reengineer OM workflow
    • agree on terms and definitions
    • validate diagnoses
    • define treatment success – from both the clinician
    and patient perspective
    • establish outcome measures
    • establish focused expert panels/multi-center
    collaboration
    • consider the need for decision support systems (DSS)
    Research and actions for informatics
    • survey IT use by the OM community
    • develop controlled vocabularies/ontologies
    • develop flexible EPRs that support cognitive
    and functional requirements
    • determine how various systems can be
    interconnected
    • integrate external information with EPR
    • design DSS (if needed)
    Final thoughts …
    • Coalesce around a shared vision for IT in OM!
    • Activate stakeholders!
    • Educate OM professionals in IT/informatics!

    • Every journey begins with a single step.


    Thank You for Your Attention!
    Questions, comments?

    Please visit us at:


    http://di.dental.pitt.edu
    Twitter
    }
    Facebook /titusschleyer
    Scribd

    This talk:

    Вам также может понравиться