HSEG 675 Healthcare Enterprise Informatics and Electronic Health Records

3 semester hours

Long term needs and connections: Vision for Value Driven Healthcare and Learning Healthcare System; mapping innovation opportunities, information to knowledge value chain. Understanding Knowledge Capital for Learning Health System: People, Process, Technology, and Relationships. Design Thinking: Understanding systems design framework of balancing desirability, feasibility, and viability; understanding how this can lead to improving the patient and clinician experience and enhance underlying value. Enterprise informatics architecture–People, Processes, Technolog–to support stakeholders: Case study of systems approach of DoD Health IT architecture; Mapping patient experience and information to value chain; provider workflow across patient experience; where standards fit in context of architectural components. This example shows architecture for high availability, highly transactional, multiple geographically dispersed simultaneous users. Enterprise informatics relationships: Understanding ecosystem relationships as they overlay on the architecture (professional societies, government agencies). We will also discuss tension between desire for increased granularity by researchers, regulatory bodies, actuaries and the increased work to enter this discrete data into the EMR. Framing ethical issues especially as they relate to the governance of health IT. Enterprise informatics architecture and analytics: clinician computer aided diagnostics (CADs); payer, policy and other stakeholder needs for computer aided diagnostics. Potential for accelerated pace of quality improvement. Enterprise informatics challenges (particularly the present EMR system): Challenges along the whole information to value chain (usability, productivity, computer aided diagnostics, changing the nature of the patient clinician interaction, ease of documenting what increases content but decreases density of the most critical information)–the Health IT tail wagging the dog. Data integrity, Interoperability with multiple legacy and new systems. Opportunities for Innovation and Applying Design Thinking: New models of health and fitness; human factors engineering; ubiquitous connectivity of mobile devices. Laptop computer or equivalent required. This course is available only to Healthcare Systems Engineering students.