Lessons Learned from Pilot Project using SNOMED-CT for Clinical Observations

Size: px
Start display at page:

Download "Lessons Learned from Pilot Project using SNOMED-CT for Clinical Observations"

Transcription

1 Lessons Learned from Pilot Project using SNOMED-CT for Clinical Observations John B. Hughes, M.D., C.M., Associate professor, McGill University Michel A. Lortie, ing. Fall 2010 Infoway Partnership Conference Vancouver, 16 Nov 2010

2 Health Informatics Research Institute of St-Mary s Hospital Center NPO for research into health informatics and clinician adoption Core funding from St-Mary s Hospital Foundation Resultant of a review of the state of the art of EMRs done in preparation for McGill accreditation by the College of Family Physicians of Canada

3 HiRES Health Informatics for Research, Education and Service; a project to Research the computable patient record needed for teaching, research and service in the academic environment Design a clinician defined clinical content specification mechanism for Primary Care Teaching Facilities Create a curated Pan Canadian clinical content standards library through endorsement by the College of Family Practice of Canada and the Royal College of Physicians and Surgeons of Canada.

4 Pilot 2008 Description In 2008, the principals at HIRI undertook a 6 month pilot project to investigate the use of SNOMED-CT as a coding standard for the computable medical record Physicians in a poly-clinic in Westmount and in a retirement home in East-end Montréal were provided with a software tool that captured SNOMED-CT coded findings, observations and diagnoses

5 Pilot 2008 Description (cont) Intent was to link findings, observations and diagnoses to a differential diagnoses engine (i.e. DxPlain) to create a computable target for investigation

6 Pilot Description (cont) Selected coding of Obs, Findings and Diagnoses Observations, Findings Diagnoses Candidate coding of Obs, Findings and Diagnoses Candidate Differentials Candidate coding of Obs, Findings and Diagnoses Selected coding of Obs, Findings and Diagnoses EMR User I/F Current obs, Finding and Diagnoses SNOMED-CT Coding Bowser Candidate coding of Obs, Findings and Diagnoses Query based on Obs, findings and Diagnoses Selected coding of Obs, Findings and Diagnoses Candidate differentials SNOMED coded Patient Medical records Prior obs, finding and Diagnoses SNOMED / DxPlain transcoder SNOMED-CT New and historic Obs, Findings and Diagnoses DxPlain coded Candidate Differentials DxPlain Advisor Query based on Obs, findings and Diagnoses Candidate differentials DxPlain Differentials database

7 Pilot 2008 Description (cont) The acquisition / coding tool was modeled after the Clue browser and operated in process to an EMR system in use at both sites The paradigm used for the acquisition was one of composing findings, observations and diagnoses into a prose SOAP note by providing hints to the browser then selecting the appropriate concept and qualifiers as presented by the browser

8 Pilot 2008 Description (cont)

9 Pilot 2008 Outcomes Most participating physicians opted out of project Poly-clinic users abandoned the system ahead of the retirement home physicians Bridging of SNOMED-CT coding to DxPlain coding proved highly problematic The use of a structured prose approach to data acquisition was deemed to be sub-optimal

10 Pilot 2008 Findings Initial search speed of browser was considered inadequate for production environments. In spite of subsequent significant enhancements to the search speed; project never recovered from initial poor perception Vocabulary of the search was felt to be too formal and restrictive; the resulting prose note not acceptable.

11 Pilot 2008 Findings (cont) Coding of diagnoses and extant bridge to ICD 9 was considered very valuable with respect to billing Difficulties with the coding of findings and observations coupled to the bridging to DxPlain made assessment of a computable feature impossible

12 Pilot 2008 Preferred direction Physicians proposed that a simpler browser aimed at collecting coded diagnoses would fit better within their practice Physicians felt that pre-coded acquisition templates, structured according to subject (e.g. diabetes, COPD, etc), would be an improvement over the stilted prose the browser produced

13 Post-Pilot 2008 direction After investigation of experiences in the UK and, in recognizing the problem of physician uptake with respect to any EHR, let alone a computable record, it was felt that establishing a pan-canadian effort to collect the practice knowledge of health care professionals would better serve the physician community Archetypes and Templates were selected to serve as this new collection tool

14 Canadian Archetype Initiative Derived from work done elsewhere, notably in the UK. Unique characteristics include: Mandatory coding, compliant with Infoway guidelines Use of a richer constraint language Enhanced user interface Secure network linking contributors to the repository managed by St-Mary s for the CFPC

15 Outline IT standards have had a major positive impact on many facets of health data capture, communication and analysis. Certainly, this led to better research with faster results. The question is whether current e-health standardization efforts around semantic interoperability are equally beneficial. We believe, as is now recognized internationally, it is because of too much focus on business aspects and not enough meaningful involvement of different the types of clinicians, educators and researchers

16 Some dissident voices Do we want industry writing the nation s health IT standards? CCHIT s standards are, in fact, mainly approvals of whatever industry is doing. Dana Blankenhorn. Who will control the coming health IT standards? ZDNet. February 27th, 2009 ( Kush and others had asked the AHIC earlier this year to form a federally sponsored workgroup to help integrate clinical research data needs into EHRs, but the panel did not grant the request. It was dominated by representatives of the health care delivery and payer communities. Nancy Ferris. Post-AHIC health IT standards process gets under way.

17 A widespread misconception A variety of clinical terminology standards exist in the health care system, giving meaning to raw data and allowing for semantic interoperability. The Systemized Nomenclature of Medicine (SNOMED) + Clinical Terms (CT) is one example of a clinical reference terminology that provides for semantic interoperability.

18 The sad consequences Misunderstanding concepts, and excessive focus on information models, data models, etc. Leads to the many mistakes in concept-based terminologies; and many ambiguities in electronic patient records in which such terminologies are used.

19 Using Information codes in does the Service not of prevent Health ambiguities as to what is The same type of location code used described: how many disorders in relation to three different events might or are listed? might not refer to the same PtID Date ObsCode location. Narrative /07/ Three references of hypertension closed fracture of shaft for of the femur same /07/ patient denote three Fracture, times closed, the same spiral disease /07/ closed fracture of shaft of femur /07/ Accident in public building (supermarket) /07/ Essential hypertension If the same fracture code is used for the same patient If two different on fracture different codes dates, then are used in relation to If two different tumor these codes might or might The same codes fracture are used observations code used made in on relation not refer the to same in relation to observations the same to two different made on day patients different for the same can not patient, refer fracture. they to dates for the same the patient, same fracure. might refer to the same fracture they may still refer to the same tumor /12/ benign polyp of biliary tract /03/ closed fracture of shaft of femur /03/ Accident in public building (supermarket) /04/ Other lesion on other specified region /05/ Essential hypertension /08/ Closed fracture of radial head /08/ Accident in public building (supermarket) /04/ closed fracture of shaft of femur /04/ Essential hypertension /12/ malignant polyp of biliary tract

20 A Little Philosophy Realism vs. Concept

21 Desiderata for Controlled Medical Vocabularies in the Twenty-First Century James J. Cimino 1998 Department of Medical Informatics, Columbia University, New York, USA Builders of medical informatics applications need controlled medical vocabularies to support their applications Vocabulary content, concept orientation, concept permanence, Non-semantic concept identifiers, Poly-hierarchy, formal definitions, Rejection of "not elsewhere classified" terms, multiple granularities, multiple consistent views, context representation, Graceful evolution, and recognized redundancy.

22 From Concepts to Clinical Reality: An Essay on the Benchmarking of Biomedical Terminologies Barry Smith 2004 Department of Philosophy and National Center for Biomedical Ontology, University at Buffalo, Buffalo, NY 14260, USA Institute for Formal Ontology and Medical Information Science, Saarland The orthodox approach rests on the view that the fixation of meanings is best brought about through the alignment of terminologies on what are called concepts. concept orientation was in some respects an important step forward in terminology development,

23 Four loose families of concepts can be distinguished, Linguistic view, concepts are general terms whose meanings have been somehow regimented (or, as in some variants of the view, they are these meanings themselves). Psychological view, concepts are mental entities, analogous to ideas or beliefs. Epistemological view, concepts are units of knowledge (as the latter term is used in phrases such as knowledge representation, knowledge modeling, knowledge-based systems, and the like Ontological view, concepts are universals, kinds, attributes or properties (i.e. they are something like general invariant patterns) on the side of entities in the world.

24 Each one of these views might, in and of itself, be in a position to sustain a coherent methodology for the fixation of meanings in terminologies. However, elements of all four views are to be found mixed together in different combinations in the standard literature, in ways which provide strong evidence for the thesis that no single reading of the term concept can sustain all of the expectations which have become associated with its use

25 When I use a word, Humpty Dumpty said in a rather scornful tone, it means just what I choose it to mean neither more nor less. The question is, said Alice, whether you can make words mean so many different things. The question is, said Humpty Dumpty, which is to be master that is all. Lewis Carroll

26 MODELS Man tries to make for himself in the way that suits him best a simplified and intelligible picture of the world and thus to over come (sig. understand) the world of experience, for which he tries to some extent to substitute this cosmos (sig. picture) of his. This is what the painter, the poet, the speculative philosopher and the natural scientist do, each in his own fashion... one might suppose that there are any number of possible systems... all with an equal amount to be said for them; and this opinion is no doubt correct, theoretically. But evolution has shown that at any given moment out of all conceivable constructions one has always proved itself absolutely superior to all the rest. Einstein, A. The World as I See It (1931)

27 The Ogden and Richards (1923) semiotic triangle

28 Three levels of reality From Werner CEUSTERShttp:// 1. The world exists as it is prior to a cognitive agent s perception thereof;

29 Reality exist before any observation; From Werner CEUSTERShttp:// R MEdbASE Werner Ceusters Research

30 Reality exist before any observation From Werner CEUSTERShttp:// Humans had a brain well before they knew they had one. Trees were green before humans started to use the word green. R And also most structures in reality are there in advance.

31 Three levels of reality From Werner CEUSTERShttp:// 1. The world exists as it is prior to a cognitive agent s perception thereof; 2. Cognitive agents build up in their minds cognitive representations of the world;

32 From Werner CEUSTERS B The ontology author acknowledges the existence of some Portion Of Reality (POR) R

33 From Werner CEUSTERShttp:// B Some portions of reality escape his attention. R

34 Three levels of reality From Werner CEUSTERShttp:// 1. The world exists as it is prior to a cognitive agent s perception thereof; 2. Cognitive agents build up in their minds cognitive representations of the world; 3. To make these representations publicly accessible in some enduring fashion, they create representational artifacts that are fixed in some medium.

35 He represents only what he considers relevant; From Werner CEUSTERShttp:// RU O1 1 RU B1 1 B Both RU 1 B1 and RU 1 O1 are representational units referring to #1; RU 1 O1 is NOT a representation of RU 1 B1 ; RU 1 O1 is created through concretization of RU 1 B1 in some medium. O R #1

36 THUS These concretizations are NOT supposed to be the representations of the cognitive representations; We should not be in the business of concept representation Or should we?

37 Proposed Solution: Referent Tracking! From Werner CEUSTERShttp:// Purpose: explicit reference to the concrete individual entities relevant to the accurate description of each patient s condition, therapies, outcomes,...

38 Numbers instead of words From Werner CEUSTERShttp:// Method: Introduce an Instance Unique Identifier (IUI) for each relevant particular (individual) entity 78

39 The principle of Referent Tracking From Werner CEUSTERShttp:// John Doe s #1 instance-of at t 1 person inst-of at t 2 #10 John Smith s liver #2 instance-of at t 1 liver inst-of at t 2 #20 liver tumor #3 instance-of at t 1 tumor inst-of at t 2 #30 tumor was treated with RPCI s #4 irradiation device instance-of at t 1 #5 instance-of at t 1 #6 treating clinic device inst-of at t 2 inst-of at t 2 #5 #6 #40 RPCI s was treated with irradiation device

40 In defense of the Desiderata James J. Cimino * 2005 Departments of Biomedical Informatics and Medicine, Columbia University, New York, NY 10032, USA I suggest a path that acknowledges the importance of representing reality, as best we can know it, but accepts the need for concepts to help us, among other things, reason under uncertainty. I consider this the realistic path.

41 COMPUTATIONAL TECHNOLOGY FOR EFFECTIVE HEALTH CARE IMMEDIATE STEPS AND STRATEGIC DIRECTIONS William W. Stead and Herbert S. Lin, Editors Committee on Engaging the Computer Science Research Community in Health Care Informatics Computer Science and Telecommunications Board Division on Engineering and Physical Sciences NATIONAL RESEARCH COUNCIL OF THE NATIONAL ACADEMIES THE NATIONAL ACADEMIES PRESS Washington, D.C

42 Principle 1: Focus on Improvements in Care Technology Is Secondary The most important principle for guiding evolutionary change in health care is to focus efforts on achieving the desired improvements in health care rather than on the adoption of health care IT as a goal in itself.

43 Principle 2: Seek Incremental Gain from Incremental Effort If programs can be structured so that small investments yield visible success, stakeholders and the relevant decision makers are more likely to be persuaded to continue along such a path.

44 Principle 3: Record Available Data So That They Can Be Used for Care, Process Improvement, and Research Systematic improvement of health care is datadriven. providers should aggregate as much data as feasible about people, processes, and outcomes from all sources, acknowledging the never-ending challenge of maintaining reasonable degrees of patient confidentiality in such a data collection effort.

45 Principle 4: Design for Human and Organization Factors design systems to support people in doing the right thing provide incentives for and eliminate barriers to doing those things. barriers and incentives can be sociological, psychological, emotional, cultural, legal, economic, or organizational. Human-centered design pays attention to all of these factors as they relate to technical function and form.

46 Principle 5: Support the Cognitive Functions of All Caregivers, Including Health Professionals, Patients, and Their Families cognitive support needs to center on high-level decision making (e.g., diagnosis) for populations, patients, or situations, cognitive support needs to span transactional tasks such as test ordering or prescribing. cognitive support is not well served by the taskspecific automation systems that make up the majority of today s health care IT.

47 Principle 6: Architect Information and Workflow Systems to Accommodate Disruptive Change architect health care IT for flexibility to support disruptive change rather than to optimize today s ideas about health care. it is axiomatic that health care will change dramatically into the future.

48 Principle 7: Archive Data for Subsequent Re-interpretation health care IT should provide the capability of recording any data collected in their measured, uninterpreted, original form, archiving them as long as possible to enable subsequent retrospective views and analyses of those data. Advances in biomedical science and practice will change today s interpretation of data.

49 Principle 8: Seek and Develop Technologies That Identify and Eliminate Ineffective Work Processes develop technologies that allow identification and elimination of ineffective work processes and implementation of new approaches to achieving their purpose. automation of work processes developed in an era when paper was the medium for communicating and archiving is fraught with cost and unintended consequences.

50 Principle 9: Seek and Develop Technologies That Clarify the Context of Data develop technologies that present new information in the context of other information available about the patient and relevant biomedical knowledge. the combination of new biomedical technologies, together with increased access to data through health care IT, is increasingly overwhelming health professionals ability to make sense of individual findings e.g. Alert fatigue New approaches are needed to present information in context so that patterns and choices stand out.

51 Summary of EMR generations First generation: The Collector - simple systems that provide a sitespecific solution for the need to access clinical data which is imported through scanning or other forms of aggregation Second generation: The Documenter - basic systems that clinicians use at the point of care to adequately document rather than merely access clinical data Third generation: The Helper - Systems that include episodic and encounter data and use decision support tools to assist clinicians, functional in at the minimum both ambulatory and inpatient settings Fourth generation: The Partner - Advanced systems that provide more decision support capabilities and that are operational and accessible across the continuum of care, and providing sufficient credibility as to become the patient's legal medical record Fifth generation: The Mentor - Complex and fully integrated systems that include all previous capabilities and that are a main source of decision support in guiding patient care for both clinicians and consumers

52 13th International Congress on Medical Informatics September 2010 Cape Town, South Africa

Semantic Alignment between ICD-11 and SNOMED-CT. By Marcie Wright RHIA, CHDA, CCS

Semantic Alignment between ICD-11 and SNOMED-CT. By Marcie Wright RHIA, CHDA, CCS Semantic Alignment between ICD-11 and SNOMED-CT By Marcie Wright RHIA, CHDA, CCS World Health Organization (WHO) owns and publishes the International Classification of Diseases (ICD) WHO was entrusted

More information

The openehr approach. Background. Approach. Heather Leslie, July 17, 2014

The openehr approach. Background. Approach. Heather Leslie, July 17, 2014 Heather Leslie, July 17, 2014 The openehr approach Background The open source openehr 1 architecture specifications 2 have evolved as the result of over 20 years of research and international implementations,

More information

An Evolutionary Approach to the Representation of Adverse Events

An Evolutionary Approach to the Representation of Adverse Events Medical Informatics in a United and Healthy Europe K.-P. Adlassnig et al. (Eds.) IOS Press, 2009 2009 European Federation for Medical Informatics. All rights reserved. doi:10.3233/978-1-60750-044-5-537

More information

NIH Public Access Author Manuscript Stud Health Technol Inform. Author manuscript; available in PMC 2010 February 28.

NIH Public Access Author Manuscript Stud Health Technol Inform. Author manuscript; available in PMC 2010 February 28. NIH Public Access Author Manuscript Published in final edited form as: Stud Health Technol Inform. 2009 ; 150: 537 541. An Evolutionary Approach to the Representation of Adverse Events Werner Ceusters

More information

How Doctors Feel About Electronic Health Records. National Physician Poll by The Harris Poll

How Doctors Feel About Electronic Health Records. National Physician Poll by The Harris Poll How Doctors Feel About Electronic Health Records National Physician Poll by The Harris Poll 1 Background, Objectives, and Methodology New research from Stanford Medicine, conducted with The Harris Poll

More information

Medicare Physician Fee Schedule Final Rule for CY 2018 Appropriate Use Criteria for Advanced Diagnostic Imaging Services Summary

Medicare Physician Fee Schedule Final Rule for CY 2018 Appropriate Use Criteria for Advanced Diagnostic Imaging Services Summary Medicare Physician Fee Schedule Final Rule for CY 2018 Appropriate Use Criteria for Advanced Diagnostic Imaging Services Summary Background and Overview The Protecting Access to Medicare Act of 2014 included

More information

Models of Information Retrieval

Models of Information Retrieval Models of Information Retrieval Introduction By information behaviour is meant those activities a person may engage in when identifying their own needs for information, searching for such information in

More information

Redwood Mednet Connecting California to Improve Patient Care 2012 Conference. Michael Stearns, MD, CPC, CFPC HIT Consultant

Redwood Mednet Connecting California to Improve Patient Care 2012 Conference. Michael Stearns, MD, CPC, CFPC HIT Consultant Redwood Mednet Connecting California to Improve Patient Care 2012 Conference Michael Stearns, MD, CPC, CFPC HIT Consultant Why is it Important to Codify Clinical Data? Common dilemma associated with trying

More information

To what entities does an ICD-9-CM code refer? A realist approach.

To what entities does an ICD-9-CM code refer? A realist approach. To what entities does an ICD-9-CM code refer? A realist approach. William R. Hogan* Division of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR Abstract. I take a view

More information

CSC2130: Empirical Research Methods for Software Engineering

CSC2130: Empirical Research Methods for Software Engineering CSC2130: Empirical Research Methods for Software Engineering Steve Easterbrook sme@cs.toronto.edu www.cs.toronto.edu/~sme/csc2130/ 2004-5 Steve Easterbrook. This presentation is available free for non-commercial

More information

Performance Dashboard for the Substance Abuse Treatment System in Los Angeles

Performance Dashboard for the Substance Abuse Treatment System in Los Angeles Performance Dashboard for the Substance Abuse Treatment System in Los Angeles Abdullah Alibrahim, Shinyi Wu, PhD and Erick Guerrero PhD Epstein Industrial and Systems Engineering University of Southern

More information

A Study on a Comparison of Diagnostic Domain between SNOMED CT and Korea Standard Terminology of Medicine. Mijung Kim 1* Abstract

A Study on a Comparison of Diagnostic Domain between SNOMED CT and Korea Standard Terminology of Medicine. Mijung Kim 1* Abstract , pp.49-60 http://dx.doi.org/10.14257/ijdta.2016.9.11.05 A Study on a Comparison of Diagnostic Domain between SNOMED CT and Korea Standard Terminology of Medicine Mijung Kim 1* 1 Dept. Of Health Administration,

More information

Joint ADA and Health Level 7 Collaboration On Electronic Dental Attachments

Joint ADA and Health Level 7 Collaboration On Electronic Dental Attachments Joint ADA and Health Level 7 Collaboration On Electronic Dental Attachments Jean Narcisi, Director, Department of Dental Informatics Patrick Cannady, Manager, Department of Dental Informatics ADA Practice

More information

Get the Right Reimbursement for High Risk Patients

Get the Right Reimbursement for High Risk Patients Get the Right Reimbursement for High Risk Patients A Proven Strategy for Managing Hierarchical Condition Categories (HCC) in your EHR 847-272-1242 sales@e-imo.com e-imo.com 1 OVERVIEW Medicare Advantage

More information

BOARD CERTIFICATION PROCESS (EXCERPTS FOR SENIOR TRACK III) Stage I: Application and eligibility for candidacy

BOARD CERTIFICATION PROCESS (EXCERPTS FOR SENIOR TRACK III) Stage I: Application and eligibility for candidacy BOARD CERTIFICATION PROCESS (EXCERPTS FOR SENIOR TRACK III) All candidates for board certification in CFP must meet general eligibility requirements set by ABPP. Once approved by ABPP, candidates can choose

More information

EHR Developer Code of Conduct Frequently Asked Questions

EHR Developer Code of Conduct Frequently Asked Questions EHR Developer Code of Conduct Frequently Asked Questions General What is the purpose of the EHR Developer Code of Conduct? EHR Association (the Association) members have a long tradition of working with

More information

History of SETMA s Preparation for ICD-10 By James L. Holly, MD October 1, 2015

History of SETMA s Preparation for ICD-10 By James L. Holly, MD October 1, 2015 History of SETMA s Preparation for ICD-10 By James L. Holly, MD October 1, 2015 SETMA s three partners attended the MGMA meeting in Washington DC in October, 1997. At that time, SETMA finalized the decision

More information

Quality requirements for EHR Archetypes

Quality requirements for EHR Archetypes Quality requirements for EHR Archetypes Dr Archana Tapuria, UCL Dr Tony Austin, UCL Prof Dipak Kalra, UCL, EuroRec Prof Georges De Moor, Univ. Gent, EuroRec MIE 2012, Pisa What is an Electronic Health

More information

Case-based reasoning using electronic health records efficiently identifies eligible patients for clinical trials

Case-based reasoning using electronic health records efficiently identifies eligible patients for clinical trials Case-based reasoning using electronic health records efficiently identifies eligible patients for clinical trials Riccardo Miotto and Chunhua Weng Department of Biomedical Informatics Columbia University,

More information

PRINCIPLES OF EMPIRICAL SCIENCE: A REMINDER

PRINCIPLES OF EMPIRICAL SCIENCE: A REMINDER PRINCIPLES OF EMPIRICAL SCIENCE: A REMINDER D.Gile daniel.gile@yahoo.com www.cirinandgile.com 1 Speaker s bias - Initial training in mathematics - Also training in sociology (empirical studies orientation)

More information

Work No. Rater Initials Average Score

Work No. Rater Initials Average Score Work No. Rater Initials Average Score For each of the seven criteria below a) identify specific phrases on the accompanying longer form which describe the work, and b) circle a numeric score on the short

More information

Legislative Report: 5010/ICD-10 --------------------------------- WEDI EHR Work Group: Electronic Health Record Product and Vendor Profile Site (Draft) Robert M. Tennant MGMA Co-chair, WEDI EHR WG HR 4157

More information

Why SIOP Needs an Association With APA

Why SIOP Needs an Association With APA Why SIOP Needs an Association With APA Ann Marie Ryan and Nancy T. Tippins Being a member of the American Psychological Association (APA) can sometimes be a frustrating and disheartening experience for

More information

INFORMATION SERVICES AND USER STUDIES

INFORMATION SERVICES AND USER STUDIES INFORMATION SERVICES AND USER STUDIES Ms. Patience Emefa Dzandza pedzandza@ug.edu.gh College of Education: School of Information and Communication Department of Information Studies INFORMATION SEEKING

More information

Team Acceleration Guide

Team Acceleration Guide Degrees of Strength Team Acceleration Guide www.degreesofstrength.com 2012 Verus Global Inc. All Rights Reserved. 1 Use this guide to develop and accelerate... (Guide pages 3-8) (Guide pages 8-9) (Guide

More information

Radiation Oncology. The conf ident path to treatment Philips Radiation Oncology Solutions

Radiation Oncology. The conf ident path to treatment Philips Radiation Oncology Solutions Radiation Oncology The conf ident path to treatment Philips Radiation Oncology Solutions The confident path to treatment Philips Radiation Oncology Solutions Imaging Image registration Contouring Treatment

More information

Patricia Bax, RN, MS August 17, Reaching New York State Tobacco Users through Opt-to-Quit

Patricia Bax, RN, MS August 17, Reaching New York State Tobacco Users through Opt-to-Quit Patricia Bax, RN, MS August 17, 2015 Reaching New York State Tobacco Users through Opt-to-Quit Good Afternoon! Welcome Roswell Park Cessation Services and Opt-to-Quit Overview Featured Site: Stony Brook

More information

FAMILY & CHILDREN S SERVICES STRATEGIC PLAN

FAMILY & CHILDREN S SERVICES STRATEGIC PLAN 2014-2019 FAMILY & CHILDREN S SERVICES STRATEGIC PLAN WHO WE ARE Family & Children s Services is a leading provider of behavioral health care and family services for people of all ages in Tulsa and surrounding

More information

Program Priorities 2018

Program Priorities 2018 Program Priorities 2018 Blank Page 2 CONTENTS: About CPRIT Program Priorities Project...Page 5 Process to Develop Program Priorities...Page 6 Scope of Program Priorities Project...Page 6 CPRIT s Long-Term

More information

An Experimental Investigation of Self-Serving Biases in an Auditing Trust Game: The Effect of Group Affiliation: Discussion

An Experimental Investigation of Self-Serving Biases in an Auditing Trust Game: The Effect of Group Affiliation: Discussion 1 An Experimental Investigation of Self-Serving Biases in an Auditing Trust Game: The Effect of Group Affiliation: Discussion Shyam Sunder, Yale School of Management P rofessor King has written an interesting

More information

Submitted to: Re: Comments on CMS Proposals for Patient Condition Groups and Care Episode Groups

Submitted to: Re: Comments on CMS Proposals for Patient Condition Groups and Care Episode Groups April 24, 2017 The Honorable Seema Verma Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue SW Washington, D.C. 20201 Submitted to: macra-episode-based-cost-measures-info@acumenllc.com

More information

Moving Family Health History & Genetic Test Result Data into the Electronic Health Record for Clinical Decision Support

Moving Family Health History & Genetic Test Result Data into the Electronic Health Record for Clinical Decision Support Moving Family Health History & Genetic Test Result Data into the Electronic Health Record for Clinical Decision Support HL7 30 Years of Standards Development HIMSS February 21, 2017 Grant M. Wood Intermountain

More information

Inventory Research agenda setting

Inventory Research agenda setting The health research system is responsible for generating knowledge through scientific inquiry focusing on people s health and well being. Health research spans the entire range from (bio)medical research,

More information

Re: Episode-Based Cost Measure Development for the Quality Payment Program

Re: Episode-Based Cost Measure Development for the Quality Payment Program April 24 th, 2017 SUBMITTED VIA EMAIL macra-episode-based-cost-measuresinfo@acumenllc.com Seema Verma Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services

More information

Volunteering in NHSScotland Developing and Sustaining Volunteering in NHSScotland

Volunteering in NHSScotland Developing and Sustaining Volunteering in NHSScotland NG11-07 ing in NHSScotland Developing and Sustaining ing in NHSScotland Outcomes The National Group for ing in NHS Scotland agreed the outcomes below which formed the basis of the programme to develop

More information

Is it possible to give a philosophical definition of sexual desire?

Is it possible to give a philosophical definition of sexual desire? Issue 1 Spring 2016 Undergraduate Journal of Philosophy Is it possible to give a philosophical definition of sexual desire? William Morgan - The University of Sheffield pp. 47-58 For details of submission

More information

Building a Diseases Symptoms Ontology for Medical Diagnosis: An Integrative Approach

Building a Diseases Symptoms Ontology for Medical Diagnosis: An Integrative Approach Building a Diseases Symptoms Ontology for Medical Diagnosis: An Integrative Approach Osama Mohammed, Rachid Benlamri and Simon Fong* Department of Software Engineering, Lakehead University, Ontario, Canada

More information

PROPOSED WORK PROGRAMME FOR THE CLEARING-HOUSE MECHANISM IN SUPPORT OF THE STRATEGIC PLAN FOR BIODIVERSITY Note by the Executive Secretary

PROPOSED WORK PROGRAMME FOR THE CLEARING-HOUSE MECHANISM IN SUPPORT OF THE STRATEGIC PLAN FOR BIODIVERSITY Note by the Executive Secretary CBD Distr. GENERAL UNEP/CBD/COP/11/31 30 July 2012 ORIGINAL: ENGLISH CONFERENCE OF THE PARTIES TO THE CONVENTION ON BIOLOGICAL DIVERSITY Eleventh meeting Hyderabad, India, 8 19 October 2012 Item 3.2 of

More information

Crossing boundaries between disciplines: A perspective on Basil Bernstein s legacy

Crossing boundaries between disciplines: A perspective on Basil Bernstein s legacy Crossing boundaries between disciplines: A perspective on Basil Bernstein s legacy Ana M. Morais Department of Education & Centre for Educational Research School of Science University of Lisbon Revised

More information

CASE-MIX ANALYSIS ACROSS PATIENT POPULATIONS AND BOUNDARIES: A REFINED CLASSIFICATION SYSTEM DESIGNED SPECIFICALLY FOR INTERNATIONAL USE

CASE-MIX ANALYSIS ACROSS PATIENT POPULATIONS AND BOUNDARIES: A REFINED CLASSIFICATION SYSTEM DESIGNED SPECIFICALLY FOR INTERNATIONAL USE CASE-MIX ANALYSIS ACROSS PATIENT POPULATIONS AND BOUNDARIES: A REFINED CLASSIFICATION SYSTEM DESIGNED SPECIFICALLY FOR INTERNATIONAL USE A WHITE PAPER BY: ROBERT MULLIN, MD JAMES VERTREES, PHD RICHARD

More information

Gaps In Successful EHR Implementations: The Challenges & Successes Of Providers In The Marketplace

Gaps In Successful EHR Implementations: The Challenges & Successes Of Providers In The Marketplace Gaps In Successful EHR Implementations: The Challenges & Successes Of Providers In The Marketplace A White Paper By Credible Behavioral Health, Inc. October 2016 Contents I. Introduction... 3 Ii. Findings

More information

Data Structures vs. Study Results:

Data Structures vs. Study Results: Data Structures vs. Study Results: Confessions of a failed epidemiologist who had an informatics epiphany CG Chute, MD DrPH, Bloomberg Distinguished Professor of Health Informatics April 7, 2015 1 Chris

More information

Chapter 1 Social Science and Its Methods

Chapter 1 Social Science and Its Methods Chapter 1 Social Science and Its Methods MULTIPLE CHOICE 1) Scientific knowledge is knowledge that has been: A) systematically gathered, classified, related, and interpreted. B) rediscovered and cherished

More information

A Descriptive Delta for Identifying Changes in SNOMED CT

A Descriptive Delta for Identifying Changes in SNOMED CT A Descriptive Delta for Identifying Changes in SNOMED CT Christopher Ochs, Yehoshua Perl, Gai Elhanan Department of Computer Science New Jersey Institute of Technology Newark, NJ, USA {cro3, perl, elhanan}@njit.edu

More information

CONCEPTUAL FRAMEWORK, EPISTEMOLOGY, PARADIGM, &THEORETICAL FRAMEWORK

CONCEPTUAL FRAMEWORK, EPISTEMOLOGY, PARADIGM, &THEORETICAL FRAMEWORK CONCEPTUAL FRAMEWORK, EPISTEMOLOGY, PARADIGM, &THEORETICAL FRAMEWORK CONCEPTUAL FRAMEWORK: Is the system of concepts, assumptions, expectations, beliefs, and theories that supports and informs your research.

More information

WHAT DOES IT TAKE TO SCALE HOME-BASED PALLIATIVE CARE?

WHAT DOES IT TAKE TO SCALE HOME-BASED PALLIATIVE CARE? WHAT DOES IT TAKE TO SCALE HOME-BASED PALLIATIVE CARE? LESSONS LEARNED (SO FAR) FROM AN IMPLEMENTATION EVALUATION OF THE ROLLOUT OUT OF HBPC IN THE BAY AREA Gary Bacher, JD/MPA, Founding Member, Healthsperien

More information

American Society for Automation in Pharmacy January 25, 2013

American Society for Automation in Pharmacy January 25, 2013 American Society for Automation in Pharmacy January 25, 2013 Presentation by W. Gregory Feero, M.D., Ph.D. Maine Dartmouth Family Medicine Residency Contributing editor, Journal of the American Medical

More information

DEVELOPMENTS IN THE CLINICAL TRIALS ENVIRONMENT Two Initiatives February 27, 2014

DEVELOPMENTS IN THE CLINICAL TRIALS ENVIRONMENT Two Initiatives February 27, 2014 DEVELOPMENTS IN THE CLINICAL TRIALS ENVIRONMENT Two Initiatives February 27, 2014 Karen Arts, Director Canadian Cancer Clinical Trial Network (3CTN) Chair of the Board of N2 Administrative Office: Lawson

More information

British Columbia Data Standards

British Columbia Data Standards British Columbia Data Standards Minimum Immunization Data Set Interoperability Guide Version: 1.0 October 23, 2017 Sponsors PHSA: Jill Reedijk Canada Health Infoway DOCUMENT CONTROL DOCUMENT HISTORY Version

More information

Thomas Widd: Unit and Lessons Plans

Thomas Widd: Unit and Lessons Plans 1 - loststories.ca Thomas Widd: Unit and Lessons Plans Note to Teachers Terminology Thank you for your interest in the Lost Stories website. The lesson plans provided here are aimed at middle school and

More information

PCORI s Role in Supporting CER

PCORI s Role in Supporting CER PCORI s Role in Supporting CER Ayodola Anise, MHS Program Officer, Addressing Disparities Program December 8, 2014 1 Objectives Background on PCORI Our national priorities and research PCORI supports Focus

More information

Dimensions of Health and Illness: Toward an Integrated Model

Dimensions of Health and Illness: Toward an Integrated Model I Dimensions of Health and Illness: Toward an Integrated Model Introduction The six chapters in this section emphasize the need to incorporate new dimensions into the prevailing definitions of illness

More information

Bringing Your A Game: Strategies to Support Students with Autism Communication Strategies. Ann N. Garfinkle, PhD Benjamin Chu, Doctoral Candidate

Bringing Your A Game: Strategies to Support Students with Autism Communication Strategies. Ann N. Garfinkle, PhD Benjamin Chu, Doctoral Candidate Bringing Your A Game: Strategies to Support Students with Autism Communication Strategies Ann N. Garfinkle, PhD Benjamin Chu, Doctoral Candidate Outcomes for this Session Have a basic understanding of

More information

Part 1: Introduction & Overview

Part 1: Introduction & Overview Part 1: Introduction & Overview We envision a collaborative, participative partnership around IDU that: Provides all relevant and interested stakeholders with a voice and role. Promotes awareness of the

More information

Answers to end of chapter questions

Answers to end of chapter questions Answers to end of chapter questions Chapter 1 What are the three most important characteristics of QCA as a method of data analysis? QCA is (1) systematic, (2) flexible, and (3) it reduces data. What are

More information

Peer Parent Support & Wraparound: Managing the Difference Patricia Miles Brevard Wraparound Conference June 2016

Peer Parent Support & Wraparound: Managing the Difference Patricia Miles Brevard Wraparound Conference June 2016 Peer Parent Support & Wraparound: Managing the Difference Patricia Miles Brevard Wraparound Conference Peer Parent Support & Wraparound Wraparound Roots Developed in 70s, Early pilots in 80s Rapid expansion

More information

2015 NAIIS Summit Quality Measures May 12, 2015

2015 NAIIS Summit Quality Measures May 12, 2015 2015 NAIIS Summit Quality Measures May 12, 2015 Sharon L. Sprenger Co-Lead Quality Measures Workgroup Director, Measurement Coordination and Outreach Division Healthcare Quality Evaluation The Joint Commission

More information

RECOMMENDATIONS OF FORENSIC SCIENCE COMMITTEE

RECOMMENDATIONS OF FORENSIC SCIENCE COMMITTEE To promote the development of forensic science into a mature field of multidisciplinary research and practice, founded on the systematic collection and analysis of relevant data, Congress should establish

More information

Planning Case Study. Barbara Ann Karmanos Cancer Institute McLaren Health Care Detroit, Michigan

Planning Case Study. Barbara Ann Karmanos Cancer Institute McLaren Health Care Detroit, Michigan Planning Case Study Barbara Ann Karmanos Cancer Institute McLaren Health Care Detroit, Michigan On the vanguard of thought. Reimagining The futurecancer of healthcare Care requires nothing less. Planning

More information

Basics of philosophy of science

Basics of philosophy of science 23E80101 Qualitative Business Research Methods Basics of philosophy of science Ilona Mikkonen, DSc. Philosophy Philosophy in general means study of very fundamental human problems e.g. existence, knowledge,

More information

POLICY AND ECONOMIC CONSIDERATIONS FOR FRAILTY SCREENING IN THE CANADIAN HEALTHCARE SYSTEM

POLICY AND ECONOMIC CONSIDERATIONS FOR FRAILTY SCREENING IN THE CANADIAN HEALTHCARE SYSTEM POLICY AND ECONOMIC CONSIDERATIONS FOR FRAILTY SCREENING IN THE CANADIAN HEALTHCARE SYSTEM Executive Summary Kelly Grimes, Jennifer Kitts, Bill Tholl May 2, 2016 Executive Summary There are significant

More information

Toward a Diagnosis Driven (Dental) Profession through Controlled Terminology

Toward a Diagnosis Driven (Dental) Profession through Controlled Terminology Toward a Diagnosis Driven (Dental) Profession through Controlled Terminology James J. Cimino, MD Director, Informatics Institute University of Alabama at Birmingham Birmingham, Alabama, USA Los Angeles,

More information

CODE OF COLORADO REGULATIONS 1 CCR Colorado State Board of Education

CODE OF COLORADO REGULATIONS 1 CCR Colorado State Board of Education 5.04 Special Education Specialist: Deaf/Hard-of-Hearing (Ages Birth-21) To be endorsed as a special education specialist: deaf/hard-of-hearing, an applicant shall hold an earned master s or higher degree

More information

Clinical decision support (CDS) and Arden Syntax

Clinical decision support (CDS) and Arden Syntax Clinical decision support (CDS) and Arden Syntax Educational material, part 1 Medexter Healthcare Borschkegasse 7/5 A-1090 Vienna www.medexter.com www.meduniwien.ac.at/kpa (academic) Better care, patient

More information

Advocacy Framework. St. Michael s Hospital Academic Family Health Team

Advocacy Framework. St. Michael s Hospital Academic Family Health Team Advocacy Framework St. Michael s Hospital Academic Family Health Team Purpose To provide a framework by which the St. Michael s Hospital Academic Family Health Team (SMH AFHT) can expand its commitment

More information

Progress from the Patient-Centered Outcomes Research Institute (PCORI)

Progress from the Patient-Centered Outcomes Research Institute (PCORI) Progress from the Patient-Centered Outcomes Research Institute (PCORI) Anne Beal, Chief Operating Officer of the Patient-Centered Outcomes Research Institute Sharon-Lise Normand, Vice Chair, Methodology

More information

1. Improve Documentation Now

1. Improve Documentation Now Joseph C. Nichols, MD, Principal, Health Data Consulting, Seattle, Washington From Medscape Education Family Medicine: Transition to ICD-10: Getting Started. Posted: 06/19/2012 Target Audience: This activity

More information

EVMS Authorship Guidelines

EVMS Authorship Guidelines EVMS Authorship Guidelines Many medical schools, including Eastern Virginia Medical School, encourage the publication and dissemination of results from research and other scholarly activities in a manner

More information

Behaviorism: An essential survival tool for practitioners in autism

Behaviorism: An essential survival tool for practitioners in autism Behaviorism: An essential survival tool for practitioners in autism What we re going to do today 1. Review the role of radical behaviorism (RB) James M. Johnston, Ph.D., BCBA-D National Autism Conference

More information

UNMC Nebraska Medicine Strategic Plan

UNMC Nebraska Medicine Strategic Plan UNMC Nebraska Medicine Strategic Plan 2017-2020 Overarching Goal 1: EDUCATION PROGRAMS: Enhance UNMC s and Nebraska Medicine s educational programs as the most learner-centered academic medical center

More information

Clinical Observation Modeling

Clinical Observation Modeling Clinical Observation Modeling VA Informatics Architecture SOLOR Meeting Walter Sujansky January 31, 2013 Goals of Clinical Observation Modeling Create conceptual-level models of the discrete statements

More information

Epilepsy Across the Spectrum Promoting Health and Understanding

Epilepsy Across the Spectrum Promoting Health and Understanding RECOMMENDATIONS MARCH 2012 For more information visit www.iom.edu/epilepsy Epilepsy Across the Spectrum Promoting Health and Understanding Much can be done to improve the lives of people with epilepsy.

More information

5/15/2013. ICD-10: Fostering Change Through Collaboration. Agenda. An Overview of ICD-10. ICD-10: The Bad and the Good.

5/15/2013. ICD-10: Fostering Change Through Collaboration. Agenda. An Overview of ICD-10. ICD-10: The Bad and the Good. ICD-10: Fostering Change Through Collaboration Health Care Compliance Association Upper Northeast Annual Conference May 17, 2013 www.kpmghealthcarepharmainstitute.com Agenda An Overview of ICD-10 ICD-10:

More information

ISA 540, Auditing Accounting Estimates, Including Fair Value Accounting Estimates, and Related Disclosures Issues and Task Force Recommendations

ISA 540, Auditing Accounting Estimates, Including Fair Value Accounting Estimates, and Related Disclosures Issues and Task Force Recommendations Agenda Item 1-A ISA 540, Auditing Accounting Estimates, Including Fair Value Accounting Estimates, and Related Disclosures Issues and Task Force Recommendations Introduction 1. Since the September 2016

More information

An introduction to case finding and outcomes

An introduction to case finding and outcomes An introduction to case finding and outcomes Dr Harshana Liyanage Department of Clinical & Experimental Medicine University of Surrey Wednesday, 25 January 2017 1 Objectives Problems with routine data

More information

Pediatric Oral Healthcare Exploring the Feasibility for E-Measures December 2012

Pediatric Oral Healthcare Exploring the Feasibility for E-Measures December 2012 Pediatric Oral Healthcare Exploring the Feasibility for E-Measures December 2012 Copyright 2012 American Dental Association on behalf of the Dental Quality Alliance (DQA). All rights reserved. Use by individuals

More information

Keep Wild Animals Wild: Wonderfully Wild!

Keep Wild Animals Wild: Wonderfully Wild! Animal Action Education English Language Arts Keep Wild Animals Wild: Wonderfully Wild! U.S. Standards Correlation Ages 5 7 Reading Key Ideas and Details CCRA.R.1: Read closely to determine what the text

More information

A Strategic Roadmap for the PICARD Programme in 2020

A Strategic Roadmap for the PICARD Programme in 2020 A Strategic Roadmap for the PICARD Programme in 2020 DRAFT 1. Background Since the launch of the WCO Partnership In Customs Academic Research and Development (PICARD) Programme in 2006, its two objectives

More information

Planning Case Study. Barbara Ann Karmanos Cancer Institute McLaren Health Care Detroit, Michigan

Planning Case Study. Barbara Ann Karmanos Cancer Institute McLaren Health Care Detroit, Michigan Planning Case Study Barbara Ann Karmanos Cancer Institute McLaren Health Care Detroit, Michigan On the vanguard of thought. Reimagining The futurecancer of healthcare Care requires nothing less. Planning

More information

Rebooting Cancer Data Through Structured Data Capture GEMMA LEE NAACCR CONFERENCE JUNE, 2017

Rebooting Cancer Data Through Structured Data Capture GEMMA LEE NAACCR CONFERENCE JUNE, 2017 Rebooting Cancer Data Through Structured Data Capture GEMMA LEE NAACCR CONFERENCE JUNE, 2017 Acknowledgement Richard Moldwin, MD, PhD, CAP Sandy Jones, CDC Wendy Blumenthal, CDC David Kwan, Cancer Care

More information

Spotting Liars and Deception Detection skills - people reading skills in the risk context. Alan Hudson

Spotting Liars and Deception Detection skills - people reading skills in the risk context. Alan Hudson Spotting Liars and Deception Detection skills - people reading skills in the risk context Alan Hudson < AH Business Psychology 2016> This presentation has been prepared for the Actuaries Institute 2016

More information

Strategic Plan

Strategic Plan 2017-18 Strategic Plan 1 Strategic Planning Process The Summit County Opiate Task Force has made great strides in addressing the opiate crisis in the last few years. More than 100 Summit County citizens

More information

Ministry of Health and Long-Term Care. Palliative Care. Follow-Up on VFM Section 3.08, 2014 Annual Report RECOMMENDATION STATUS OVERVIEW

Ministry of Health and Long-Term Care. Palliative Care. Follow-Up on VFM Section 3.08, 2014 Annual Report RECOMMENDATION STATUS OVERVIEW Chapter 1 Section 1.08 Ministry of Health and Long-Term Care Palliative Care Follow-Up on VFM Section 3.08, 2014 Annual Report RECOMMENDATION STATUS OVERVIEW # of Status of Actions Recommended Actions

More information

Achieving Business Excellence, Role of Empowerment

Achieving Business Excellence, Role of Empowerment Achieving Business Excellence, Role of Empowerment V. N. Choudhary, E.D. (B.E.), NTPC Limited, 19 th February, 2010 Objective About Excellence About Empowerment Coverage Empowerment thorough Business Excellence

More information

CLASS #21: SENSE MAKING: INTERPRETING THE TEXT. Definition: acceptable and approximating translation

CLASS #21: SENSE MAKING: INTERPRETING THE TEXT. Definition: acceptable and approximating translation CLASS #21: SENSE MAKING: INTERPRETING THE TEXT 1. What is equivocality? How does it arise? Why is it important? 2. Identify the three questions of interpretation. 3. Compare and contrast the following:

More information

Re: NCI Request for Information, Strategies for Matching Patients to Clinical Trials (NOT-CA )

Re: NCI Request for Information, Strategies for Matching Patients to Clinical Trials (NOT-CA ) American Cancer Society Cancer Action Network 555 11 th Street, NW Suite 300 Washington, DC 20004 202.661.5700 www.acscan.org Norman E. Sharpless, M.D. Director National Cancer Institute 9609 Medical Center

More information

Creative Thinking Styles

Creative Thinking Styles Creative Thinking Styles Creativity in 4 Dimensions Rules & Facts Spontaneity Organise Integrate An Integral Approach To Personal and Professional Evolution Most people in business today understand that

More information

Theorizing Interviews within Qualitative Research

Theorizing Interviews within Qualitative Research Kwansei Gakuin University Humanities Review Vol. 18, 2013 Nishinomiya, Japan Theorizing Interviews within Qualitative Research Stuart CUNNINGHAM* Abstract The purpose of this paper is to explore the issue

More information

Clinical Decision Support Technologies for Oncologic Imaging

Clinical Decision Support Technologies for Oncologic Imaging Clinical Decision Support Technologies for Oncologic Imaging Ramin Khorasani, MD, MPH Professor of Radiology Harvard Medical School Distinguished Chair, Medical Informatics Vice Chair, Department of Radiology

More information

Team-Based Decision Support in Diabetes Outcomes and Costs

Team-Based Decision Support in Diabetes Outcomes and Costs Team-Based Decision Support in Diabetes Outcomes and Costs Session 89, 8:30 a.m. February 13, 2019 Gary Ozanich, Ph.D. - College of Informatics, Northern Kentucky University 1 Conflict of Interest Gary

More information

Systems Engineering Guide for Systems of Systems. Summary. December 2010

Systems Engineering Guide for Systems of Systems. Summary. December 2010 DEPARTMENT OF DEFENSE Systems Engineering Guide for Systems of Systems Summary December 2010 Director of Systems Engineering Office of the Director, Defense Research and Engineering Washington, D.C. This

More information

Minister s Opioid Emergency Response Commission Recommendations to the Minister Updated July 5, 2018

Minister s Opioid Emergency Response Commission Recommendations to the Minister Updated July 5, 2018 The Minister s Opioid Emergency Response Commission was established May 31, 2017 to support the Government of Alberta s urgent response to the opioid crisis. As part of its mandate, the Commission is responsible

More information

ICD-10 Implementation: From ICD-10? to I Can Do-10!

ICD-10 Implementation: From ICD-10? to I Can Do-10! ICD-10 Implementation: From ICD-10? to I Can Do-10! Prepared For: OH Home and Community Based Service Providers August 12, 2015 Webex Presented By: Aaron R. Sapp, MPS National ICD-10 Program Director Insurance

More information

The impact of health information exchange

The impact of health information exchange The impact of health information exchange Joshua R Vest, PhD, MPH Associate Professor Department of Health Policy & Management Richard M. Fairbanks School of Public Health Indiana University Indianapolis

More information

Autonomous Family Groups and Networks: A Promising Development

Autonomous Family Groups and Networks: A Promising Development Autonomous Family Groups and Networks: A Promising Development A Commentary by John Lord* June, 2007 * John Lord is a researcher, author, and parent from Kitchener-Waterloo, Ontario. He has written extensively

More information

Using Data from Electronic HIV Case Management Systems to Improve HIV Services in Central Asia

Using Data from Electronic HIV Case Management Systems to Improve HIV Services in Central Asia Using Data from Electronic HIV Case Management Systems to Improve HIV Services in Central Asia Background HIV incidence continues to rise in Central Asia and Eastern Europe. Between 2010 and 2015, there

More information

Cancer. It s about all of us. ACP/GOC CPAC Project: Nova Scotia and Manitoba. Canadian Hospice Palliative Care Association

Cancer. It s about all of us. ACP/GOC CPAC Project: Nova Scotia and Manitoba. Canadian Hospice Palliative Care Association Cancer. It s about all of us. ACP/GOC CPAC Project: Nova Scotia and Manitoba Canadian Hospice Palliative Care Association GOC/ACP in Canada CPAC Project Overview The purpose of the project was to build

More information

Systems Engineering Guide for Systems of Systems. Essentials. December 2010

Systems Engineering Guide for Systems of Systems. Essentials. December 2010 DEPARTMENT OF DEFENSE Systems Engineering Guide for Systems of Systems Essentials December 2010 Director of Systems Engineering Office of the Director, Defense Research and Engineering Washington, D.C.

More information

Combining Archetypes with Fast Health Interoperability Resources in Future-proof Health Information Systems

Combining Archetypes with Fast Health Interoperability Resources in Future-proof Health Information Systems 180 Digital Healthcare Empowering Europeans R. Cornet et al. (Eds.) 2015 European Federation for Medical Informatics (EFMI). This article is published online with Open Access by IOS Press and distributed

More information