improving information technology support for oral medicine: a proposed agenda

8/8/2019 Improving information technology support for oral medicine: A proposed agenda

1/15

Improving information technology

support for oral medicine: A

proposed agenda

Titus Schleyer, DMD, PhD

University of Pittsburgh, School ofDental Medicine, Pittsburgh, USA


2/15

Group 6 acknowledgements

Ulf Mattsson(Sweden)

Rachel Badovinac

(USA)

Vlaho Brailo (Croatia)

Jeffrey Burgess (USA)

Jung-Wei Chen (USA)

Michael Glick (USA)

Mats Jontell (Sweden)

Richeal Ni Riordan

(Ireland)

Thankam Thyvalikakath

(USA)

Stuart C. White (USA)

Rosnah Binti Mohd Zain

(Malaysia)


3/15

I have applied everywhere for

information, but in scarcely aninstance have I been able to

obtain hospital records fit forany purpose of comparison [...] If

wisely used, these improvedstatistics would tell us more of

the relative value of particularFlorence Nightingale, 1863


4/15

Abbreviations

OM = oral medicine

IT = information technology

EPR = electronic patient record


5/15

Two audiences

OM professionals

informatics/IT professionals manage ALL information about individual patients 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


6/15

How data get into the computer


7/15

An alternative:Natural

languageprocessing

Jeannie Irwin. Speech to chart: speech

recognition and natural languageprocessing for dental charting. PhD

thesis. 2009.Supported in part by NIDCR awards 1R21DE018158-01

and 5 T15 LM007059-21 (through NLM)


8/15

Why information displays matter


9/15

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.


10/15

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 (?)


11/15

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).


12/15

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-centercollaboration

consider the need for decision support systems (DSS)


13/15

Research and actions for informatics

survey IT use by the OM community

develop controlled vocabularies/ontologies

develop flexible EPRs that support cognitiveand functional requirements

determine how various systems can be

interconnected

integrate external information with EPR

design DSS (if needed)


14/15

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.


15/15

Thank You for Your Attention!

Questions, comments?

Please visit us at:http://di.dental.pitt.edu

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improving information technology support for oral medicine: a proposed agenda

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