the librarian reloaded: evolving roles in health informatics
TRANSCRIPT
THE LIBRARIAN RELOADED EVOLVING ROLES IN HEALTH INFORMATICS
Iris Thiele C. Isip Tan MD, MScDirector, UP Manila Interactive Learning Center
Chief, UP Medical Informatics Unit Professor, UP College of Medicine
HEALTH INFORMATICS
A field of information science concerned with the management of all aspects of health data and information through the application of computers and computer technology.
Fenton & Biedermann, 2014
“Listen to your patient, he is telling you the diagnosis.
- Sir William Osler
“Good information is the best medicine.
- Dr. Michael Debakey
At least 44,000 people and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors that could have been prevented…
“To Err is Human: Building a Safer Health System
Institute of Medicine report (2000)
Central to many information technology applications is the automation of patient-specific clinical information.
Crossing the Quality Chasm: A New Health SystemInstitute of Medicine report (2001)
Getting the right information to the right person at the right time
Convergence of biomedical informatics & library & information science
Evolving roles of the health sciences librarian
Health informatics in the Philippines and opportunities for collaboration
HEALTH INFORMATICS
The interdisciplinary field that studies and pursues the effective uses of biomedical data, information and knowledge for scientific inquiry, problem solving and decision making, driven by efforts to improve human health.
Kulikowski et al, 2012
American Medical Informatics Association
Fig 1. Biomedical informatics and its areas of application and practice (Kulikoswki et al, 2012)
Fig 2. Component sciences and disciplines upon which biomedical informatics depends and to which it contributes (Kulikoswki et al, 2012)
“… it was librarians who initially dealt with the challenge of information explosion.”
Murphy, 2010
Medical librarianship included clinical records administration at the start of the 20th century.
Photo by Alex Gorzen
Murphy, 2010
Health science librarians led first user studies on information needs and information-seeking behavior.
Murphy, 2010
Health science librarians helped advance evidence-based medicine.
Murphy, 2010
Health science librarians inititated training courses in information retrieval, critical appraisal and systematic reviews.
Murphy, 2010
The “heart” of informatics training is the librarian.“King & Macdonald, 2004
Medical librarians are positioned by both training and professional mission to be an integral part of the health informatics environment. Cleveland & Cleveland, 2009
“
Figure 3. The Sheffield model of blended information professionals(Corrall, 2010)
Convergence of biomedical informatics & library & information science
Evolving roles of the health sciences librarian
Health informatics in the Philippines and opportunities for collaboration
At any rate, no matter what the world calls me, my domain is information. In everything that I do, I work from that premise.
“Ana D. Cleveland, 2011
Volume
Big data in healthcare
Variety Velocity
Analysis of big data from electronic medical records can greatly expand the capacity to generate new knowledge.
Murdoch and Detsky (2013)
Librarians can make big datasets useful by creating taxonomies, designing metadata schemes and systematizing retrieval.
Bieraguel, n.d.
BIG DATA Manager
Diagram modified from https://www.axian.com/2016/08/30/the-data-lifecycle-enabling-business-growth/
CREATION
CAPTURE
SYNTHESIS
AGGREGATION
STORAGE
SECURITY
ACCESS
ANALYZE
ARCHIVE
PURGE
SHARE DATA LIFE CYCLE
RESEARCH DATA MANAGER
LITERATURE SEARCH EXPERT
Many nonlibrarian searchers are impatient and want to find information fast. They are more intent on finding than on searching.
Rosalind et al, 2011
“
LIBRARIAN
VS
CONTENT EXPERT
Found articles with a greater number of citations
Selected more current articles
Whipple et al, 2009
Just In Time Librarian Consultation Service
Answer primary care clinical questions in less than 20 minutes McGowan et al 2009
ELECTRONIC HEALTH RECORD IMPLEMENTER
Literature Attached To Chart
Albert, 2008
Deliver information directly via the electronic health record
Bushhousen, 2013
Clinical decision support tool that uses information about the clinical context in which an information need arises to provide direct access to relevant information from knowledge resources
Cimino et al, 2012
INFOBUTTON
How can evidence be logically integrated into the EHR so it is part of the treatment-and-care process?
Garrity (2010)“
Include an information statement in the EHR to provide patients with access to reliable health websites while admitted and after discharge.
Jones et al, 2010
Computerized Provider Order Entry
Librarians can also build a knowledge management system to track approvals and changes for all order sets.
Miles, 2015
Health sciences librarians can develop electronic health record modules for medical students.
Gomes, 2013
Librarians can teach students to understand, research, and utilize information beyond specific technologies.
- King and MacDonald, 2004
“INFORMATICS EDUCATOR
Librarians can maintain a virtual collaborative workspace by organizing useful information.
Shumaker and Tyler, 2007
ASK A LIBRARIANlink in learning management
systems for distance learning
Stewart, 2007
Librarian on teaching team of graduate level health informatics course in research methodology
locating, retrieving and evaluating informationassist in use of information management tools
Kumar et al, 2014
CONTENT MANAGER
Use blogs, Twitter, intranet etc to share results of literature searches
Tan and Maggio, 2013
PATIENT ADVOCATE
A librarian can link patients to their personal health data and contextual health information.
Tarver et al, 2013
Convergence of biomedical informatics & library & information science
Evolving roles of the health sciences librarian
Health informatics in the Philippines and opportunities for collaboration
Building a Health Information Infrastructure
Why electronic health records? by InfowayInfoRoute https://youtu.be/Lo_3qOejQzI
National eHealth Vision Philippines
Photo by Doun, https://flic.kr/p/b5WFRK
By 2020, eHealth will enable widespread access to health care services,
health information and securely share and exchange patient information in support of safer, quality health care, more equitable and responsive health system for all the Filipino people by transforming the way information is used to plan, manage, deliver and monitor health services.
IT-enabled health services
By 2020
Philippine Health Information Exchange (PHIE) implementation
EMR certification
IT in all public health facilities
National eHealth Vision
http://www.nationalgeographic.org/encyclopedia/geographic-information-system-gis/
https://www1.udel.edu/johnmack/frec682/cholera/
Philippine Health Atlas healthmaps.doh.gov.ph
Health Facilities
GIS librarian
Just In Time Librarian Consultation Service
McGowan et al 2009
https://lhncbc.nlm.nih.gov/publication/lhncbc-2012-052
How can we bring library services to rural health physicians in remote areas?
How can librarians help at the point-of-care?
https://lhncbc.nlm.nih.gov/publication/lhncbc-2012-055
http://ebm.bmj.com/content/18/2/48.full
All three researches in collaboration with Dr. Paul Fontelo of the National Library of Medicine in Bethesda, Maryland, USA
Iris Thiele C. Isip Tan MD, MScDirector, UP Manila Interactive Learning Center
Chief, UP Medical Informatics Unit Professor, UP College of Medicine
@endocrine_witch