C O R E P R I N C I P L E S
Distributed evidence – the next epoch in healthcare evidence will be shaped by “real world,” bottom-up syntheses of patient-, clinician- and computer-generated data.
Cognitive potency – the ways in which information is assembled, packaged, and delivered in interactions with patients and clinicians are potent determinants of healthcare decisions.
Complexity informatics – healthcare informatics systems operate in highly uncertain, changing and interconnected settings.
Internet-assisted intelligence – patients and clinicians currently rely and will soon depend on Internet technologies.
Distributed evidence – the next epoch in healthcare evidence will be shaped by “real world,” bottom-up syntheses of patient-, clinician- and computer-generated data.
Cognitive potency – the ways in which information is assembled, packaged, and delivered in interactions with patients and clinicians are potent determinants of healthcare decisions.
Complexity informatics – healthcare informatics systems operate in highly uncertain, changing and interconnected settings.
Internet-assisted intelligence – patients and clinicians currently rely and will soon depend on Internet technologies.
Medical Informatics Review
The Medical Informatics Review series reports on various clinical and marketplace applications of medical information, tools and interventions. Example topics include Internet applications for shared decision making, patient medication adherence, e-data markets, capturing patient narratives and meta-data analytics. The Review series also illustrates the core principles of the Division of Medical Information Sciences:
Electronic Medical Care Advancement for Cardio- and Endovascular Medicine (December 2008)
Electronic medical care advancement is a new field that uses the Internet to advance the professional development and clinical expertise of clinicians in order to improve clinical care. In this model, the Internet serves as a "collaborative clinical networking platform (CCNP)," which enables the exchange and co-development of clinical experience, skills, observations, and services.
To access the complete article >
Electronic Medical Care Delivery for High Performance Cardiovascular Centers (October 2008)
Electronic medical care (EMC) is a new, high-performance medical discipline that uses the Internet as an intervention to treat patients more effectively and efficiently.
To access the complete article >
Electronic Medical Instruments For Patient-Centered Care (August 2008)
Now that patient-centered care approaches have evidence supporting superior outcomes, clinicians require new tools for operationalizing this model. This paper introduces the term "electronic medical instruments" or "EMIs" to describe a new field of electronic clinical applications that answers this need. EMIs include four basic classes of instruments, according to their primary function or indication:
To access the complete article >
The Scientific and Clinical Evidence for the Effectiveness of Internet-based Patient Engagement (June 2008)
Effectively engaging patients has been shown through extensive studies to improve quality, patient and provider satisfaction, and, perhaps most importantly, clinical and patient-reported outcomes. The dilemma is that the current practice model typically only allows for engagement during the clinical encounter or using general health education materials, both of which are suboptimal. Physicians need new tools to effectively engage their patients. In this paper we review clinical study evidence regarding the effectiveness of patient engagement tools; it indicates that interactive patient engagement portals outperform other approaches.
To access the complete article >
Narrative Techniques in Medicine (April 2008)
Translating Cognitive Sciences into Potent Informatics Instruments
The importance and relevance of narrative science and tools. Narrative techniques are valuable for:
The Emerging Market for Medical Experience Data (December 2007)
Demand for and supply of “real world,” de-identified data...
Payers, government organizations and therapeutics companies are seeking real-world medical experience data to support coverage decisions and product commercialization efforts. This medical experience data is captured from clinicians’ care delivery “experiences” assessing, diagnosing, treating, and managing patients. By participating as a “supplier” of this deidentified data, specialty clinicians can influence marketplace decisions and receive supplemental revenues.
To access the complete article >
Electronic Medical Informatics Software and Systems (EMIS²) (October 2007)
Next generation informatics instruments for clinicians...
Delivering the new model of care requires an integrated triad of informatics tools that support:
1. Patient information exchange and engagement
2. Clinical workflow automation
3. Electronic data capture for quality purposes
To access the complete article >
Patient Non-adherence — Pervasiveness, Drivers, and Interventions (August 2007)
Internet interventions for improved patient adherence to treatments...
Explores the non-adherence problem and its consequences, potentially predictive patient factors, and why Internet-based, tailored interventions may be particularly effective.
To access the complete article >
Shared Decision Making — Benefits and Technologies (June 2007)
Market shift toward shared decision making and patient decision aids...
Explores the rationale for and movement toward shared decision making (also known as informed patient choice), concerns regarding preference-sensitive conditions and the range and effectiveness of patient decision aids.
To access the complete article >
Developing "Safe and Effective" Clinical IT - Lessons from Cognitive Engineering (April 2007)
User-centered design of clinician informatics instruments...
Drawing from medical informatics design experts and a vast experience base from cognitive software development in other complex, variable, and uncertain industries such as aviation and aerospace, this report makes the case for a new generation of cognitive digital systems.
To access the complete article >
The Emerging Quality Imperative — Patient-Centered Care (February 2007)
“Patient-centered care” is the exemplar for high quality, high performance healthcare. This report describes the model, evidence that it improves outcomes and satisfaction, and how it can be implemented using customized informatics services.
To access the complete article >
Engaging Patients Through the Internet: The Business Case (December 2006)
Providers that use Internet informatics interventions in delivering care can improve patient satisfaction, reap savings of both money and time, differentiate their practices, and develop novel clinical knowledge-bases.
To access the complete article >
Using Internet Interventions to Control Performance in a Transparent Market (October 2006)
Internet interventions are web-based portals that allow patients to be efficiently “recruited” into their own care in a way that encourages treatment adherence and engagement, more productively manages the informing process, and increases patient satisfaction.
To access the complete article >
Informed Consent, Risk Management, and Technologies for Patient Informing (August 2006)
Traditional informed consent methods are judged by many ineffectual. Research shows that medical malpractice is correlated with “communication problems” much more than technical errors. Internet-based patient education and communication applications are finding growing adoption as a better approach to liability risk management.
To access the complete article >
The Patient as Healthcare Consumer: Implications and Opportunities for the Clinician-Patient Relationship (June 2006)
What happens when the 21st century consumer becomes more financially burdened and responsible for their healthcare? Patient consumers are demanding personalized medical information, e-communications with their doctors and more convenient healthcare services.
To access the complete article >
The Medical Informatics Review series reports on various clinical and marketplace applications of medical information, tools and interventions. Example topics include Internet applications for shared decision making, patient medication adherence, e-data markets, capturing patient narratives and meta-data analytics. The Review series also illustrates the core principles of the Division of Medical Information Sciences:
- Distributed evidence – the next epoch in healthcare evidence will be shaped by “real world,” bottom-up syntheses of patient-, clinician- and computer-generated data
- Cognitive potency – the ways in which information is assembled, packaged, and delivered in interactions with patients and clinicians are potent determinants of healthcare decisions
- Complexity informatics – healthcare informatics systems operate in highly uncertain, changing and interconnected settings
- Internet-assisted intelligence – patients and clinicians currently rely and will soon depend on Internet technologies
Electronic Medical Care Advancement for Cardio- and Endovascular Medicine (December 2008)
Electronic medical care advancement is a new field that uses the Internet to advance the professional development and clinical expertise of clinicians in order to improve clinical care. In this model, the Internet serves as a "collaborative clinical networking platform (CCNP)," which enables the exchange and co-development of clinical experience, skills, observations, and services.
To access the complete article >
Electronic Medical Care Delivery for High Performance Cardiovascular Centers (October 2008)
Electronic medical care (EMC) is a new, high-performance medical discipline that uses the Internet as an intervention to treat patients more effectively and efficiently.
To access the complete article >
Electronic Medical Instruments For Patient-Centered Care (August 2008)
Now that patient-centered care approaches have evidence supporting superior outcomes, clinicians require new tools for operationalizing this model. This paper introduces the term "electronic medical instruments" or "EMIs" to describe a new field of electronic clinical applications that answers this need. EMIs include four basic classes of instruments, according to their primary function or indication:
- patient comprehension and mindset;
- patient decision support;
- adherence support; and
- self-management support.
To access the complete article >
The Scientific and Clinical Evidence for the Effectiveness of Internet-based Patient Engagement (June 2008)
Effectively engaging patients has been shown through extensive studies to improve quality, patient and provider satisfaction, and, perhaps most importantly, clinical and patient-reported outcomes. The dilemma is that the current practice model typically only allows for engagement during the clinical encounter or using general health education materials, both of which are suboptimal. Physicians need new tools to effectively engage their patients. In this paper we review clinical study evidence regarding the effectiveness of patient engagement tools; it indicates that interactive patient engagement portals outperform other approaches.
To access the complete article >
Narrative Techniques in Medicine (April 2008)
Translating Cognitive Sciences into Potent Informatics Instruments
The importance and relevance of narrative science and tools. Narrative techniques are valuable for:
- understanding patients' thinking and thus optimally engaging them
- eliciting supplemental patient histories and assessing adherence, satisfaction and outcomes
- patient education, decision-making, and self-care support
- new types of online market research
- peer experience exchange communities
The Emerging Market for Medical Experience Data (December 2007)
Demand for and supply of “real world,” de-identified data...
Payers, government organizations and therapeutics companies are seeking real-world medical experience data to support coverage decisions and product commercialization efforts. This medical experience data is captured from clinicians’ care delivery “experiences” assessing, diagnosing, treating, and managing patients. By participating as a “supplier” of this deidentified data, specialty clinicians can influence marketplace decisions and receive supplemental revenues.
To access the complete article >
Electronic Medical Informatics Software and Systems (EMIS²) (October 2007)
Next generation informatics instruments for clinicians...
Delivering the new model of care requires an integrated triad of informatics tools that support:
1. Patient information exchange and engagement
2. Clinical workflow automation
3. Electronic data capture for quality purposes
To access the complete article >
Patient Non-adherence — Pervasiveness, Drivers, and Interventions (August 2007)
Internet interventions for improved patient adherence to treatments...
Explores the non-adherence problem and its consequences, potentially predictive patient factors, and why Internet-based, tailored interventions may be particularly effective.
To access the complete article >
Shared Decision Making — Benefits and Technologies (June 2007)
Market shift toward shared decision making and patient decision aids...
Explores the rationale for and movement toward shared decision making (also known as informed patient choice), concerns regarding preference-sensitive conditions and the range and effectiveness of patient decision aids.
To access the complete article >
Developing "Safe and Effective" Clinical IT - Lessons from Cognitive Engineering (April 2007)
User-centered design of clinician informatics instruments...
Drawing from medical informatics design experts and a vast experience base from cognitive software development in other complex, variable, and uncertain industries such as aviation and aerospace, this report makes the case for a new generation of cognitive digital systems.
To access the complete article >
The Emerging Quality Imperative — Patient-Centered Care (February 2007)
“Patient-centered care” is the exemplar for high quality, high performance healthcare. This report describes the model, evidence that it improves outcomes and satisfaction, and how it can be implemented using customized informatics services.
To access the complete article >
Engaging Patients Through the Internet: The Business Case (December 2006)
Providers that use Internet informatics interventions in delivering care can improve patient satisfaction, reap savings of both money and time, differentiate their practices, and develop novel clinical knowledge-bases.
To access the complete article >
Using Internet Interventions to Control Performance in a Transparent Market (October 2006)
Internet interventions are web-based portals that allow patients to be efficiently “recruited” into their own care in a way that encourages treatment adherence and engagement, more productively manages the informing process, and increases patient satisfaction.
To access the complete article >
Informed Consent, Risk Management, and Technologies for Patient Informing (August 2006)
Traditional informed consent methods are judged by many ineffectual. Research shows that medical malpractice is correlated with “communication problems” much more than technical errors. Internet-based patient education and communication applications are finding growing adoption as a better approach to liability risk management.
To access the complete article >
The Patient as Healthcare Consumer: Implications and Opportunities for the Clinician-Patient Relationship (June 2006)
What happens when the 21st century consumer becomes more financially burdened and responsible for their healthcare? Patient consumers are demanding personalized medical information, e-communications with their doctors and more convenient healthcare services.
To access the complete article >
