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amia.orgwww.amia.org
AMIA 2015 – What does the future look like?
Doug Fridsma, MD PhDPresident & CEO, AMIA
Bethesda MD
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Current initiatives
• EHR 2020 report• Clinical informatics board diplomates• Policy engagement• Shaping the future
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EHR 2020 REPORT
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Simplify documentation
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Focus Regulation
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Increase transparency
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Encourage innovation
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Keep the patient at the center
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CLINICAL INFORMATICS BOARD SUBSPECIALTY
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Clinical Informatics Diplomates
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100
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300
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2013 2014
Pathology Diplomates
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POLICY ENGAGEMENT
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Senate HELP committee
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FUTURE TRENDS THAT WILL SHAPE AMIA
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EHRs will not be the most important Health IT
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• PCORI• Precision Medicine
• Consumer devices
• Information‐empowered Patients
Patients will be first order participants in health, healthcare and research
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Non‐health data will become bigger than health data
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Payment reform will increase the need for informatics skills and data analytics
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Interoperability will be a journey, not a destination
• Interoperability is – The exchange of information– The use of the information that
has been exchanged
• Standards need precise descriptions of– The “what” (ie, data definitions) – The “how” (ie, care processes)
• So that the systems can collect information in ways that can be used by other systems
Interoperability will be a journey, not a destination
• But it’s not just within an enterprise, but across multiple systems
• Will need standards for– Meaning– Structure– Transport– Security– Services (APIs)
• PLUS– Context, workflow and policy
awareness
roperability will be a journey, not a destination
mately, health care is an “ultra large scale system”. The problem is one of city ning rather than enterprise architecture We won’t get there in one step but
roperability will be a journey, not a destination
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Knowing is not enough; we must apply. Willing is not enough; we must do.
‐Leonardo da Vinci
Doug Fridsma, MD PhD FACP FACMIPresident & CEO, AMIA
@fridsma