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Project overview
0 Instruction
Biomedical Informatics Education
Competency-based Education
Applications and Tool-based Education
0 Instructional Research Approach
Health and Information Literacy
Personal Health Records Management
Personalized Education via Blackboard
0 Lessons Learned
Biomedical Informatics, defined
• the effective uses of biomedical data, information, and knowledge • across the spectrum from molecules to individuals and to populations
Competency-based Informatics Education
Indiana University- School of Medicine – Undergraduate Medical Education, http://medicine.iu.edu/ume/curriculum/competencies/
Word processing Emailing
Presentation Literature DB
Healthcare Colleges’ Core Informatics Competencies by Learning Modules
Module Topic AMIA Core AMIA Sub-Core Nursing Public
Health
1 Overview of Health Informatics 1, 2
A2.1, A2.2, A2.3, A3.1, A3.2, A3.3, B1, B2,
B3, B4, B5
K1
S2
A1, A2, A3, A4
A
2 Biomedical Data, Information, and
Knowledge
1, 2
A2.1, A2.2, A2.3, A3.1, A3.2, A3.3, B1, B2,
B3, B4, B5
K2
A1, A2, A3, A4
D
3 Electronic Health Records 2, 3, 4, 5
C1, C.2.8, D1, D2.1, D2.2., D2.3, D2.4,
D2.5, D3.1, D3.2, D3.3, D3.4, D3.5
K2, K3, K5
S3, S4, S5, S6, S7, S8
A1, A2, A3, A4
A, C, D
4 Biomedical Data Standards 2, 3, 4, 5
A2.3, A2.4, A3.1, A3.2, A3.3, B3, B4, C2.2,
C2.5, C2.6, C2.8
K1, K3
S1, S2
A1, A2, A3, A4
C, J, K
5 Health Information Privacy
& Security
2, 3, 4, 5
A2.3, A2.4, A3.1, A3.2, A3.3, B1, B5, C1,
C2.4, C2.7, D1, D2.1, D2.2., D2.3, D2.4,
D2.5, D3.1, D3.2, D3.3, D3.4, D3.5
K4, K5
S1, S2
A1, A2, A3, A4
F1, F2, H, L
6 Consumer Health Informatics 2, 3, 4, 5
C1, C2.2, C.2.8,C3.1., C3.2, C3.3, D1, D2.1,
D2.2., D2.3, D2.4, D2.5, D3.1, D3.2, D3.3,
D3.4, D3.5
K1, K2
S6, S7, S8
A1, A2, A3, A4
A, B, D
7 Personal Health Records 2, 3, 4, 5
C1, C2.2, C.2.8,C3.1., C3.2, C3.3, D1, D2.1,
D2.2., D2.3, D2.4, D2.5, D3.1, D3.2, D3.3,
D3.4, D3.5
K1, K4, K5
S3, S4, S5
A1, A2, A3, A4
A, B, D
8 Evidence-Based Medicine 2, 3, 4, 5
A3.1, A3.2, A3.3, B1, B2, B3, B4, B5 K2
S1, S2, S6, S7, S8
A1, A2, A3, A4
I, K, M
9 Biomedical Imaging Informatics 2, 3, 4, 5
A2.3, A2.4, A3.1, A3.2, A3.3, B3, B4, C2.1,
C2.2, C2.3, C2.6, C2.8
K4, K5
S6, S7, S8
A1, A2
E, I,
10 Bioinformatics 2, 3, 4, 5
A2.1, A2.2, A2.3, A2.4, A3.1, A3.2,
A3.3, B4, B5, C1, C2.3, C2.6, C2.7
K4, K5
S6, S7, S8
A1, A2
I, J, K
Selected Modules and Learning Objectives Module Topic Learning Objectives
1
Overview of Health
Informatics
• To analyze how historical events have influenced the definition and
current scope of the practice of health informatics in healthcare.
• To discuss the development of health informatics as a discipline,
profession, and specialty.
• To discuss informatics-related professional organizations and their
contributions to professional development and informatics.
2
Biomedical Data,
Information, and
Knowledge
• To be able to compare and contrast the various definitions of health
care information
• To be able to describe the major types of health care information that
are captured or used or both in health care organizations
• To be able to cite specific examples of the major types of health care
information.
3 Electronic Health
Records
• To discuss the terms and definitions associated with the electronic
health record (EHR).
• To describe the essential components and attributes of an EHR.
4 Biomedical Data
Standards
• To review medical ontologies of particular relevant to clinical
practice, research, and education.
5
Health Information
Privacy
& Security
• Distinguish among common terms in this area of informatics: privacy,
confidentiality, security, covered entity, and data integrity.
• Analyze current federal and state laws and regulations and their
implications for privacy and security practices and procedures.
• Use appropriate resources in establishing and implementing security-
and privacy-related policies and procedures.
• Apply common procedures for securing sensitive health information.
Selected Modules and Learning Objectives Module Topic Learning Objectives
6 Consumer Health
Informatics
• To discuss the characteristics of online healthcare consumers.
• To analyze the implications of ePatients on clinical practice.
• To identify technologic innovations likely to be used in routine
practice by clinicians when caring for patients in the future.
7
Personal Health
Records
• To analyze the trends and events leading to the development and
adoption of electronic personal health records (PHRs).
• To describe the ideal PHR and its proposed benefits.
• To explain the different types of PHRs, including the pros and cons of
each type of PHR.
8 Evidence-Based
Medicine
• To explore the trend in evidence-based quality improvement in terms
of implications for all levels of healthcare organizations and across all
professions.
• To review effective models in structuring evidence-based practice (
9 Biomedical Imaging
Informatics
• To discuss basic concepts and issues in biomedical imaging
• To review the field of biomedical imaging informatics as the study of
methods for generating, manipulating, managing, and integrating
images in biomedical applications
10
Bioinformatics • To review genomic information feeds into clinical research
• To review molecules that form the blueprint of life and discuss the
surrounding research methodologies
• To discuss how genetic data are clinically integrated
• To relate how this new type of data is used in different clinical
research domains
• To review basic concepts such as sequence, structure, and biological
pathway information relevant to medicine
• To discuss computational challenges in bioinformatics for the future
Tools and Applications by Learning Modules Module Topic Tools and Applications Notes
1
Overview of Health
Informatics
PubMed and Journal Citation Reports (JCR)-
Biomedical Informatics
http://www.ncbi.nlm.nih.gov
/pubmed/
http://libraries.uky.edu/rec
ord.php?lir_id=265
2
Biomedical Data, Information,
and Knowledge
RedCap – Data Collection http://ccts.uky.edu/BIC/Red
Cap.aspx
3 Electronic Health Records I2B2 – Clinical Data Warehouse https://ccts.uky.edu/BIC/i2b
2.aspx
4
Biomedical Data Standards MeSH database http://www.nlm.nih.gov/mes
h/MBrowser.html
5
Health Information Privacy
& Security
NIST HIPAA Security Toolkit Application http://scap.nist.gov/hipaa/
6 Consumer Health Informatics MedlinePlus http://www.nlm.nih.gov/me
dlineplus/
7
Personal Health
Records (PHRs)
WebMD HealthManager (Records/Quotient)
Or Microsoft’s
HealthVault
http://www.webmd.com/hea
lth-manager
http://www.webmd.com/phr
http://www.phrstoday.com/
Web-MD-Health-
Manager.html
8 Evidence-Based Medicine Critically Appraised Topics (CATs) http://www.cebm.net/?o=12
16
9
Biomedical Imaging
Informatics
Code for the Edge Detection and Image SegmentatiON
system (EDISON)
http://coewww.rutgers.edu/
riul/research/code/EDISON/
10 Bioinformatics GenBank http://www.ncbi.nlm.nih.gov
/genbank/
Personal Health Record (PHRs) Management - mTurk Survey
Component
1 2 3 4
Factor 1: Collecting
keep my health records .812
request copies of my health records .782
integrate multiple records .813
anticipate future use of my archived health records .748
decide organizational strategy .726
attempt to establish the mapping .675
Factor 2: Finding
know how to narrow or broaden my search .742
use appropriate meta-information .659
know how to find helpful health resources from Internet .704
can distinguish which health resources .673
Factor 3: Sharing
use Web applications to organize my health info .743
share my health information with others through network drive .820
share my clinical schedule .746
express my opinions or exchange emotional supports .657
Factor 4: Implementing
articulate my health issues when I visit my doctors .772
understand my health info when discussing with my care
providers.
.777
tell high quality info .832
tell highly credible resources .845
tell timely updated health info .758
Eigenvalue 8.899 1.661 3.099 1.166
Variables Explained 40.452 7.552 14.086 5.298
Reliability (Cronbach alpha) 0.906 0.837 0.763 0.908
Mean (SD) 16.75
(5.98)
2.37
(1.24)
1.06
(1.17)
2.71
(1.06)
(Number,
%)
Health
Status
Computer
Knowledge
Health
Knowledg
e
Information
Managemen
t Skills
Gender (P -
Value) 0.484 .000** 0.624 0.797
Male
(N=303,
52.3)
2.48(0.
99) 3.03(0.84) 2.43(0.93) 2.04(1.04)
Female
(N=254,
43.9)
2.41(0.
98) 2.73(0.86) 2.36(0.89) 2.08(0.98)
Total 2.45(0.
98) 2.89(0.86) 2.4(0.91) 2.06(1.01)
Age (P -
Value) 0.187 .002** 0.291 0.236
20-25
(N=148,
25.6)
2.48(1.
03) 2.88(0.85) 2.29(0.92) 1.95(1.07)
26-30
(N=141,
24.4)
2.57(0.
87) 3.1(0.75) 2.5(0.89) 2.2(0.97)
31-40
(N=151,
26.1)
2.46(0.
97) 2.91(0.87) 2.37(0.98) 2.05(1.05)
41-65
(N=128,
22.1)
2.32(1) 2.72(0.91) 2.43(0.83) 2(0.95)
66 or
above(N=8,
1.4)
2(1.07) 2.38(0.92) 2.63(0.74) 2.38(0.74)
Total 2.45(0.
97) 2.9(0.86) 2.4(0.91) 2.05(1.01)
College Students’ Health Literacy and PHRs
NIH - Understanding and Promoting Health Literacy (R21)
Personalized Learning via Blackboard
0 Health and Information Literacy -- Developed/Posted 0 Learning Modules
0 1 Lecture Video – What is PHRs? Developed/Posted 0 15 Essential College health Videos– Collected/Posted 0 20 How to Use Microsoft’s HealthVault Videos –
Collected/Posted
0 Evaluation Modules 0 Pre / Post Participation Survey – Developed/Posted 0 Quiz question bank- essential college health & HealthVault --
Developed/Modified
0 Personalization? – Customized presentation for learning/evaluation modules Blackboard enough?
Experimental Study
0 Plan to submit the revised (or a new) IRB for college students’ PHR study (by May 30, 2014)
0 Enroll and conduct participants (by June 30, 2014)
0 Data Analysis (by July 30, 2014)
0 Publication (by August 30, 2014)
0 Extramural Grant application (by October 10, 2014)
