Health & Medical Health & Medical InformaticsInformatics

Northern IrelandNorthern Ireland

Paul McCullaghPaul McCullaghEmail:pj.mccullagh@ulster.ac.ukEmail:pj.mccullagh@ulster.ac.uk

2525thth April 2006, BCS Health Informatics Forum April 2006, BCS Health Informatics Forum

Sectors

• Hospital Trusts– Clinicians, PAM, ICT

• Queen’s University of Belfast– Medicine

• University of Ulster– PAM

NI Regional Context

• Review of Public Administration

• Reconfiguration of Health Structures

• 4 Health Authorities 1 SHA

• 18 Trusts 5 Integrated Trusts

• Implications • Systems/information consolidation• standardisation

HEALTHCARE INFORMATICS RESEARCH GROUP at QUB

• Digital microscopy and machine vision in cancer diagnosis and prognosis

• Signal Processing and Compression in Medical Imaging

• Surgical Informatics • Information and Communications

Technology in Primary Care • Decision Support Systems in

Clinical Decision Making Telemedicine

MEDICATE Solution

www.medicate-online.org

Simple user interface Compact size : [W] 142mm x [D] 58mm x [H] 35 mmWeight : 220g

4 Buttons

Medication container

LCD Display

Prescription Outputs

• Patient Empowerment• Patient Education &

Training• Patient ‘Experts’• Need Education and

Self-Management Training

Diabetes Education

• Diabetes– Type I & Type II

innovative multimedia patient-centred education materials

DI@L-log

Gluconnect.com

VoiceXMLInterpreter

Primary / SecondaryCare Provider

Intranet

Patient Enters InformationAt Home Or On The Move

Regular Health ReportPrint-Outs Sent To Patient

PSTN

Secure Firewall

Electronic PatientRecord (EPR)

Data Repository

• Data Management• Visualisation• Trend Analysis• Decision Support/• Evidence Based Medicine

PDA

Clinical Workstation

Doctor / NurseOn The Move

• Patient Details• Clinical Targets• Protocols

DI@L-log

• Weight • Blood Sugar• Blood Pressure

DI@L-log Architecture Schematic

• Data Repository

• Patients / HCP

• Feedback

• Communication

• Developed further

Electronic Patient Record (EPR)

Diamond

HospitalPAS

Remote clinics / users

Eye ScreeningDigital Imaging

Foot ScreeningDigital Imaging

Clinic

Wards

Local / Wide Area Network

Data managersGP

Web Access / EDI

Strategic HealthAuthority

PDA

Pathology

Meter Uploads

The Top 15 Features• Age and Diagnosis Duration

• Insulin Treatment, Smoking Status and Family History

• LabRBG, Diet Treatment and Tablet Treatment

• Complication Type and Drug Type

• LabCholesterol, LabMicroalbuminuria and LabTriglycerides

• BMI and Sex

Performing regression using global adaptation knowledge

5. Use k-NN to find case pairs whose differences match those between the query and one of its NNs

C2

C1

Q

Diffs vector (C2, C3) is most similar to (C1, Q)

Target valuef(x)

Attribute x

C3

Healthcare Informatics Society of Ireland

Mr. Tom Holmes of IMS Maxims plc. presenting the prize for best paper to Ms. Ann Forde

The prevailing educational and health environment drives course development

• Fees (who pays for the education?), • Policy Drivers (from government, NHS), • Market (is there sufficient demand for more specialised

ICT graduates in HI?), • Graduate Output (will the graduate contribute?), • Bologna (harmonisation of course throughout Europe)

The nature of the course• The Scientific and Engineering Base of Course (is this sufficiently different from

Computer Science to warrant a new degree?), • Models & Philosophy (are they different from existing HI courses?), • Level of Course (is postgraduate the natural level for HI practitioners?), Audience

(existing workers or school leavers?), • Content / Relevance (core material which doesn’t change or the latest tools and

packages?), • Delivery Modes (Learning and Teaching: how flexible should delivery be?),• Progression (will student complete in time, given flexibility of delivery?)• Coherence of Subject (wide ranging or more depth in core discipline of computer

science), • Distinctiveness / Scope, Workplace Support, Teaching Expertise and Staffing Mix (is

this sufficient in one institution or do we need collaborative approach ?), • Educational Viability (will a practical course deliver proper education and knowledge)• Reflect Research (should the course reflect and use the latest HI research?)

The Healthcare Informatics occupation

• Mandatory (should HI professionals require a domain specific qualification?),

• Career Path (will a qualification enhance their career?)• Occupational Standards and Contractual Expectations (should

these reflect academic achievement?)• Knowledge and Skills Framework (is Otley the correct model, do we

need to refine or add to ducks and ponds?) • Graduate Characteristics (benefit to graduates and, benefits to

Employers), • General Health (Social / Community) Benefits (will a better educated

workforce in HI deliver this?), • Ethics

Collaboration between providers

• Ownership at University, Inter-disciplinarity (this may be a desirable way forward but requires good working relationships

• Tackling the digital divide by collaborating on course to third world countries might provide a way forward).

Acknowledgements

• Roy Harper• Chris Nugent• Juan Carlos Augusto• Maurice Mulvenna• Jonathan Wallace• Medical Informatics Recognised Research

Group

Intelligent Consultant : Interface• Intelligent computer consultant• Natural Language Processing• Virtual Appointments