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American College of Medical Informatics Events

ACMI Reception (Invitation only)
Sunday, November 11, 6:30 pm - 7:30 pm
Location: Chicago 9

Changing Systems Means Changing Behaviors
In its groundbreaking series of reports on patient safety, the Institute of Medicine (IOM) quotes Goethe, “Knowing is not enough; we must apply. Willing is not enough; we must do.” This commitment to knowledge and to action is essential to the magnitude of change transforming health care entails. The 10-year goal of an electronic health record for all Americans in 2014 is driving the move to the new health system for the 21st century—safe, effective, patient-centered, timely, efficient, and equitable—defined by the IOM. This carries forward the IOM’s vision of the computer-based patient record as “an essential technology for health care” set forth in 1991, when using the term “patient record” rather than “medical record” was a major step forward. Today, patient-centeredness is acknowledged as a key attribute of safer, higher-quality health care, as evident in the growing emphasis on personal health records. This shift in the center of care will change roles and responsibilities for patients and clinicians.

Standards in Health Information Technology: Promise and Challenges
Implementation of health information technology (HIT) can lead to improved quality of care, including improved guideline adherence, better surveillance and decreased medication errors. In the context of HIT, computer-based clinical decision support (CDS) systems can improve clinician performance and reduce errors in practice. Indeed, the promise of electronic health records lies principally in the integration of patient data from diverse sources that enables clinicians to take action. While considerable work has been accomplished, the lack of widely agreed standards remains an impediment to the implementation to HIT generally and to clinical decision support in particular. This applies both to patient data as well as to clinical knowledge that might be applied to those data to assist clinicians in making decisions. Accordingly, it is useful to analyze the present status of standards in the domain of HIT. In order to be of maximum benefit to symposium attendees, such an analysis will focus on several key areas:
·An overview of standards that can facilitate HIT implementation;
·Practical aspects related to standards that should be taken into account when purchasing or developing systems;
·Challenges and hindrances to HIT deployment presented by the current state of standards, including their proliferation and overlap.