Future of Medical Informatics

Janis F. BrownUSC Norris Medical Library

Future Scenarios Hospital clinical information

systems Paramedic information systems Home medical information systems

Medical Informatics Goal

Medical information directed to a specific need at the right time in the right place to the right person

Are we there yet? Michael L. Millenson says:

Barriers are not technology nor cost Barriers are cultural, i.e. the doctors

The doctors say: Medicine is too complex

History 1970’s

LDS Hospital Help System Duke TMR System

1978 2nd Annual SCAMC Clinical path lab into CIS Knowledge bases for processing patient

data PROMIS – medical knowledge representation

Current Status – AMIA 2000 IV monitors directly linked to CIS HIV patients getting paged

reminders to take drugs Diabetes patients directly linking

glucometers to EMR in MDs office Patients viewing own EMR online Many commercial EMR and

knowledge base products

Forces Driving a Brighter Future Quality of care

Institute of Medicine report Leapfrog Group

Cost containment Aging population, increased demand

HIPAA Technology advances

Computers, networks, the Internet, authentication, voice recognition

New generation of computer savvy MDs

Address and Sites Janis Brown

jbrown@usc.edu IOM’s To Err is Human

http://books.nap.edu/catalog/9728.html

Leapfrog Group http://www.leapfroggroup.org

American Medical Informatics Association http://www.amia.org