HIM and HI Educational UpdateD R . C A R L A T Y S O N -

HOWA RD, HC C D R . S U S A

N H . F E NTO N, U T S B M I

HO US TO N A REA HI M A

J U NE 27,2014

American Education Network for Health Information Assurance and Security (AENHIAS)T R A D E A DJ U S T M E NT A S S I S TA NC E CO M M U NI T Y CO L L EG E A N D C A RE E R TRA I N I N G ( TA AC C C T)

D E PA RTM E N T O F L A B O R ( D O L )

Cyber Security A cyber a. ttack on the healthcare system is

a real threat according to Rick Kam, president and cofounder of ID Experts. He states, “We’re anticipating that 2013 will be the year of a major breach in healthcare”.

AENHIAS Project HIM and HIT workers are needed as cyber security experts.

The AENHIAS Project will train professionals in cyber security of health information.

AENHIAS Project Lead: Sam Houston State University, Huntsville, Texas

Member Institutions: 6 Community Colleges and Universities nationwide (2 in Texas)

Business Partners:◦American Health Information Management Association (AHIMA)-non profit◦National Health Sharing and Analysis Center (NH-ISAC)- non-profit◦The Council for Adult and Experiential Learning (CAEL)◦Lone Star College

Community College Partners Houston Community College - Coleman College

Coppin State University

MidState College

Greenville Community College Hutchinson

Community College Santa Fe CollegeLone Star College (business partner)

Course Delivery Blended online and in-person courses.

Synchronous sessions (live in-person and remotetelepresence) and asynchronously via LMS with Cisco Show and Share.

Feedback using adaptive analytics developed by Carnegie Mellon University’s Open Learning Initiative.

Self-sustaining.

DR. SUSAN H. FEN TON

ASSISTANT DEAN FOR ACADEMIC AFFAIRS

Trends in Informatics

•BIG DATA• Mobile Health

Five Game Changers in the US

The average person today processes more data in a single day than a person in the 1500s in an entire lifetime.

Smolan & Erwitt: The Human Face of Big Data

92% of the world’s data was created in just the past two years.

Smolan & Erwitt: The Human Face of Big Data

What is 5 Exabytes of Data? ◦ 5x1018 bytes (5,000,000,000,000,000,000)

◦All data created by humankind from prehistory to 2003◦1 billion DVDs

◦ Stacked - distance between Houston and Orlando

Created in two days in 2011

Created in 10 minutes in 2013

The United States has

one-thirdof

the world’s data

“Today a street stall in Mumbai can access more information, maps, statistics, academic papers, price trends, futures markets, and data than a US President could only a few decades ago.”

—Juan Enriquez, Founding Director of the Harvard Business School Life Sciences Project

http://my.entertainment.yahoo.com/news/street-delights-delhi-mumbai-073216546.html http://newsifact.blogspot.com/2009/02/young-obama-and-jfk-in-oval-office.html

Social Media Call Detail Records (CDRs)Communication Events

Web Browsing and Search

Channel Click Information

Traffic Patterns

Weather Mainframe Logs Photography

Data Storage is Cheap$600 to buy a disk drive that would store all of the world’s music

http://www.howstuffworks.com/hard-disk.htm

http://www.maximumpc.com/article/howtos/how_to_stream_your_music_library_any_computer

Computing is Fast1975:

Cray CDC-7600

Fastest supercomputer

$5m ($32m in 2013 dollar)

From McKinsey MGI 2013 reporthttp://en.wikipedia.org/wiki/File:CDC_7600.jc.jpg

2012:iPhone 4 Same speed$400

Google Computer Servers

Electricity consumption in 2011 was sufficient to power 200,000 homes.

http://www.brandpowder.com/2012/10/27/1871/

What can BIG DATA do for Healthcare?

Value of Big Data to HealthcareReducing Healthcare Costs by 7.6%

The Magnitude of Healthcare Data

Healthcare Data in the US in 2012

◦150 million terabytes or 150 exabytes (1.5x1020)

◦30 times the data created by humankind up to 2003

◦43,000 times the data in the Library of Congress

◦DVDs stacked together -> distance around earth

The Size of the Human Genome

200 copies of White Pages

9.5 years to read out loud

3 Gigabytes (1 DVD) (Houston to Tokyo for world population)

Human Genome3 billion bases

$1000 Genome is coming

$100, 1 hour, next decade

Sequencing an Entire Human Genome

= The Price of a Dental CrownCost of Human Genome Project: $2.7 billion, over 13 years

Roles of BIG DATA in Healthcare

Comparative effectiveness Clinical

decision support Remote patient

monitoring

Quality and performance measures

Biomedical discovery

Personalized medicine

PharmacovigilancePublic health surveillance and response

2016: Dr. Patrick Sonty at UTP•Dan Roe, an Alzheimer’s patient, suffered a stroke•Suspicious of Alzheirax

2017: FDA•Pull Alzheirax out of the market?

2017: SBMI•Dr. Zheng discovered 5 gene segments for the adverse events

2018: SBMI

2016: SBMI•Dr. Bernstam built a big data warehouse• Dr. Xu searched 9 million

records; found 136 cases (65 deaths)

• Dr. Cohen searched 2.5 million literature, found 93 studies of relevant factors of Alzheirax

2016: Dr. Patrick Sonty at UTP•Called SBMI for help

• Dr. Summer developed a Gene Editing procedure for the mutation

2015: Nockin, Inc. (fictitious)• Alzheirax was approved by FDA;• $1 billion, 13 years• Alzheimer's disease

Nockin, Inc.

Nockin Centerfor Informatic Therapeutics

at UT School of Biomedical Informatics at Houston

- Funded with a $15 Million Gift from Nockin, Inc.

http://www.nature.com/scitable/blog/theprometheancell/gene_editing_for_a_better

Mobile Health In 2012…

◦6.3 billion mobile phones

◦1.5 billion smart phones

◦7.2 billion world population

◦5 times data as voice traffic

Mobile Internet

Health Data from Body Sensors

Imec: Human+++: body networks http://www.imec.be/ScientificReport/SR2008/HTML/1225020.html

Ingestible Sensors (Proteus Digital)

Sleep Pattern Monitor

Wireless Trackers

·.:.

.:·:

•••

AriaT"' Wi-Fi Smart Scale

Fertility

Thermometer

The Future of Informatics

2 million data workers are needed by 2018.(McKinsey & Company)

• Only program in Texas• Only free-standing school in the

US• One of the largest in the nation

SBMI

School of Biomedical Informatics

Mission Educate and train future scientists and professionals in biomedical informatics and health information technology

Conduct informatics research to improve healthcare and advance biomedical discovery

Develop and use advanced informatics tools to solve practical problems in healthcare

Population

↑ Individual

↑ Organ

↑ Tissue

↑ Cell↑

Sub-cellular

↑ Protein↑ Gene

↑ Molecul

e

Public Health Informatics

Clinical Informatics (Medical, Nursing,

Dental)

Imaging Informatics

Bioinformatics

(genomics, proteomics)

Biomedical Informatics

UTHealth Informatics Consortium

Schools Clinical Partners

SPH

SPH

UTP

Levels of Biological Systems

Sub-Areas of Informatics

Education Research

SBMI

SODSONMS

MS

MS

MHHS HCHD

MDACC St Luke

Education Research

Service Operations

UTHealth Informatics Consortium

Established

Planned

Health

Academic

UT System-Wide Informatics Initiative

•Led by SBMI•Reach out to

other UT Components

•Academic•Research•Applications

Academic Programs

Applied (15 SCH) Applied MS (39 SCH)

Traditional (15 SCH)

Traditional MS (39 SCH)

Public Health (15 SCH)

International Collaborations: Brazil, Mexico, Colombia, Panama, Japan, China, India

Continuing Education: short courses on selected informatics topics

Doctoral (93 SCH)

Certificate Master’s

PhD

Where are SBMI Graduates Employed?PhD graduates (24 since 2003)◦12 obtained faculty positions (3 at Duke, 3 at UTH)◦Assistant VP at St. Luke’s

MS graduates (215 since 2000)◦Faculty positions◦CMIO, CNIO, Informatics Director◦Various positions in hospitals (e.g., TMC institutions)◦Various positions in industry (e.g., Microsoft)◦Entrepreneurial positions

Certificate graduates (140)

Tripled in 3 years

26% annual growth

US Recession

Health IT Online Job Postings Before and After the HITECH Act

QUESTIONS