INFORMATICS FOR LIBRARIANS12 APRIL 2012

Jacqueline Leskovec, MLIS, MA, RNOutreach, Planning & Evaluation Coordinator

National Network of Libraries of Medicine

Greater Midwest Region

Objectives

Participants will:•Be provided with an overview of the EMR•Be given a history of the role of the librarian in medical records•Explore ideas on the roles of librarians with HIT

HIT?• Health information technology (health IT) makes it

possible for health care providers to better manage patient care through secure use and sharing of health information. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people's health information.

The Office of the National Coordinator for Health Information Technology: http://healthit.hhs.gov/

What is Human Computer Interaction (HCI)?• Multi disciplinary

• Usability job titles

•Methods define the expertise

http://www.toonpool.com/

In the beginning…

The History of Medical Libraries from 2000 B.C. to 1900 A.D. Kathleen P. Birchettehttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC198686/pdf/mlab00147-0024.pdf

Disciplines & Departments

Librarians and HIT

• 1898: AML• 1907: MLA• 1928: ARLNA• 1938: AAMRL• 1970: AMRA• 1991: AHIMA

Grace Whiting Myers

June 29, 1956

February 13,2009

EMR? EHR? HIE?• EMR: Electronic Medical Record

• Electronic record of health-related information on an individual• Within one health care organization

• EHR: Electronic Health Record• Electronic record of health-related information on an individual• Across more than one health care organization

• HIE: Health Information Exchange• Electronic movement of health-related information among

organizations• Involves networks• Local, state, and national HIE initiatives

The Electronic Medical Record• Complex set of integrated applications• Outpatient/inpatient• Department-specific• Functionality/tasks

The Ideal EMR• Rapid accessibility and response time• Intelligent and flexible data presentation• Consistency• Contextual sensitivity• Prioritization• Promotion of quality improvement• Electronic communication• Patient involvement

Society of General Internal Medicine Blue Ribbon Panel, 2007

Who uses the EMR?

The Most Important User

Medical Model Vs. Patient-Centered Model

Hospitals as Information Environments

• “…altogether the most complex human organization ever devised.”• Peter Drucker, 1993

http://www.aha.org/aha/resource-center/Statistics-and-Studies/index.html

American Hospital Association

The Librarian

AAFP 2003

HIT and Educational Content• Training and education opportunities everywhere

• Physicians and Nurses• Nursing• Other staff• Patient/Family Education

I is for Information

• http://www.ischools.org/

Infobutton

http://solutions.wolterskluwer.com/blog/

• ICD-9-CM• SNOMED CT®• CORE Problem List Subset codes• RXCUI• NDC

http://apps2.nlm.nih.gov/medlineplus/services/demo.html

Training. Free. Yes, FREE.• Practice workflow and Information and Information

Management Redesign Specialist• Clinician/Practitioner Consultant• Implementation Support Specialist• Technical/Software Support Staff• Implementation Manager• Trainer

http://www.onc-ntdc.org/

http://www.onc-ntdc.org/

EMR Optimization• “We are running out of time, let’s just get it up and running

and fix the problems later.”

Patient Education

• Trusted source of information–Your doctor–Your hospital

• Develop online patient education libraries–Well developed content–Easy to find what you

need

Data – Information - Knowledge

Clinical HCI• Optimization Case Study

• Observation• Data analysis

• Solution• New design implementation

Safety and Error Prevention

• Information system configuration/use

• Process design• Communication• Labeling • Education

Research - Clinical Guidelines

Doing what we do best…

•What are you doing??

Questions/comments?• leskovec@uic.edu• SlideShare: leskovec• 1.800.DEV-ROKS

This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00005-C with the University of Illinois at

Chicago.