Healthcare Informatics
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1) Hardware
a. The computer: anatomy and physiology
i. The CPU
ii. RAM iii. Buses iv. I/O devices v. Disk drives vi. Video vii. Network interface
b. Networks: a taxonomy
i. LAN ii. WAN iii. Intranet iv. Internet v. What is a server, router etc.
c. The Internet
i. History ii. How it works iii. Limitations
d. Next generation internet/internet
e. Wireless networking
i. Bluetooth ii. 802.11
2) Software
a. Software: a taxonomy
i. The operating systems (Windows family vs. Linux, Apple) ii. The browser iii. Word processing iv. Spreadsheets v. Graphics vi. Email clients
3) Medical Computing
a. The hospital information system: anatomy and physiology
i. Typical layout
1. components ii. Identifiers – the medical record number iii. The firewall, the proxy iv. What it does
b. Email
i. For communication with patients ii. For prescribing
c. Electronic Medical Record
i. Definitions ii. Pro’s/con’s iii. Universal medical record
1. Where does the record reside 2. Clinical data repositories
d. Decision Support
i. Concepts ii. Applications
e. Clinical Information Systems
f. Computerized Physician Order Entry
g. Security, privacy, confidentiality, integrity
i. Encryption
1. Public key 2. Private key
ii. VPN’s
h. HIPAA
i. History of the legislation ii. Current scope/requirements
i. Additional legal considerations pertaining to inter-hospital and interstate virtual practice of medicine
i. Licensure ii. Credentialing iii. Malpractice
4) Internet Medicine
a. Teleconsulting b. Telepresence c. Health information on the net
i. Health professional info
1. Medline
ii. Patient info
1. Sources 2. Reliability 3. Studies on patient/MD usage
5) Devices
a. Portables in medical practice
i. Devices ii. Applications iii. Requirements iv. The future
b. Ubiquitous computers in devices
i. Microprocessors in devices
1. Hospital devices (monitors, pumps) 2. Home medical devices
ii. Implanted microchips
1. Cardiac, diaphragmatic, pacemakers 2. Spinal cord actuators 3. Cochlear, retinal implants
6) The future
a. Artificial intelligence
i. AI in medicine
1. History 2. The present
ii. Data mining iii. New AI tools
1. Neural nets 2. Genetic algorithm 3. Bayes algorithms 4. Machine learning 5. Case based reasoning 6. Fuzzy logic 7. Data visualization
iv. Medical applications of AI
1. Smart monitors 2. Smart drug delivery
b. Robotics (the computer amplified practitioner)
i. Robotic laboratories ii. Robotic suits in patient care iii. Robotic surgery iv. Remote surgery
c. The future
i. Nanomedicine/computers on nanorobots ii. Automated diagnosis iii. Automated providers
Huge Audience: Nurses (700,000+), Allied Health Professionals (200,000), Physicians (800,000), Patient Information Services (250,000). Text is supported by numerous diagrams. Can be used as a reference or textbook. Also covers legal and regulatory issues.