2. Health Informatics Awareness

3. Planned DayTopicPlanned Time Day 1 22/7/2014 1.Course introduction & pre course survey 2.Pre evaluation test 3.Introduction to health informatics 4.Break 5. introduction to medical record & Electronic Health Record 9:30 am - 10:00 am 10:00 am -10:15 am 10:15 am -12:00 am 12:00 am -12:30 pm 12:30 pm -2:00 pm Day 2 23/7/2014 1.Problems in current health care system that motivate health informatics 2.IOM key capabilities of EHR 3.Break 4.Open source EHR 9:30 am - 10:30 pm 10:30 pm - 12:00 pm 12:00 am - 12:15 pm 12:15am - 02:00pm Day 3 24/7/2014 1.IOM key capabilities of EHR (cont.) 2.Preliminary steps in EHR implementation 3.Break 4.Open source EHR 9:30 am - 10:45am 10:45 am- 11:15am 11:15 am -11:30 pm 11:30 pm – 02:00 pm Day 4 1.privacy, security and confidentiality of patient data Benefits of HER 2.Challenges with HIT implementation 3.Break 4.Activity 5.Post evaluation test 09:30 am – 11:00 am 11:00 am – 12:00 pm 12:00 pm - 12:15 pm 12:15 pm – 01:30 pm 01:30 pm – 2:00 pm Course Outline

4. Course Learning Objectives By the end of this course, the trainees should be able to: Identify health informatics discipline Recognize Institute of Medicine's recommendations for patient safety State the definition and purposes of medical record Explains the limitations of paper record State the definition of an Electronic Health Record (EHR) and its importance over paper record Define Health information exchange Define problems in current healthcare system that motivate informatics Identify IOM key capabilities of an EHR State the preliminary step in implementing EHR in developing countries Recognize challenges with HIT implementation in developing countries Identify privacy, security and confidentiality of patient data Identify benefits of EHR adoption Use open source EHR

5. Topics to be Discussed Introduction about Open Source open source EHR open source EHR applications Demonstration of EHR applications Examples

6. Open Source Approach freelypublic open source community When a software program is open source, it means the program's source code is freely available to the public. Unlike commercial software, open source programs can be modified and distributed by anyone and are often developed as a community rather than by a single organization. For this reason, the phrase "open source community" is commonly used to describe the developers of open source software development projects. : Google, Facebook, Mozilla Firefox and Linux. Examples for open source applications: Google, Facebook, Mozilla Firefox and Linux.

8. Order Management,: computerized provider order entry (CPOE) eliminates errors of handwriting, and monitors duplication of orders leading to increase patient safety and reduce costs. CPOE can be used to order medications, lab tests, radiological examination and consultations why do we need automation?? Result Management: lab results, radiology reports can be accessed easily via EHR system once they are appeared leading to save time and increase patient safety Health Information And Data: collect data about patient demographic, problems list, allergies, medications, immunization,

9. Reporting And Population Health: infectious diseases, immunization Decision Support: provides drug- drug interaction alerts, drug allergy alerts, aid in diagnosis leading to enhance quality of care and patient safety Electronic Communication And Connectivity: EHR facilitate communication between care providers and with patient leading to continuity of care Patient Support: EHR systems provide education materials and resources for patients and allow home monitoring for critical patients e.g. cardiac patient Administrative Processes And Reporting: EHR systems provide patient scheduling, appointment, billing and statistics for decision making why do we need automation?? (cont)

10. EHR components

11. Types of EHR software Vendor lock inOpen source

12. Reliability Severe defects tend to be fixed within hours of their being detected, a process which is undoubtedly assisted by the availability of the source code. Able developers who discover a bug will commonly also fix it and then report it to the maintainers as well as issuing an updated version of the software on their own authority. Users of the software can choose whether to use the unofficial fix or wait for an `official' version. Why Open source EHR system?

13. Stability The way that Open Source products tend to conform closely to standards efforts has an inertial effect, since standards change but slowly and interchange formats are often particularly stable. Why Open source EHR system?

14. Auditability A rarely-understood benefit of Open Source software (any software where the source code is published) is its auditability. Why Open source EHR system?

15. Cost (libre vs.gratis). freedom' and `free of charge' Why Open source EHR system?

16. Flexibility and Freedom In a business context, software flexibility is about being able to choose solutions suitable for the needs of the users. Why Open source EHR system?

17. Support and Accountability who do I sue? Open-source software does not differ from proprietary software in this respect. Some software vendors produce free software, and obtain large parts of their revenue from service and support Why Open source EHR system?

18. Examples of EHR applications Phyaura EHR Oscar McMaster Open EMR Practice fusion Open MRS FreeMED VistA …………………..etc

21. Summary of the lecture Open Source Approach why do we need automation?? EHR components Types of EHR software Why Open source EHR system? Examples of EHR applications

23. REFERENCES Committee on Data Standards for Patient Safety, Key Capabilities of an Electronic Health Record System: Letter Report, 2003, available at http://books.nap.edu/openbook.php?record_id=10781&page =7. accessed on May 8, 2014 http://books.nap.edu/openbook.php?record_id=10781&page =7 Michael J. McCoy, B.J. Bomentre, and Kate Crous. Speaking of EHRs: Parsing EHR Systems and the Start of IT Projects, Journal of AHIMA 77, no.4 (April 2006) available at http://library.ahima.org/xpedio/groups/public/documents/ahi ma/bok1_030968.hcsp?dDocName=bok1_030968 http://library.ahima.org/xpedio/groups/public/documents/ahi ma/bok1_030968.hcsp?dDocName=bok1_030968 Tech terms, open source definition, available at http://www.techterms.com/definition/opensource, accessed on May 8, 2014 http://www.techterms.com/definition/opensource, accessed on Gbdirect. Benefits of Using Open Source Software, available at http://open-source.gbdirect.co.uk/migration/benefit.html. Accessed on May 8, 2014 http://open-source.gbdirect.co.uk/migration/benefit.html