# Presentation: 755719

-  Building the Workforce for Health System Transformation American Medical Informatics Association(AMIA)Don E. Detmer, MD, MA,FACMIPresident & CEO_[www.amia.org](http://www.amia.org/)_301 657-1291

- AHIC EHR Work group September 25, 2007

-  #1 - Information Big Bang

## - Cyril Chantler

- Medicine used to be simple, ineffective, & relatively safe.
- Now it is complex, effective, & potentially dangerous.

- Aim of the Chasm Report: System Transformation

*from* Costly, Inefficient, & Highly Variable Systems
*to* Systems that are equitable, safe, patient-centered, efficient, effective, & timely

- IOM: Natl. Acad. Press, Washington, DC 2001

## 1) Transform Health & Healthcare with Informatics
2) Transform Informatics from an avocation to identified health professions

- 2) Transform Informatics from an avocation to identified health professions

- AMIA’s Agenda:

## Biomedical/Health Informatics

- “A scientific field that draws upon the information sciences & related technology *to enhance the use* of the knowledge base of the health sciences *to improve* health care, biomedical & clinical research, education, management, & policy.”

## The Future of Care: Change through Informatics 

- Build Knowledgeable Teams
- Reinvent Workflow
- Integrate Innovations
- Remove ‘Outdated’ Practices
- Reduce Variation
- Improve Safety/Quality while Reducing Costs
- Manage the Base of Knowledge
- National Academies Study
-      “Building a Better Delivery System”
- 	National Academy Press, 2005

## Biomedical/Health Informatics (domains not exclusive)

- Clinical Informatics
- Implementing & Using EHRs, including decision support
- + consumer/patient informatics
- + Visualization, Imaging, & Simulation in Organs & Networks (VISION)
- Research Informatics
- Clinical trials & surveillance; CTSA/Large databases
- Translational Bioinformatics
- Genomics to personalized care
- Public Health/Population Informatics

## 
37+  Formal Programs

50 to 80 MDs in Pipeline
30 to 60 RNs in Programs – Carole Gassert
Schools of Nursing Have Separate Programs

Capacity to Triple Output

- 37+  Formal Programs
- 50 to 80 MDs in Pipeline
- 30 to 60 RNs in Programs – Carole Gassert
- Schools of Nursing Have Separate Programs
**Capacity to Triple Output**

- Informatics Training in U.S.

## 400 plus trained to date by AMIA, 
Also NLM’s Woods Hole Seminars: 

Overview of Informatics
Applied Clinical Informatics
Translational Bioinformatics
Public Health Informatics (coming soon)
Nursing Informatics (coming soon)

- Also NLM’s Woods Hole Seminars:
- Overview of Informatics
- Applied Clinical Informatics
- Translational Bioinformatics
- Public Health Informatics (coming soon)
- Nursing Informatics (coming soon)

- 				Education & 						Training

## Disciplines contributing to AMIA & Informatics

- Clinical Medicine
- Cognitive Science
- Computer Science
- Library Science
- Nursing
- Health Policy
- Pharmacy
- Health Services Research & Epidemiology
- Public Health & Population Management
- Organizational Management & Systems Engineering

## AMIA Working Groups

- Clinical Information Systems
- Clinical Research
- Consumer Health Informatics
- Dental Informatics
- Education
- Ethical, Legal, & Social Issues
- Evaluation
- Formal (Bio)Medical Knowledge Representation
- Genomics

- Knowledge Discovery & Data Mining
- Knowledge in Motion
- Medical Imaging Systems
- Natural Language Processing
- Nursing Informatics
- Open Source
- People & Organizational Issues
- Pharmacoinformatics
- Prevention & Public Health
- Primary Care Informatics

##   Biomedical Computing 
  Electronic Health Records   & Health Information Exchange
  Decision Support:  Evolution &Current Approaches 
  Standards; Privacy, Confidentiality, & Security 
  Evidence-Based Medicine & Decision-Making 

-   Biomedical Computing
-   Electronic Health Records   & Health Information Exchange
-   Decision Support:  Evolution &Current Approaches
-   Standards; Privacy, Confidentiality, & Security
-   Evidence-Based Medicine & Decision-Making

- Information Retrieval & Digital Libraries
- Public Health & Population Management
- Imaging Informatics & Telemedicine
- Consumer Health Informatics
- Nursing Informatics
- Bioinformatics

- Ex: Content Areas

## Educational Initiatives

- Educational Development
- Academic Forum
- Academic Strategic Leadership Forum
- Development of AMIA’s Informatics Competencies & Certification; Formal Medical Subspecialty of Applied Clinical Informatics
- 10x10 program
- JAMIA
- Leadership development in the science of informatics, including global programs

## 
Official journal of AMIA
#1 journal in health care informatics (19)
 2007 ISI impact factor – 3.98
Peer-reviewed papers about the science of informatics; 29% acceptance rate
State of the art reviews, discussion forums, policy position papers, & invited editorials

- Official journal of AMIA
- #1 journal in health care informatics (19)
-  2007 ISI impact factor – 3.98
- Peer-reviewed papers about the science of informatics; 29% acceptance rate
- State of the art reviews, discussion forums, policy position papers, & invited editorials

##         10x10 Goal

- Develop capacity to train 10,000 health care professionals in applied clinical informatics by 2010.
- Partner with  participating informatics training programs.
- Expand across bioinformatics, research, &
- 	public health/population informatics.

- How many Informaticians does US need?UnknownMultiple Levels of Knowledge & SkillsMultiple Domains1) All Health Professionals	Basic Knowledge & Skills 2) Chief Information Officers	Applied Clinical Informatics3) Public Health & Research Informaticians:	Master’s & Doctoral levels

- American Medical Informatics Association(AMIA)4915 St. Elmo Avenue Suite 401Bethesda, Maryland 20814_[www.amia.org](http://www.amia.org/)__301 657-1291_