Informaticopia

Wednesday, March 03, 2010

ITCH 2011

I've just heard about the Information Technology and Communications in Health (ITCH) which will be held February 24 - 27, 2011, Inn at Laurel Point, Victoria, BC Canada.

I'd not heard of this conference before but the current call for papers looks interesting.

Health Informatics: International Perspectives is the working theme for the 2011 international conference. Health informatics is now a global phenomenon, supporting the organization and delivery of healthcare across the globe, both in developing and developed countries. Health Informatics: International Perspectives will provide a unique opportunity to focus on international comparisons. There are major lessons to be learnt by both developed and developing communities as health informatics becomes ever more central to the organization and delivery of healthcare across the globe.

Topics presented will range from the design, development and use of specific information communication technologies from a national and international perspective. Submissions are also welcomed addressing, but not limited to, the following areas of interest:
* Health Informatics in Developing Countries
* Initiatives in International Health Informatics
* National & International Strategies and Policies
* Health Records
* Nursing Informatics
* Technologies as Agents of Change
* Informatics in Primary Care
* Public Health Informatics
* Ethics and Privacy
* Safety and Quality Management
* Mobile Technologies and Telehealth
* Clinical Informatics
* Human-Computer Interaction
* Standardization and Interoperability
* E-Learning and Education
* Consumer Informatics
* Healthcare Modeling and Simulation

Persons interested in presenting should submit completed papers to the ITCH 2011 Steering Committee no later than June 30, 2010.

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Thursday, September 17, 2009

Medicine 2.0'09

The Medicine 2.0'09 conference is happening now (September 17-18) in Toronto, Canada - http://www.medicine20congress.com Peter is adding materials mainly to the 'official blog' for the event at http://medicine20congress.blogspot.com/ There are also many other people tweeting the event - search Twitter using the #med2 hashtag

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Friday, September 11, 2009

UK Faculty of Health Informatics - forthcoming events

The UK Faculty of Health Informatics seems to be emerging as a significant force in getting people to think about the growing HI discipline & its growing role in healthcare policy and practice. They have just announced a masterclass and two think tank events over the next few months.

Delivering High Quality Care for All through First Class Education and Training :
Engaging, enthusing and ensuring that Health and Social Care staff are competent and confident when implementing new Information systems


UK Faculty of Health Informatics Master Class
Thursday 24th September 2009
Langwith College, University of York

This event aims to:

• Explore some of the challenges and solutions available to improve clinical and managerial understanding of and engagement in informatics projects across Health and Social Care

• Identify examples of good practice from Health and Social Care in ensuring that users are engaged, enthused, confident and competent prior to go-live in informatics projects

• Investigate the availability, use and effectiveness of competence based tools to support the implementation of informatics projects and meet the wider workforce development needs of Health and Social Care staff.

• Identify the potential benefits that informatics projects can derive from gaining a common understanding of the existing informatics competence of staff.

• Identify effective approaches to working with Suppliers and the Education sector to deliver effective training to support the successful implementation of informatics projects in Health and Social Care.

Further Information: Bruce Elliott, Coordinator of the UK Faculty of Health Informatics at: bruceelliott@nhs.net or Andrew Raynes, who is the specialist lead for this event for the UK Faculty of Health Informatics at: Andrew.Raynes@idealts.co.uk

For more information contact: leon.rushworth@nhs.net

To book on to the event go to: http://etdevents.connectingforhealth.nhs.uk/events/2452

Providing High Quality Care for All – ensuring that we address the need for effective information sharing between Health, Social Care and Children’s Services

UK Faculty of Health Informatics - Think Tank

Royal College of Obstetricians & Gynaecologists
27 Sussex Place, Regent's Park, London, NW1 4RG

20th and 21st October 2009

Day 1: Information sharing to further improve the care and protection of children

Day 2: Information sharing to further improve the care and protection of vulnerable adults

Aim of the event:

To identify how UK wide Health and Care Services and their Informatics teams can best support the effective and safe sharing of patient/service user information between health, social care and children’s services in order to improve care and reduce risk to children and vulnerable adults.

Objectives
:

• To identify the main lessons learned from recent inquiries and clinical incidents where poor information sharing between different agencies and/or professional groups has caused risk to patients / people who use services
• To highlight existing tools and examples of good practice that ensure that information is shared effectively across Health, Adult Care and Children’s Services within the UK and further afield
• To identify ways in which service users’ confidence in the quality and handling of their information and understanding of their condition can be built and their concerns addressed
• To make recommendations to the main agencies in the UK Informatics arena on how best of breed approaches can be used across Health, Care and Children’s Services

For further information or to share ideas about the content of the event or to share posters at the event contact: Bruce Elliott, Coordinator of the UK Faculty of Health Informatics at: bruceelliott@nhs.net or call: 0778 6705 955

To book on to Day 1 of the event focusing on Children's Services go to:
http://etdevents.connectingforhealth.nhs.uk/all/2465

To book on to Day 2 which focuses on Adult Care go to:
http://etdevents.connectingforhealth.nhs.uk/all/2466



Delivering High Quality Health Care for All: Bringing the social and technical together for a joined-up approach to deliver supporting systems and rechnologies

10th/11th December 2009

Organised by the UK Faculty of Health Informatics and the BCS Socio-Technical Group

Core idea
This 2-day Think-Tank event has been set up to discuss and report on how to Health and Social Care employers and other key stakeholders in the Informatics field might bring about a joined-up approach to the implementation of electronic health records, one that brings together changes both in technology and in the social practices around it.

Rationale
The National Audit Office’s report on “Delivering successful IT-enabled business change” see: www.nao.org.uk/publications/nao_reports/06-07/060733es.pdf and the University College London Evaluation report on the Early Adopters of the Summary Care Records project (see: http://www.ucl.ac.uk/openlearning/documents/scrie2008.pdf) both highlight the challenges of implementing technology-based projects within a fixed time line and how this can reduce the opportunities to get a more “user-centred” approach to change.

In many sectors of the UK economy the drive to get the technology ‘on desk, on time, and on budget’ can mitigate against developing a full understanding and consideration of how the changes may be of real practical value to users and customers.

It is increasingly recognised that ‘technology-push’ will not be enough in its own right to achieve the full benefits and efficiencies that are being sought in service delivery. Rather, we need to bring about innovations both in the technical systems, and in the working practices, work roles and processes that surround them. Put bluntly we need a more joined-up approach to change. This has been variously called ‘user-centred’ or ‘socio-technical’ or ‘holistic’.

Objectives

The objectives of this event are to discuss and subsequently report on –
• What does such a joined-up approach mean in practice?
• What examples exist from across the UK Health and Social care sector where such approaches have been used?
• Who has to do what, to make it happen consistently across the NHS and Social Care services?
• How will we know if it is succeeding?

If you wish to attend the Think Tank, please submit an Expression of Interest (EOI) to Bruce Elliott, Co-ordinator of the UK Faculty of Health Informatics at bruceelliott@nhs.net by 28th September 2009.

I wish I could attend all of them.

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Wednesday, July 22, 2009

Health 2.0 conference coming to Europe

The Health 2.0 conference, which focuses on user-generated aspects of Web2.0 within health care, will be coming to Paris on the 6th & 7th April 2010.

This looks like an interesting conference and I'm wondering about submitting something for this one rather than Medinfo 2010 in South Africa (as, unfortunately, I'm unlikely to get funding for both).

I've not been to Health 2.0 before but reports I've heard suggest a very different feel to some of the more formal conferences - which might be fun - but less likely to get academic brownie points in the eyes of my bosses.

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Tuesday, July 21, 2009

NHS CLINICAL INFO-MART 13th January 2010 Bristol

The UK Faculty of Health Informatics is organising a NHS CLINICAL INFO-MART

This will be an opportunity to share innovations and experiences in the field of clinical informatics that make a difference to patient care

Tuesday 13th January
Waterside, Watershed, Bristol

http://www.watershed.co.uk/conference/

The UK Faculty of Health Informatics, in conjunction with Bristol Royal Infirmary’s Paediatric Intensive Care Unit and the University of the West of England, would like to invite you to participate in a new opportunity to share Best Practice in the clinical informatics arena in a NHS Clinical Info-Mart.

At our first Info-Mart we plan to cover 5 main areas of huge interest, potential and often frustration for NHS staff. These are:

1. E-prescribing in secondary care
2. Clinical incident reporting systems
3. The development and use of community based information systems spanning across mental health, long term conditions and social care
4. Clinical Audit databases that are intuitive and interoperable
5. Tools and approaches to improve the accuracy of Clinical Coding

Although other relevant topics are likely to be discussed.

The features of the proposed info-mart are distinct from existing conferences and trade exhibitions in that it is:

* Clinically focused – the issues that we are trying to share or find solutions and lessons learned are led from a clinical viewpoint rather than a technical or sales perspective
* Focused on real experience of what already works – too often NHS staff have felt frustrated by Suppliers promoting technical developments that haven’t actually yet been deployed. This info-mart is designed to share what has already been tried and tested in different parts of the NHS across the UK from a clinical/service perspective
* Free of charge – the event is funded by the UK Faculty of Health Informatics and your personal details used when registering will not be shared with any other suppliers i.e. no follow-up sales calls or invitations to demonstrations
* Provides access to established Communities of Practice – if you want to progress ideas or issues more you will be able to sign up for free membership of an on-line community based on the Department of Health’s Informatics Directorate’s eSpace platform to keep in touch with other people that you have met on the day.

Format and structure:

Although the info-mart will be open all day from 9.30am until 5pm, unless you are a presenter or exhibitor you only need to attend when you wish to or are free to.

Presentations on each of the 5 main themes will take place at the following times in a separate auditorium adjacent to the info-mart as follows:

10am until 11am E-prescribing – solutions that work within secondary care settings
11am until 12 noon Clinical incident reporting systems
12 noon until 1pm The development and use of community based information systems spanning across mental health, long term conditions and social care
2pm until 3pm Clinical Audit databases that are intuitive and interoperable
3pm until 4pm Tools and approaches to improve the accuracy of Clinical Coding

The event is designed for NHS staff working in Medical, Nursing, Pharmacy, AHP, Social Care, Informatics, Senior Management, Communications or Education and Training roles

Organisation and next steps:

The event has been organised by 5 members of the UK Faculty of Health Informatics.
If you would like to discuss any specific aspects of the event then please contact:

Peter Murphy – Consultant Anaesthetist, Bristol Royal Hospital for Children, peter.murphy@uhbristol.nhs.uk

Rod Ward - Senior Lecturer, UWE Tel: 0117 32 88477, rod.ward@uwe.ac.uk

Dr Steven Sale - Consultant Anaesthetist, Bristol Royal Hospital for Children, Steven.sale@uhbristol.nhs.uk

Tony Solomonides – Reader, UWE, Tony.Solomonides@uwe.ac.uk

Bruce Elliott – Co-ordinator of the UK Faculty of HI/ Programme Manager – HID NHS CFH, Tel: 0778 6705 955, bruceelliott@nhs.net

If you would like to share your experiences at the event or wish to attend please contact leon.rushworth@nhs.net by 31st October 2009.

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Tuesday, March 24, 2009

MedInfo2010 Call for Submissions

Please find below reminder information about the Call for Submissions for MedInfo2010, the 13th World Congress on Medical and Health Informatics, to be held in Cape Town, South Africa on 13-16 September, 2010 (www.medinfo2010.org).

The conference theme is "Partnerships for effective e-Health solutions", with a particular focus on how innovative collaborations can promote sustainable solutions to health challenges.

Submissions are sought for papers, posters, panels, workshops and tutorials which may embrace this broad theme or may be focused on other areas of biomedical informatics. The contributions should relate to one of the following topic areas:
• Health information systems design and architecture
• E-health infrastructures
• Health informatics evaluation
• Education and building health informatics capacity
• Consumer health informatics
• Translational bioinformatics
• Emerging technologies
• Decision support systems
• Knowledge management
• Ontologies and terminologies
• Data and text mining
• Organizational, economic, workflow and policy issues
• Standards
• Electronic health records
• National and international health IT efforts and implementations


SCHEDULE & DEADLINES

Paper submission for those who wish to participate in the Scientific Mentor Scheme 1st July 2009 Feedback from mentors for the Scientific Mentor Scheme participants 1st August 2009

Paper submission for ALL MEDINFO papers 30th September 2009

Authors notified of acceptance 15th February 2010

Publication of scientific program 28th February 2010


New initiative:
THE SCIENTIFIC MENTOR SCHEME

The Scientific Mentor Scheme is a new initiative for this Congress. The aim of this scheme is to provide additional support to early career researchers and non-native English speakers. Participants will submit their papers early and will be provided with feedback about their papers from a member of the panel of international health informatics experts. Those wishing to participate in this scheme must submit their paper by 1st July 2009. Authors will then need to submit their final paper by the Congress paper deadline of 30th September 2009. The papers will then proceed through the normal Congress review process.

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Monday, March 16, 2009

Call for Papers

London International Conference on Education (LICE-2009), 9-12 of November, 2009 in London, UK(www.liceducation.org)

The London International Conference on Education (LICE) is an international refereed conference dedicated to the advancement of the theory and practices in education. The LICE promotes collaborative excellence between academicians and professionals from Education.

The aim of LICE is to provide an opportunity for academicians and professionals from various educational fields with cross-disciplinary interests to bridge the knowledge gap, promote research esteem and the evolution of pedagogy. The LICE-2009 invites research papers that encompass conceptual analysis, design implementation and performance evaluation. All the accepted papers will appear in the proceedings and modified version of the selected papers will appear in special issues peer reviewed journals.

The topics in LICE-2009 include but are not confined to the following areas:
  • Academic Advising and Counselling
  • Art Education
  • Adult Education
  • Business Education
  • Counsellor Education
  • Curriculum, Research and Development
  • Distance Education
  • Early Childhood Education
  • Educational Administration
  • Educational Foundations
  • Educational Psychology
  • Educational Technology
  • Education Policy and Leadership
  • Elementary Education
  • E-Learning
  • ESL/TESL
  • Health Education
  • Higher Education
  • History
  • Human Resource Development
  • Indigenous Education
  • ICT Education
  • Kinesiology & Leisure Science
  • Language Education
  • Mathematics Education
  • Music Education
  • Pedagogy
  • Reading Education
  • Rural Education
  • Science Education
  • Secondary Education
  • Social Studies Education
  • Special Education
  • Student Affairs
  • Teacher Education
  • Cross-disciplinary areas of Education
  • E-Society
  • Other Areas of Education

IMPORTANT DATES:

  • Extended Abstract Submission Date:June 30, 2009
  • Paper Submission Date: July 15, 2009
  • Proposal for Workshops: May 15, 2009
  • Notification of Workshop Acceptance: May 31, 2009
  • Proposal for Academic Presentation: April 30, 2009
  • Notification of Extended Abstract Acceptance/Rejection: July 31, 2009
  • Notification of Academic Presentation Acceptance: May 15, 2009
  • Notification of Paper Acceptance/Rejection: August 15, 2009
  • Camera Ready Paper Due: September 01, 2009
  • Author Registration: September 15, 2009
  • Early Bird Attendee registration: October 01, 2009
  • Conference Dates: November 09-12, 2009

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Thursday, January 22, 2009

Early registration for the WINI scheduled for March 13-15, 2009 in Troy, Michigan

Early registration for the WINI scheduled for March 13-15, 2009 in Troy, Michigan has been extended to January 31, 2009.

Please visit the Michigan Chapter of HIMSS site below to access more information on the program and the registration link. http://www.mi-himss.org/calendar/calendar.html

Source:
Sue Hendrix, RN BSN BC
Senior Business Analyst
AHIS at Genesys Regional Medical Center
1000 Health Park Blvd
Grand Blanc, MI 48439

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Saturday, December 13, 2008

Medinfo2010 submission dates

Cape Town, South Africa will host the 13th International Congress on Medical Informatics from the 13 - 16 of September 2010.

The medinfo2010 website has been relaunched with information on submission deadlines, etc. - in particular, please note:

Abstracts Deadlines

Deadline for early submissions, for those who wish to participate in Scientific Mentor Scheme:
01 July 2009

Feedback from mentors for Scientific Mentor participants:
01 August 2009

Deadline for paper submissions:
30 September 2009


See http://www.medinfo2010.org for current information (note some areas will be updated in coming weeks and months)

The Scientific Mentor scheme is one of several new initiatives - the aim is to provide additional support to early career researchers and non-native English speakers. Participants can submit their papers early and will be provided with feedback about their papers from a member of the panel of international health informatics experts. Those wishing to participate in this scheme must submit their paper by 1st July 2009. Authors will then need to submit their final paper by the Congress paper deadline of 30th September 2009. The papers will then proceed through the normal Congress review process.

Consider submitting to and attending medinfo2010 and help to make the first African medinfo a success.

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Monday, October 13, 2008

Conference - Moving technology into practice

The Royal College of Nursing is organising entitled "Moving technology into practice: A day on the Bay" to be held in Cardiff on Weds 11th March 2009.

The Keynote speaker will be Dr Norma Lang, PhD, RN, FAAN, FRCN, Aurora Distinguished Professor of Health Care, Quality and Informatics, University of Wisconsin Milwaukee College of Nursing; Professor and Dean Emeritus, University of Pennsylvania School of Nursing.

Norma is an internationally renowned expert in establishing methods to measure nursing quality and a pioneer in the field of quality assurance in nursing. Her nursing quality model has been adopted in the United States, Canada, Australia and the UK. Dr Lang also led the development of ICNP, the ground-breaking international classification system that serves as a common tool to describe and compare nursing practice.

The day will be chaired by Tina Donnelly, Director, RCN Wales and Professor Dame June Clark, DBE, FRCN, Professor Emeritus, Swansea University

The supporting sessions include:
* Getting e-health into pre-registration education
David Baker, Representative of the Association of Nursing Students
* Linking nursing clinical decision making with e-health
David Lloyd, Lecturer, Bangor University or Pauline Tang, Lecturer, Cardiff University (representing a group of nurse lecturers from North Wales)

The closing session will be by Dr Peter Carter, OBE, Chief Executive and General Secretary, Royal College of Nursing Reception

The conference will be followed by a reception hosted by Lord Dafydd Elis-Thomas AM.

Booking forms and further details are available from: http://www.rcn.org.uk/newsevents/event_details/rcn_events/e-health
or email: pat.anslow@rcn.org.uk

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Thursday, September 18, 2008

Deadline for submissions for NI2009 is approaching

The deadline for submissions for the NI2009 Congress is nearing!

The 10th International Nursing Informatics Congress Nursing Informatics - Connecting Health and Humans, will be held in Helsinki, Finland on 28 June - 1 July 2009. It aims to present a forum to discuss recent advances and future directions on the nursing informatics and related fields.

The deadline for submissions is September 30, 2008. Final copy of accepted contributions must be submitted before January 31, 2009.

The submissions page with the details about the call for papers is at: http://www.ni2009.org/call_for_participation/submissions/

I hope this is going to be an excellent conference showcasing a range of innovations world wide.

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Saturday, September 06, 2008

Reflections on the Medicine 2.0 Toronto experience

One of the criticisms made during the bloggers panel was that instant reporting/blogging of this sort of conference doesn't give much opportunity for reflection. Therefore as I have some time before flying back to the UK and its raining today in Toronto I thought I would do some general comments on the conference and the wider experience, including some of the social events, of my trip to Toronto.

Travel and accommodation

Getting here was a long flight - with a sting in the tail. Work had booked me onto a FlyGlobespan flight as they have recently started doing direct flights from Bristol to "Toronto". A delayed take off was followed by a long period on the tarmac at Dublin to take on more fuel and passengers. The flight itself was fairly standard cattle class - and eventually arrived at Hamilton International Airport. I had no idea that it was so far from the city itself or that I would be landing on a bank holiday (Labour Day), and therefore many of the transport links were not working or were infrequent. Two buses and several hours later I arrived in Toronto and found the Delta Chelsea hotel - that largest hotel in Canada with 1700 rooms. The time zone differences meant that it was about 03.00 for my body but only 22.00 for the people around me! The hotel staff and just about every other Canadian I have met has been very friendly and welcoming and the city feels very safe.

Sightseeing & social

I spent a day wandering around Toronto while acclimatising. My second day was the highlight of my sightseeing as I'd book a guided tour of Niagra Falls with Toronto Tours. Judy the slightly eccentric guide/driver took a party of about 20 people along the (bumpy) expressway to the Niagra district giving a humorous, and possibly scurrilous, commentary along the way. We stopped at the picturesque (ie set up for tourists) town of Niagara on the Lake and wandered about before the coach drive towards the falls themselves. Several people were dropped off for a helicopter ride - but the cost of 100 dollars (about £50) for a 9 minute flight put me off. Those not on the helicopter went to the Whirlpool rapids before continuing to the town of Niagara Falls, Ontario, which is a bit like Blackpool on the lake but we had a nice buffet lunch at the Sheraton - included in the tour price. After lunch we got closer to the American falls and had a boat trip on the Maid of the Mist which takes you very close to the much larger Canadian Falls. This and the time for wandering, on this very hot day, gave me areal opportunity to try out my new camera & I took loads of pictures & some video of the falls from just about every angle. The ride back to Toronto was broken with a trip to Lakeview Winery for a tasting in the vineyard.

Back in Toronto Peter introduced me to the C'est What Brew Pub/restaurant to prepare for the conference itself. On the Thursday evening Peter and I were joined by Margaret Hanson (US) & Chris Paton (NZ) for a nice meal at a little restaurant close to the hotel and on the Friday a larger group eat in the revolving restaurant at the top of the CN Tower, which provided some spectacular views over the city and the lake while enjoying excellent company.

Conference

The conference was a great opportunity for academics and innovators from around the world to discuss and demonstrate the impact of Web 2.0 technologies such as blogs, wikis and social networking, on medicine and healthcare.

Many of the participants were using the applications under discussion to share information and ideas, and I’ve never been to a conference where there was so much concurrent use of blogging, twittering and electronic social networking to embellish the face to face interaction a conference such as this provides – and share those thoughts with the rest of the wired world.

Despite the hype in the promotion for the conference many of the presentations were not that different from material being presented at similar health informatics events five years ago. The areas of potential and risk have been well rehearsed and were further developed at this conference with up to the minute tweaks. I particularly enjoyed the panel discussion on Methodological Issues and Challenges in eHealth Research with Judy Proudfoot, Lisa Whitehead and Caryl Barnes from Australia as many of their comments any observations were relevant to my own research. This emphasised the international nature of the issues and showed that many of us are grappling with similar issues. The NHS league tables and star rating systems were held up by Joan Dzenowagis from the World Health Organisation as shining examples – of how not to do it.

The most challenging and therefore useful, motivating and exciting session was by Maarten Den Braber and Jen McCabe talking about the Nexthealth model trying to look at healthcare in the future as far as Web 4.0. their ideas seemed as if they had arrived from Mars when compared with the earthbound work of some others. I will be following up their ideas in other fora (or planets).

The other fora which I have identified include:
* The conference social network on Crowdvine
* A discussion on Twitter
* Peter Murray blogging on hi-blogs.info
* Berci Mesko at ScienceRoll
* John W. Sharp
* Jen McCabe Gorman at Health Management Rx
* Neil Versel
* Kate Jongbloed

and Gunther has now uploaded all of his 800+ photos to Flickr (and would help labeling all the names.

All in all I found it a useful and stimulating conference and have just heard from Gunther that the evaluations were all very positive as well so hopefully we can look forward to a similar event next year.

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Friday, September 05, 2008

Medicine 2.0 conference - Day 2


The second day starting with parallel sessions. I attended a panel discussion on Methodological Issues and Challenges in eHealth Research with Judy Proudfoot, Lisa Whitehead and Caryl Barnes.

Lisa described a systematic review of methodological and ethical issues in eHealth research.The issues fall into sampling, ethics and reliability and validity with many issues around moving these from paper systems to online systems. The size of samples may or may not overcome issues of bias. Some of the potential produced around tracking IP addresses and pages visited but difficulties in getting a random sample led to the use of propensity scoring. Unsolicited email gets low response rates which were compounded by technical issues of browsers and passwords, security measures, computer anxiety etc. Ethical issues related to obtaining consent, protecting anonymity and security particularly in opportunistic research. Particular issues arose in using forums and similar collaborative tools. Using the web as sources raise issues around the level of disguise, perceived privacy and questions about whether researcher are lurkers. Further considerations need to be given to reliability and credibility related to linguistic competence, cultural differences, repeat participation and misinterpretation of self. Further problems with construct validity based on psychometric properties were also highlighted. Some questions arose about whether online samples or "real life" samples are "real" and maintaining participation.


Judy Proudfoot from the Black Dog Institute developed further on the sampling issues, based on research she is leading on people with Bipolar disorder undergoing an online education program. The difficulties with recruiting and low response rates have led to requirements for mixed methods but still doesn't provide random sampling. They are currently looking at whether the use of mobile phones might help with recruitment. A question about unsolicited emails and texts, and compliance with regulations led to further discussion.


The next section was led by Caryl Barnes who examined ethical issues which arose as part of an evaluation study on an online support program 'HealthSteps for Bipolar disorder". The road of the study through an Ethical Committee and the underlying moral codes covering privacy/confidentiality, informed consent, randomisation, risk/benefit ratio etc and most problematically the Duty of Care which led to a "red flag" system which led to withdrawal and contact with the patients clinician if life threatening/suicidal tendencies were identified. Some compromises with the commercial company running the program during the course of the study, they also found that not enough identifying details had been collected. They found that many participants had not read the Participant Information Sheet and this led to lots of further questions.


Lisa then covered some of the measurement issues based on a qualitative and quantitative survey of the health of tertiary students, examining whether there were difference between online and postal responses illustrated with copious statistics. The online and postal groups were close in the number of respondents, gender, ethnic origin, overseas students etc. Online participants were more likely to drop out as different measures were completed page by page and some did not complete all of them, but this level was not significant. Online respondents were seen to have higher fatigue scores than those who completed the survey via a postal system.

A variety of questions and comments from the floor then widened the debates and highlighted some of the current challenges for good new guidelines setting standards for behaviour in this area.


After coffee the next session I attended was about consumer empowerment, patient-physician, relationship and sociotechnical issues. The first presentation was by Luis Fernandez Luque from Norway. He described the number of blogs, web sites, videos and social networks etc where people are sharing information about their health conditions. He has studied these to find out whether these should be recommended to other patients. Over 100 were invited to the study and 29 completed surveys were received. He found patient generated content was rated highly for emotional support, but there were concerns about drug companies and others putting information up in this format. Many of the respondents considered changing their treatment or doctor based on information their had received from sites with patient generated content. They did not consider their privacy a problem and posted photos and a range of personal information. 17% published complaints about their doctors - mostly without identifying them. Existing codes are aimed at health professionals so he suggested the need for a code for epatient bloggers. He played a You Tube video of a patient with Multiple Sclerosis who is creating and publishing a video blog who had sent a message to the conference. Questions again raised issues around protection v empowerment and arguments about the creation and compliance with a code of ethics.


The next presentation was by Joanne Mayoh a doctoral student talking about - "Will the development of Web 2.0 technology result in a preference for quantity over quality?" She set out the use of the Internet to search for health information. Issues of Information and IT literacy meant that vast quantities of (possibly inaccurate) information can lead to greater distress than in other areas. She argued that wikis blogs and social networking as well as increasing quantity could also improve quality through Darwikinism particularly through the process in wikipedia and similar sites. Becoming as accurate as encyclopedias and challenging the criteria being used to judge the quality of online health information. Therefore she is focusing on the balance between online quality or public ability enhancing peoples skills in assessing the quality of information. She challenged the points made in the Times article "Ten ways to wind-up your GP" and what the response of the GP should be to people who bring print outs from the Internet. Her work with support groups members with chronic illness have low levels of Web 2.0 knowledge and what she can do to improve this. Questions discussed different routes to education both for patients but also for GPs.


The next presentation "Women wading through the web" by Sheryl Mitchell was about a toolkit Womens College Hospital has produced to help women find and evaluate information for this target group. She demonstrated the womenshealthmatters web site, and showed how the learning from this have led to the development of the toolkit. Well documented concerns about patients ability to evaluate online information was reprised and useful tools selected and tested, and reminded me of the work we did with the NMAP project which became Intute: Health and Life Sciences.


The final presentation of the session was by Cornelia Van Uden-Kraan from Twente University who talked bout her work examining empowerment by participation in online support groups via discussion groups. She highlighted the difficulties and lack of tools for the measurement of empowerment. Her team carried out qualitative and quantitative data collection to identify what processes and outcomes contributed to empowerment amongst participants in online support groups, which were similar between different diagnostic groups although the level of activity did vary.


After lunch I attended the theme Semantic Web (Web 3.0), Open Source. The first presentation was about PRESCO an attempt to develop an open source social network and architecture. He was presenting for colleagues who had found a variety of benefits for low and middle income Spanish speaking countries.


They were followed by Maarten Den Braber and Jen McCabe talking about the Nexthealth model trying to look at healthcare in the future and the balance between patient & professional, bricks & mortar & virtual & then the 4Cs. I got so involved in this presentation and the ensuing discussion that I didn't atke many notes - but I will find links on the web and add them as I found this the most interesting session of the conference.
* Nexthealth on the way
* Next Health Elevator presentation
*


The final plenary was Risk 2.0 by Joan Dzenowagis,(WHO) Kevin Clauson and a missing colleague from Microsoft which used an audience response system. They highlighted the blurring of legal & ge boundaries & lack of control. The amount of poor information found by search engines led to a question to the audience to identify what people thought would help, and then moved on to Internet safety, data scandals and trust. This was then applied to health records. She used lots of examples from the UK about data risks and hospital rating systems. She also discussed Wikipedia and its rules and guidelines, and the ways in which PR/drug companies try to manipulate it. She highlighted risks of open editing & identified problems in identifying liability. She also talked about changes in publishing models and their possible effects.


Kevin Clauson then followed with risk benefit analysis for professionals and patients. He saw risks of liability for professionals interatcing with patients online. He highlighted emails and blogs as greatest risks because of the tone and the way in which specific individuals can be identified. The Dr Lindeman/Dr Flea case highlighted in the bloggers panel yesterday. He discussed ethics & blogging, social networking sites. He tried to balance the negatives and risks with potential benefits. The risks to pharmaceutical companies made up the next part of his presentation, moving from direct-to-consumer marketing (which is only allowed in the US & New Zealand) across the web, with worries about off label claims, but could be a cheap advertising option. He concluded with issues about risks for patients inherent in blogs etc being hosted by pharmaceutical companies, and using personal health information. He also talked bout a study of drug accuracy and completeness in wikipedia. Some good topics,including economic and social change issues were raised in the question and answer session.


The conference then closed with thanks to organisers.

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Thursday, September 04, 2008

Medicine 2.0 Conference opening day


The first Medicine 2.0 conference has opened today in the MARS Centre, Toronto.

After a couple of days of sightseeing (the Niagra Falls trip was spectacular) we are finally getting down to business. This post is being written "on the fly" during the day so I apologise for any typos or other formatting errors.

Thanks should initially go to Gunther Eysenbach for the organisation. He is the Senior Scientist at the Centre for Global eHealth Innovation, Toronto and Editor/Publisher, Journal of Medical Internet Research (JMIR)

The venue seems well setup with easy access to the wireless network & good coffee. It is quite interesting to meet many people face to face which I have only previously met online.

Peter opened the conference on behalf of IMIA & other hats who thanked Gunther & talked about what IMIA is, in particular the IMIA Web 2.0 Task force and CHIRAD. He looked forward to the programme with presenters from over 15 countries & the conference teams use of Web2.0 including Crowdvine &the online paper rating system.



Gunther described how he tested the Canadian healthcare system by breaking his wrist & instantly changing his status on Facebook. More seriously he used his experience to talk about the potential of getting access to his medical record & have some connectivity with the healthcare system & making contact with peers who had similar injuries. He gave a high level overview of some of the relevant systems focusing on the interaction between evidence based medicine & personal health information - and the bypassing of the gatekeeper. I'm still not sure his definition of Apomediation via collaborative filtering approaches will become reality this week - but it is certainly one of the directions we may be moving in. The idea behind a Personal Health Record 2.0 has potential for the consent to store or consent to view debates we have been having in the UK. He highlighted some questions which he challenged the attendees to address during the conference & asked what are the specific requirements in healthcare. He hoped we would provide a critical view and not blindly follow the needs of the venture capitalists. He gave the housekeeping notices and thanked the sponsors.


The first keynote speaker was Pat rich - the Director, CMA Online Content. He spoke about Asklepios & what they are trying to achieve with it. He started with an overview of the CMA & talked about their movement into online resources including mydoctor.ca and chronic disease tracking shared by patients and Doctors. He explained the rational for setting up the social networking site - many of them already blogging, posting videos etc - based on US data & then dividing the numbers by 10. He talked about the value of informal discussion - based on the doctors lounge idea - coming from surveys of their members. The rationale for a secure physicians only site was presented. The need to avoid US hosting & lay grounds rules rather than moderation eg politely criticising the president was seen as important. The initial pilot was on Ning & then opened up to 125 physicians in the pilot. They then worked with a web services company and launched it a couple of weeks ago and already have 150 members. He described how people are setting up groups on it for discussions of a range of topics. He talked about the plans for the future and monitoring systems. He finished with the unanswered questions they are still trying to find out with the site and highlighted the need for evaluative research. Questions touched on the economic model behind it and the profile of users, which included "sponsored areas",and the possibility for guest access for colleagues from other countries. A good questions raised the potential for "unintended consequences".



The second keynote was by Michael Massagli from patientslikeme based on comments from the sites users, particularly those in the amyotrophic lateral sclerosis (ALS) group. He described the site and how it is used by those with particular conditions to find others who have similar experiences. The graphical representation of structured and unstructured data and the potential for discussion through forums, private messages etc. The analysis of the user generated massages showed a "hard core" of people who greet new members & others where specific phrases indicated users were basing their comments on the posted profiles & how comments fitted into wider patterns. Much of the analysis is in his paper Social Uses of Personal Health Information Within PatientsLikeMe, an Online Patient Community: What Can Happen When Patients Have Access to One Another’s Data so used his presentation time to show what the dialogues were like. The latest work has examined whether patients can answers clinical questions as a group - based on having read a journal paper about lithium use for ALS - this led to new tools to track individuals experience with the use of particular drug regimens. His work has concluded that patients do look at and comment on each others data - and can potentially generate new data centered user conversations that are useful.



After coffee (which included an interesting discussion on an open access business model for videos from the Journal of visualized experiments) the conference split into several themes. I attended a sessions on blogs. Neil Seeman opened with a discussion of how opinion leaders and how those who make decisions in healthcare systems are influenced. He suggested that opinion leaders may not enjoy status as they did in the past. Social networking analysis has been used to analyse health topics on popular sites such as myspace and facebook. The groups which are most active are those about conditions which are most stigmatised. The number of contacts may not be the indicator but the level of use but more important is trust. The ideas are linked to personal empowerment in dealing with healthcare providers. Amongst practitioners the knowledge management features of a blog were the things which made them go back to the blog. The growth of the blogosphere is a factor in breaking news and can not be ignored by the traditional media. He also talked about blog governance scores and other factors which affect blog density. Both blogs & newspapers were not reporting clinically significant health stories - but the ability to engage with the audience is significant. General interest blogs do as well as newspapers. There is an inverse link between governance score and traffic. An interesting thought was that SME = Subject Medical Expetise rather than Small or Medium Enterprise - which would be more common in the UK. Questions linked to future directions and advertising/sponsorship or conflicts of interest. Companies which pay bloggers to post on particular topics need further analysis.


This presentation was followed by a bloggers panel. Organised by Bertelan Mesko who introduced speakers giving short presentations - the first was Jennifer McCabe looking at business blogging via a Ning group ho discussed Web2.0 tools for medical students. She highlighted cross-pollination as a way of patient (consumer) centered care & innovation in healthcare practice & management. She gave a range of recommendation for anyone wanting to be a healthcare blogger. Peter Murray went next talking about collaborative blogging for health informatics based on the work of the hi-blogs.info team. He blamed me for starting it all back in 1996 and gave an overview of the developments we have undertaken since. He summarised the lessons learnt and ideas for the future. Keith Kaplan was the next participant talking on digital pathology and the lessons and reflections from writing his own blog and academic blogging in general in particular within a centre such as the Mayo clinic. The next speaker was Sam Solaman a reporter and saleried bogger. He told the story, which he wrote up for the Canadin Medicine journal, of a doctor Robert Lindeman who was sued and wrote uncomplimentary comments on a blog under the name flea and draw lessons related to the risks of anonymous blogging. See the Personal Injury Law Blog and the Boston Globe for more details of the story. The final speaker of the panel was Bertelan Mesko a medical student who described his use the web for his studies. He is now running learning experiences with community sites and blog carnivals. He is now running Sciencerollsearch.com which provides cross searching facilities, and a range of other online tools. He closed with a plug for Webicina.com

A list of all the others twittering or live blogging from the conference is at http://maartendenbraber.com/


After a quick lunch (because the morning sessions overran) I attended the education theme. The first presentation was by Leanne Bowler who has a background in information design and is now looking at health sites for teenagers. Not surprisingly they use the web for health information, but their skills in finding & evaluating the information is poor. She defined portals and digital libraries and was looking for what exists & what are they like. She conducted an environmental scan and tied to measure usability, findability etc. She presented various issues with many of the sites which were included. Good question and answer session which highlighted several issues about web site design and information seeking behaviours.


The next presentation was by Margaret Hansen about Versatile, Creative and Dynamic Virtual 3-D Healthcare Learning Environments. She defined Web2.0 & Web 3.0 and looked at their potential within education for healthcare professionals. She explained many of the issues identified in her recent paper in JMIR. She showed screen shots of Second Life and other virtual worlds to illustrate pedagogical potential, based on connectivism, for role play to reduce anxiety, enhanced competency and collaboration. ALIVE was advocated as providing an easy to use environment for elearning. Technical issues limited the access to a YouTube video of the sexual health simulation from second life from Maged in Plymouth. Margaret then outlined some theoretical frameworks from Rogers Diffusion of Innovations, Siemens Connectivism. She highlighted some of the challenges and concluded that we will be seeing the growth of 3-D in educational contexts.


The final session of the day for me was entitled Web 2.0-based medical education and learning, chaired by Chris Paton. The first speaker was Panos Bamidis from Greece speaking about the use of Web 2.0 technologies in Medical Informatics education focusing on sharing learning objects. He described how ICT supported the whole educational process from planing, delivery and evaluation. He talked about international standards SCORM etc and then how discussion forums, wikis and personal blogs, within a closed Moodle VLE, are being used to support the learning. He presented the results of an evaluation which showed positive attitudes from students who had experienced the technologies, and plans for the future.



The second presentation was by Deidre Bonnycastle from the University of Saskatchewan talking about Medicine 2.0 and Medical Faculty Development. She had found the technology had barrier and the cost of professional production was prohibitive. A second approach was to use a post workshop wiki and set up a medical education blog. A development was to create a committee wiki, and research group wikis and student wikis. She then developed a Distributed medical education site and her latest development is a Medical Education Wiki. They include RSS feeds from blogs. Another area is the use of Elluminate real time lectures with audio, interactive whiteboards etc. A question arose around the time required to keep up with social networking sites, and human filtering via fiendfeed type technologies.


This was followed by Bertalan Mesko (Berty) talking about medical education and building a reputation in a Web 2.0 environment. Inspiration and motivation were received from online environments, particularly second life, such as the Anne Myers Medical Centre for virtual case presentations, genomics exercises and other areas. He also talked about a range of other online environments, including the recently launched Medical Education Evolution on Ning. He then talked about the benefits and risks of an online reputation. He showed examples of good practice of onlie doctors, blogs community sites etc. He suggested everyone google their name to see what patients or clients will see. He concluded that we must be ready to be open and ready to build an online reputation.

The final presentation was mine.

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Wednesday, June 04, 2008

HITSP Webinar Series

This is for any clinician, and any IT person who has anything to do with patient care or information technology, but especially for all who are on a tight or nonexistent training budget.

Starting THIS Thursday – June 12, HITSP will offer a series of 9 webinars on the impact of HITSP in patient care, and how standards are harmonized.

ALL SESSIONS are on a Thursday from 2-330pm EDT, AND all sessions will be recorded for listening after the actual date the webinar is given

See dial in and web ex info at http://www.hitsp.org/webinars.aspx and see “Steve’s Story” for how this relates to patients and patient care.

  • June 5, 2008 - Webinar 1 - Standardizing How We Share Information in Healthcare - An Introduction to HITSP
  • June 19, 2008 - Webinar 2 - HITSP Foundational Components
  • June 26, 2008 - Webinar 3 - Consumer Access to Clinical Information
  • July 10, 2008 - Webinar 4 - Biosurveillance
  • July 24, 2008 - Webinar 5 - Electronic Health Record and Lab Reporting
  • August 7, 2008 - Webinar 6 - Quality
  • August 21, 2008 - Webinar 7 - Security, Privacy and Infrastructure
  • September 4, 2008 - Webinar 8 - EHR and Emergency Response
  • September 18, 2008 - Webinar 9 - Medication Management

Source: Robin Raiford, RN-BC CPHIMS FHIMSS
Director, Government Initiatives, Solutions Management Group, Eclipsys Corporation
CHAIR – HIMSS Patient Safety and Quality Outcomes Steering Committee
MEMBER – CCHIT Child Health Expert Panel
MEMBER – HITSP Education Committee

The Eclipsys mission: To be the most-respected company in the healthcare information technology industry by exceeding client expectations. Eclipsys team members strive to embody our core values of Client Focus, Integrity, Mutual Respect, Commitment to Excellence, Open Communication, and Passion.

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Information Technology Supporting Clinical Excellence

Corexcel invites you to the 2008 Siemens Nursing Thought Leadership Web Cast Series - 'Information Technology Supporting Clinical Excellence' sponsored by Siemens.

Featured Speaker: Kathy Guyette, RN, MSN, Vice President and Associate Chief Nursing Officer, University of North Carolina Healthcare System

The transition to automated clinical documentation requires a new look at things, most often resulting in a change in culture and delivery practice. The implementation of information technology to support care delivery drives a lot of that transition. Unanticipated issues are often the most challenging. This session will focus on The University of North Carolina Hospital's efforts to complete the clinical transformation necessary to meet success. Practical solutions and project approaches will be shared in an effort to assist organizations that are beginning this journey.

Objectives:
  • Recognize and understand the challenges in preparing for automation of clinical documentation practices.
  • Understand the role of the project structure and steering committee in the IT effort.

Articulate 2-3 practical recommendations on how to address issues and challenges presented. View Agenda and Register (https://www.smed.com/webcasts/default.asp?id=20080616001&opt=Descriptions)

Earn Credit for Attending! Continuing Nursing Education Credits of 1.0 contact hour will be offered (Corexcel is accredited as a Provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation)

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Tuesday, May 13, 2008

NHS-HE Forum Meeting

Today (Weds 14th May) I'm attending a meeting of the NHS-HE Forum, which aims to "Co-ordinate and support network connectivity between the NHS and Universities involved with education and research in medicine, nursing and professions allied to medicine", at the Royal Society of Arts in London. Having cracked into the wireless network here I will try to give a flavour of the meetingas it goes along.

The meeting is being chaired by Professor Roland Rosner (Director, Education & Information Support Division (EISD) at UCL) who founded the forum in 2001.

The first speaker is Brian Derry (Leeds Teaching Hospitals NHS Trust & also chair of ASSIST) discussing the Swindells Health Informatics Review
Tricky position related to what he could share as now working on implementing the review - some speculation, some reasoning - but no inside knowledge. He described the current policy context of the Darzi review, free choice & informed patient, plurality & multi-provider etc. The NHS operating framework, including emergency preparedness as a guide to current priorities was highlighted - performance indicators, now being vital signs (about 120) with gaps between inputs and outputs. He highlighted the importance of information as adding value and the risks of measuring the wrong things. Quote - "ad hoc data collection produces ad hoc data quality" - linked to quality of information for payments & the importance of data assurance and audit. NHS systems are out of date & need to be patient centered rather than organisation centered. He moved on to look at the care records service (underpinned by ruthless standards) and accessible by patients, with some of the security and confidentiality issues and standardisation. He then moved on to the tensions between policy and IT. The comfort of clinicians with IT is a safety issue. He argued that complying with patient requests not to store patient information was unsafe. He then moved on to talk about the secondary uses service (a sophisticated bucket) with issues not of scope creep but of scope gallop. "Quote information as a weapon". He used part of the advert for the Chief Information Officer to highlight the importance of information in the future NHS and the importance of professionalism in Information Management, and joining up the different agencies. The capacity & capability issues, CPD & HI workforce development strategy were highlighted as future issues. He believes this will change the landscape when the report is published "in the next couple of months". The Q&A included a comparison with the last few years & the need for clinically based information. The potential for different systems in different places and the effect on staff. The differences between primary care and secondary care (& other settings) and the human interface & the lack of "logical" processes in the patient interaction were described as challenges in bringing hospital systems up to the current level of primary care.

The next presentation is about the Connecting for Health Research Capability Programme by Prof Sir Alex Markham. This new NHS Connecting for Health programme aims to develop the capability of NHS IT Systems to enable research and analysis aimed at improving the quality and safety of care. It is taking forward the recommendations of a report by the UK Clinical Research Collaboration (UKCRC) Advisory Group to NHS Connecting for Health. He talked about the difficulties of achieving things in the complex environment previously described. He talked about the policy context for research around NIHR etc all of which recognised the importance of information and the drivers for the NPfIT & CfH in the research landscape. He wants to change the names of "Secondary Uses Service" (SUS)/ Information Centre (research is not secondary), "Honest Broker" (rest is "dishonest"), "safe havens" (rest unsafe) etc...
The aims are to provide access to data for research with all the issues around annonymisation, developing data sources & dissemination. Demands from pharmaceutical companies & clinical trials etc - highlighted issues around "consent to consent" & patient confidence in clinicians and researchers. Post marketing surveillance through data systems may enable earlier licencing.
The "enabling phase" finishes in June 2008 & he outlined the key deliverables under 6 work streams. He is hoping for sign off so that it can be sent to the treasury for funding for next year. He highlighted further challenges & asked for evryone interested to "engage". Q&A discussed effects of "data losses" on the work. He avoided questions about commercial involvement eg DR Foster & SUS, but said he was not opposed in principle to commercial involvement. The dissemination of knowledge & inclusion of other databases - led to the questioner being volunteered to address some of the work.

Bob Day from JANET, UK is next up with an update on the N3 - JANET Gateway with Marshall Dozier, from the University of Edinburgh talking about their early adopter work, which has now been running for 6 months. Issues of information governance in the NHS are being addressed and more time is needed for further trails and needs to be widened from England to the rest of the UK. Public Sector Networks may provide a better approach that JANET being a customer of N3. Malcolm Teague described the national context and the need for a strategic solution which is better than the Internet, providing a 100Mbps interconnection through the firewall. The Statement of Compliance (SoC) approach was seen as being better that the old Code of Connection limitations. The technical infrastructure and initial partners were described along with some of the "coming soon" developments including video conferencing. Questions about encrypting mail to & from the NHS caused discussion & a future agenda item. Marshall Dozier talked about the Edinburgh early adopter - as an embryo inside an egg - chipping away in the background. They are working on improving access to VLEs (including WebCT), video conferencing & access to other resources eg library resources, ejournals, ebooks & data sources. Astonishing number of IP addresses, proxy server & firewall issues. The Athens - Shibbolith debate caused some delays but helped to think in a more scaleable way - and will hopefully help staff in NHS settings who are also students in HE, better access to resources. Questions were about how the learning from the gateway early adopters could be shared more widely. Future issues around Academic Health Care Centres were also raised.

An Update from Northern Ireland by Helen Jenkins, of Queens University Belfast was moved before lunch. She dsecribed the context with a unified health and social care (HSC) system. The university library is also contracted to provide services to the HSC staff. She described issues around delivery via the internet of resources, elearning, teaching & research. The ICT structure wasn't up to the task with very few internet access points & low bandwidth & poor resiliance. The restrictive policies limited access to many useful resources & IT services didn't think used for work & a bit paranoid. Each trust had different It architectures & policies - therefore formed a forum to try to address the issues around the infrastructure & skills & need for strategic emphasis. User needs were unquantified. More recent developments have led to a ICT strategy & better communication between the parties, even if that didn't overcome the funding issues.

Supporting e-learning for the NHS is the subject for the after lunch presentation by Phil Candy, (Director of ETD, Connecting for Health. ) He suggested two key propositions. 1) sucess of NPfIT depends on users learning what the applications do. 2) ETD inCfH is a key player. The context includes the dti, hefce, EU, SCIE, dfes policy etc Modernising Healthcare Training in the NHS & ETD Discussion paper for a national Learning Management System. He outlined the CfH ETD vision & highlighted some of the issues. He highlighted some of the redundancy and duplication of effort in elearning materials. The match of just in time learning might function with just in time learning. He presented a (well worn) rationale for the use of elearning. Some specific projects were described the national repository (see NHS and Social Care E-learning Resources Database), and the TRAMS project which has 5 % of the live environment with fake pateinst & issues integrating this with the frnt ends that users will be seeing. The integration of the national learning management system with the Electronic Staff Record (ESR) (DH not CfH) (Oracle Learning Management (OLM) platform & another solution for those outside the ESR. He also mentioned the move from ECDL (taken by 225,000 & completed by 30,000) to ELITE (Elearning IT Essentials). The discussed the different "levels of maturity" for elearning amongst NHS Trusts & SHAs. In the meantime he advocated the ICCA Toolkit. He suggested we are on an interesting journey & that there are interesting times ahead. Q&A addressed interoperability, the move from ECDL to ELITE.

A quick update by Angie Clark, on behalf of Peter Hill, on the National Review of NHS Library Services. She highlighted some of the headlines & how the work is to be taken into account in the Darzi Report & getting knowledge & Library services into the core of the NHS. Suggestions are that Chief Knowledge Officers should be identified in SHAs & Trusts. More discussion is neede between the role of Cheif Information Officer and Chief Knowledge Office. There are also proposals for "team knowledge officers". Training to get the evidence into the practice agenda was also seen as a vital step for the future. The challenge of changing the culture of all NHS staff was key.

This was followed by a talk on NHS Library Services and the UK Access Management Federation with a talk by Ian McKinnell, of the National Library for Health. The current situation with Eduserve/Athens which NHS England has a 5 year contract with to manage access authentication with local managers. The last tender rejected proposals to use CfH authentication systems and stayed with Athens while work continues to arrive at an Open Standrads solution. The national content eligability contract was described with now includes health students in HE. Future work to open standards was highlighted to achieve one agreement across HE & the NHS.

The final talk on the agenda is an Update on Content Issues by Betsy Anagnostelis, Royal Free/UCL on behalf of Dr Paul Ayris. It described the work of the NHS/HE content group for joint procurement which have so far failed over lack of agreement over content & payment & differences in financial years. They are considering a licence which embraces both NHS & HE was a deliverable. Other work is around open access repositories for funded research eg UKPubMedCentral. The work is informed by the SHERPA project. There is high interest in looking at the copyright issues between NHS & HE for the same individuals. The NHS CLA licence is being renegotiated and may address some of the issues, alongside the JISC model agreement which may help provide reciprocal resources between the NHS & HE. The results of the Peter Hill review of NHS Library services will influence future work. Questions were about alternative (Scottish) models and the justification (Value for Money) for joint agreements.

The day finished with thanks to Professor Roland Rosner who is retiring from his post as Director, Education & Information Support Division (EISD) at UCL, but it is hoped he will find a way to continue his leadership of the forum.

Overall it was an interesting day with a busy and varied agenda and general discussions showed the wealth of expertise and experience in the audience, who were willing to share their knowledge and ideas to improve the situation for thousands of users.

The powerpoint presentations from this meeting are now available at the NHS-HE Forum 14th May.

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Saturday, April 12, 2008

Nurses, Midwives & Healthcare Staff CfH conf June 2008

NHS Connecting for the health will be running their third annual "A conference for Nurses, Midwives & Healthcare Staff: Cultural Change in Professional Practice - The Information Revolution" on 17th June 08 at the Central Hall Westminster, London

The conference aims to: "provide delegates with an opportunity to learn more about the National Programme for IT and how it will deliver better and safer care, from a clinical and patient perspective. There will also be an update on the progress which has been achieved over the last twelve months, and an opportunity to see live demonstrations of some software packages. A Q&A panel will provide people with an opportunity to ask questions and provide feedback about their own experiences of using IT. An interactive session will also demonstrate key areas of the programme such as Lorenzo (patient administration system), essential IT and training on the job and clinical assistive technology. Speakers at the conference will include Chris Beasley, chief nursing officer, Susan Osborne and Barbara Stuttle, joint national clinical leads for the nursing professions.

Further details & booking form.

I hope to be attending this one & will do a report on this blog.

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Friday, November 16, 2007

HC2008 Call for Participations - 7 days to deadline

HC2008
INVITATION TO
THE FUTURE
21-23 April 2008

Frontline care services are about to undergo even more substantial change in order to meet the challenges of providing healthcare and social care in the digital age. The focus of the 2008 event, therefore, is on looking forward. It will consider how care services could look in five or more years time and how best to get there.

How to Participate
There are various ways in which you can participate in HC2008. If your preferred means is not listed, on the website at http://www.bcs.org/hc2008 contact the conference organisers who are keen to hear your suggestions.

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Monday, September 24, 2007

MIE 2008 submission deadline 6 weeks away

The deadline to submit contributions to Medical Informatics in Europe (MIE) 2008 is only 6 weeks away.

The conference theme is "eHealth beyond the horizon - get IT there".

MIE 2008 will be held on 25-28 May 2008 at Svenska Mässan in Göteborg, Sweden.
The conference is organized by:
EFMI - European Federation for Medical Informatics and SFMI - Swedish Federation for Medical Informatics

MIE 2008 is intended to provide an international forum for:
- Presenting theoretical and empirical methods and studies of information technology in healthcare and related areas, particularly with offset in the conference theme, but not restricted to it.
- Bringing new ideas: discussing the importance and role of the above methods and studies before, during and after implementation, particularly in the healthcare field.
- Welcoming newcomers and supporting their efforts in acquiring competence in Medical Informatics and supporting their networking within the scientific community.

Who will attend MIE 2008?
- Healthcare professionals, including members of any health discipline contributing to the delivery of healthcare.
- Professionals from the health IT industry, health institutions, hospitals and universities interested in health IT systems.
- Researchers and educators in medicine, any of the health sciences, allied health disciplines and information systems or technology.
- Politicians, decision makers and public health administrators.

You are invited to submit contributions in the following topics/categories:
- Bioinformatics
- Consumer informatics
- Health information systems
- Home-based eHealth
- Human-Computer Interaction
- Imaging and visualization
- Evaluation
- Decision support and knowledge management
- Learning and education
- Medical Devices
- Modeling and simulation
- National eHealth Roadmaps
- Nursing informatics
- Organizational strategies
- Pan European-cross border applications
- Pervasive healthcare
- Privacy and security
- Telemedicine
- Ubiquitous computing

*DEADLINE 5 November*: Full Papers and Posters / Computer Supported Posters *DEADLINE 18 November*: Demonstrations, Comparative Demonstrations, Panels, Doctoral Consortium, Tutorials and Workshops

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Wednesday, September 19, 2007

Doing IT – Learning from one another

The Royal College of Nursing, British Computer Society Nursing Specialist group and eHealth Nursing Wales will be holding a joint conference entitled Doing IT – Learning from one another on Wednesday 14th November 2007 at Ty Maeth, The Heath, Cardiff.

The programme includes:

*10.30-10.45 Opening: Chair: Dame June Clark
*10.45- 12.15 Using IT to improve patient safety
*10.45 - 11.15 Wales Dr Gwyn Thomas, Director, Informing Healthcare
*11.15 – 11.45 Scotland Heather Strachan, Nurse and AHP lead, Scottish Executive
*11.45 - 12. 00 Northern Ireland (Speaker to be confirmed)
*12.15 – 12.30 England Barbara Stuttle, Nurse lead, Connecting for Health
*12.30 -1.00 Panel: What can we learn from one another?

*1.30- 1.35 Chair: Richard Hayward
*1.35 – 1.45 Where do we want to be? Janette Bennett
*1.45- 3.45 How do we get there?
*1.45-2.10 Education, education, education Carol Bond
*2.10-2.30 Thinking Nursing Dave Lloyd
*2.30-2.50 Engaging front line nurses Bernice Baker
*2.50-3.10 The TIGER initiative Paula Procter
*3.10-3.45 Panel

Further details and application forms are available from: angela.perrett@rcn.org.uk

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Saturday, June 30, 2007

Southern Institute for Health Informatics 9th Annual Conference

Registration is now open for the Southern Institute for Health Informatics 9th Annual Conference which will take place on Friday 21st September, in Portsmouth.

The theme for the conference is Collecting information near the patient.

The speakers include:

* Dr Mike Bainbridge, Clinical Architect, Technology Office, NHS Connecting for Health, giving a keynote address
* Dr Hugh Sanderson, Head of Clinical Information Development, South Central SHA, on the Hampshire Clinical Repository
* Lynn Woods, Chief Executive, Adastra Software, on integrated out-of-hospital services
* Dr Grant Kelly, GP and CfH Clinical Lead for SNOMED, SNOMED Structured electronic Records Programme, on implementing a clinical terminology
* Dr Marilyn McGee-Lennon, Senior Research Fellow, University of Glasgow, on HECTOR evaluating a PDA based clinical handover system
* Prof Gary Smith, Consultant in Critical Care Medicine, Portsmouth Hospitals NHS Trust, on using technology to identify patient deterioration and facilitate the response to acute illness
* Lt Cdr Mark Trasler MBE, the Royal Navy lead for the implementation of electronic clinical records throughout the Defence Medical Services, on the Defence Medical Information Capability Programme
* James Jackson, SmartSensor telemed Ltd, on the home monitoring service his company has developed
* Mark Smith, Met Office Consulting, on the COPD home alerting service he has been involved with

Who should attend?

The conference is aimed at healthcare professionals, senior managers and system developers both within the NHS and in companies supplying products and services to it. Academics with research or teaching interests in the above areas will also find plenty to interest them.

Registration

The cost of early registration (bookings made before 1st September) is £85 (with discounts for multiple attendees from the same organisation), which includes lunch.

Conference sponsors:
* Department of Health
* Fujitsu - sponsors of the conference lunch
* SEHTA
* Telecare Knowledge Network

Infomart

The conference also features an "Infomart". The Infomart is an informal information marketplace area that allows vendors and researchers a low cost method of meeting people and exchanging information.

For more details of the programme and a registration form, go to the conference website http://www.chmi.port.ac.uk/sihi/sihi2007/index.htm
Email enquiries to sihi@port.ac.uk or phone Angela Muscat on 023 9284 6445.

Please bring this to the attention of any colleagues that may also be interested, and if possible display the flyer (downloadable from the website) on relevant notice boards. Apologies to anyone who receives multiple copies of this message.

Further details:

For further information contact: Dr Jim Briggs Conference chairman
and look at the web site http://www.chmi.port.ac.uk/sihi/sihi2007/index.htm

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Saturday, September 29, 2001

Oh! This is an interesting group! Sent to me by Dr. Shelagh Mulvaney:

http://www.medrecinst.com/cellphone/index.html

The starting page states:

  • The Center for Cell Phone Applications in Healthcare (C-PAHC) is Medical Records Institute’s platform for studying and advocating the development and adoption of cell phone technologies for use in healthcare.
  • C-PAHC is a membership-based organization that envisions the development of a wide range of healthcare applications for mobile phones, smart phones, and PDAs and explores current and developing technologies and how they will impact the healthcare industry.
  • Many related standards and much collaboration are needed, so C-PAHC will act as a clearinghouse and collaboration center in regard to cell phone technologies in healthcare.
  • The upcoming TEPR+ 2009 conference (February 1-5, Palm Springs, CA) will be the main meeting point for developers, users, vendors, carriers, and the healthcare community at large.

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