{"title":"Special online issue focusing on patients and caregivers","authors":"L. Ohno-Machado","doi":"10.1093/jamia/ocv042","DOIUrl":"https://doi.org/10.1093/jamia/ocv042","url":null,"abstract":"This special focus issue contains prime examples of how our field is changing—technology and processes increasingly involve patient interaction with systems such as patient portals and health promotion apps, and joint decision-making with health care providers. A report from AMIA’s policy meeting (see page e2) discusses the role our professional society can play in ensuring that systems—for care, collaboration, and communication—become more patient centered than they are today.\u0000\u0000This issue of JAMIA covers a large number of patient-centered topics. A brief communication by Gelb (see page e39) discusses how to direct the public to evidence-based content online. …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125522315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"2014 AMIA Annual Symposium","authors":"B. Westra","doi":"10.1136/amiajnl-2014-003170","DOIUrl":"https://doi.org/10.1136/amiajnl-2014-003170","url":null,"abstract":"The 2014 AMIA Annual Symposium is just around the corner. There were more than 1080 submissions this year, the most ever submitted to AMIA. We continue the tradition of having scientific papers, posters, demonstrations, tutorials, and symposia to share cutting edge knowledge with participants. This year we have expanded the working group symposia which provide an opportunity for networking and the sharing of specialty knowledge between AMIA members. We have two exciting keynote speakers: Amy Abernethy, MD, PhD is a leader in NIH and PCORI's patient-centered outcomes research and Karen DeSalvo, MD, MPH, MSc is the new National Coordinator for Health Information Technology.\u0000\u0000There are new features this year as well. We have added interactive panels with the goal of engaging the audience in the discussion and debate of various topics or encouraging them to contribute ideas for advancing work in a particular area. Panelists will have 5 min each to present their points of view on controversial topics, and then will engage the audience …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"17 s1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132611011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Informatics support for clinical decisions","authors":"L. Ohno-Machado","doi":"10.1136/amiajnl-2014-002815","DOIUrl":"https://doi.org/10.1136/amiajnl-2014-002815","url":null,"abstract":"The utilization of Clinical Decision Support (CDS) systems is increasing with implementation of Electronic Health Record (EHR) systems across the USA. One of the first and most studied CDS applications has been computerized provider order entry (CPOE), particularly CPOE related to medications. Many EHR systems check drug dosage, allergies, and drug-drug interactions as clinicians enter their orders, and issue alerts as needed. However, alert overriding in CPOE systems is common practice. Nanji et al ( see page 487 ) reports that over 50% of alerts are overridden at a particular academic health center and proposes how to decrease unintended CPOE effects on workflows and communications ( see page 481 ). Related to workflows, Coiera ( see page 414 ) offers a model to study workspaces in which critical communications among clinicians occur.\u0000\u0000Many articles in this issue focus on medication management, including three systematic reviews that address barriers and facilitators …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129912269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"First diplomates board certified in the subspecialty of clinical informatics","authors":"Blackford Middleton","doi":"10.1136/amiajnl-2014-002668","DOIUrl":"https://doi.org/10.1136/amiajnl-2014-002668","url":null,"abstract":"The purpose of the Messages from AMIA section is to provide a forum for AMIA to inform and involve its current and potential members about the goals and the directions of the association. These messages, which reflect the directions and opinions of AMIA leaders only, are intended to inspire members and readers to connect with the association on strategic objectives and activities. See also http://www.amia.org/presidents-page.\u0000\u0000The newly certified diplomates in the subspecialty of clinical informatics received notice of their board certification in December 2013, a development that will contribute to the major systemic overhaul that is underway in healthcare delivery. As leaders in the field, these subspecialists are expected to apply innovative informatics solutions within health systems and encourage interdisciplinary collaboration to improve the value of care delivered.\u0000\u0000The American Medical Informatics Association (AMIA) has led development of the new clinical informatics subspecialty, working for more than 5 years to define and help create the discipline with the goal of advancing the field and the role of informaticians in improving healthcare. The creation of …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132022388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"President's column: the community imperative - Share to Care and Cure","authors":"K. Fickenscher","doi":"10.1136/AMIAJNL-2013-002299","DOIUrl":"https://doi.org/10.1136/AMIAJNL-2013-002299","url":null,"abstract":"The purpose of the Messages from AMIA section is to provide a forum for AMIA to inform and involve its current and potential members about the goals and the directions of the association. These messages, which reflect the directions and opinions of AMIA leaders only, are intended to inspire members and readers to connect with the association on strategic objectives and activities. See also http://www.amia.org/presidents-page.\u0000\u0000The magnitude of change in the innovation and use of electronic health records (EHRs) and personal health records (PHRs) has been dramatic in recent years. The 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act stimulated the use of EHRs among providers and, coupled with the ubiquitous nature of the internet, created a comparable increase in the use of PHRs by consumers. As sophisticated, interoperable EHRs are used, individual patients are much more likely to receive the care ordered by their doctor, be monitored more carefully, and have their medical record available regardless of where they are seeking care.\u0000\u0000Those of us in the field of informatics know that these advances are slowly but surely moving us toward a learning health system . We also know that—as a result of digitizing healthcare information and analyzing the …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121405447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health surveillance using the internet and other sources of information","authors":"L. Ohno-Machado","doi":"10.1136/amiajnl-2013-001812","DOIUrl":"https://doi.org/10.1136/amiajnl-2013-001812","url":null,"abstract":"The rapid accumulation of large amounts of data from Internet searches, social network sites, and self-monitoring devices, in addition to the widespread adoption of electronic health records (EHR) in the past few years have increased opportunities as well as challenges in effectively integrating and using these data. JAMIA has recently issued requests for papers (RFPs) for two special issues: one is dedicated to EHR Phenotype Extraction, and another one is dedicated to Big Data. The first RFP addresses the problem that, even though they are electronic, the data in EHRs are not always easy to structure and to harmonise across different institutions. Scalable and reliable approaches to extract meaningful phenotypes that can be integrated with genetic and environmental data are urgently needed, and we expect to publish the best work in this area in this special issue. The second RFP relates to ‘meaningful use’ of big health-related data. We will feature …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122897663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Consistency or efficiency? A dilemma for designers","authors":"M. Baysari, R. Day, J. Westbrook","doi":"10.1136/AMIAJNL-2012-001254","DOIUrl":"https://doi.org/10.1136/AMIAJNL-2012-001254","url":null,"abstract":"In this issue of the journal, Russ et al 1 present a discussion of our paper.2 In our study, we found that prescribers were not utilizing all e-prescribing system functions, despite the functions’ potential to improve efficiency of work, and a consequence of this was the generation of clinically unnecessary alerts.2\u0000\u0000In their response, ‘When ‘technically preventable’ alerts occur, the design—not the prescriber—has failed,’1 Russ et al suggest that we have diagnosed the problem correctly (a discordance between …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114190807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"President's column: making a difference","authors":"K. Fickenscher","doi":"10.1136/amiajnl-2012-001105","DOIUrl":"https://doi.org/10.1136/amiajnl-2012-001105","url":null,"abstract":"The purpose of the Messages from AMIA section is to provide a forum for AMIA to inform and involve its current and potential members about the goals and the directions of the association. These messages, which reflect the directions and opinions of AMIA leaders only, are intended to inspire members and readers to connect with the association on strategic objectives and activities. See also http://www.amia.org/presidents-page.\u0000\u0000As the new President and CEO of AMIA, I've been immersing feverishly in the ways of AMIA. I've talked with many leaders in the field and the organization to distill their advice concerning the future course of AMIA. The flood of information from all directions is at times a bit overwhelming and reminds me of my first days in med school at the University of North Dakota. But, if one listens and focuses, one learns … and, I am learning!\u0000\u0000What connections do I have with informatics? As a young family physician, I not only practiced, but also served as the founding Director of The Center for Rural Health at the University of North Dakota. In my work with rural communities, I came to the conclusion that if we had better information systems and robust connections between the rural providers and the larger healthcare delivery systems, we could markedly enhance the quality of care for the people living in rural America. Those formative years lit my flame of passion for informatics which has continued in my work as a leader in large healthcare systems and in new industry efforts related to web-based health education and electronic information systems. I have long felt inspired, even compelled, to pursue work that involved creating knowledge from information to improve healthcare .\u0000\u0000Here at AMIA, my clinical and industry background makes me a different kind of leader for …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"388 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130161383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Where do we stand in the maze of health information systems?","authors":"L. Ohno-Machado","doi":"10.1136/amiajnl-2012-001134","DOIUrl":"https://doi.org/10.1136/amiajnl-2012-001134","url":null,"abstract":"This issue of JAMIA focuses on the opportunities and challenges for implementing and evaluating practical systems to handle health information for a variety of end users, including patients. Early on, electronic systems usually consisted of simple electronic health records (EHRs) with the purpose of providing clinicians with efficient access to patient information during the encounter. As our field evolved, selecting, implementing, and evaluating these systems became very complex, as EHR systems have increasingly added (a) EHR-based clinical data warehouses to support quality improvement and research, (b) clinical decision support (CDS) features, and (c) programming interfaces to support health information exchange (HIE) across different systems. As the informatics community takes important steps toward developing systematic frameworks to evaluate the cost-effectiveness of these different system features, JAMIA presents studies and perspectives that document the current state of development in health information systems.\u0000\u0000Two randomized controlled …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"769 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116412469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AMIA policy activities","authors":"D. Bates, M. Edmunds","doi":"10.1136/amiajnl-2012-000813","DOIUrl":"https://doi.org/10.1136/amiajnl-2012-000813","url":null,"abstract":"The last few years have clearly been the most exciting ever for health information technology (HIT) policy. The nation has made a huge investment in HIT through the Recovery Act of 2009 and its HITECH provisions, on the premise that electronic health records and widespread information exchange can improve the quality, safety, and efficiency of our healthcare system and transform the care delivery experience for providers, patients, and families—all while helping to improve population health and health data systems. But implementation of such an ambitious program brings many challenges. We think that the next few years will be even more important for AMIA and other HIT stakeholders as we realistically face uncertainty about returns on the national investment.\u0000\u0000Our goals in writing this column are to describe the role of the AMIA and its Public Policy Committee (PPC), to highlight some accomplishments of past years, and to discuss some of the new activities going forward. Through many educational and advocacy efforts, AMIA and its members play a significant role in helping shape HIT policy, and AMIA serves as an independent voice around issues relating to HIT and informatics more broadly. AMIA's influence is enhanced by the diversity of its members' expertise, which includes clinical, public health, and consumer informatics, research, education, health administration, and computer sciences, among many others. Members in academic, government, corporate, and community settings …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133597954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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