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International Academy of Health Sciences Informatics (IAHSI) : Strategy and Focus Areas, 1st Version
International Academy of Health Sciences Informatics (IAHSI) : Strategy and Focus Areas, 1st Version
15
© 2020 IMIA and Georg Thieme Verlag KG
Summary Results: Regardless of the ‘living nature’ of the strategy and with natural and with artificial intelligence in health care, and
Background: The International Academy of Health Sciences focus areas document, it was concluded during the Plenary that (2) current landscape of standards for digital health.
Informatics (IAHSI) is the Academy of the International Medical the first version, which will be used as a base for decisions on the Conclusions: Taskforces are now being established. Besides specific
Informatics Association (IMIA). As an international forum for Academy’s future activities, should be made available to a broad key performance indicators, suggested for monitoring the work of
peers in biomedical and health informatics, the Academy shall audience. Three out of eight ‘Visions for IAHSI‘, presented in theses taskforces, the strategy to monitor the progress of the Acade-
play an important role in exchanging knowledge, providing edu- the IMIA Yearbook of Medical Informatics 2018, were identified my itself has to be measured by relevant and acceptable metrics.
cation and training, and producing policy documents. as central for developing, implementing, and evaluating the
Objectives: A major priority of the Academy’s activities in its Academy’s strategic directions: (1) advise governments and Keywords
inaugural phase was to define its strategy and focus areas in organizations on developing health and health sciences through Biomedical and health informatics; Medical informatics; Health
accordance with its objectives and to prioritize the Academy’s informatics, (2) stimulate progress in biomedical and health informatics; Academy of Sciences; International Academy of
work, which can then be transferred to respective taskforces. informatics research, education, and practice, and (3) share and Health Sciences Informatics.
Method: This document reflects the major outcomes of intensive exchange knowledge. Taskforces shall be implemented to work
discussions that occurred during 2019. It was presented at the in the following areas, which were considered as priority themes: Yearb Med Inform 2020:15-25
Academy’s 3rd Plenary on August 25th, 2019, in Lyon, France. (1) artificial intelligence in health: future collaboration of entities http://dx.doi.org/10.1055/s-0040-1701992
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This document was presented at the Acad- an edited version of the complete document (elected and ex-officio) during the time
emy’s 3rd Plenary on August 25, 2019, in in the 2020 edition of the IMIA Yearbook. period where the strategy and focus areas
Lyon, France. Academy Fellows voted that, In this edited version a summary and key- document had been elaborated are listed
regardless of the ‘living nature’ of the strat- words have been added. All web-addresses as authors. The first author has chaired
egy and focus areas document, decisions on have been checked and, where necessary, this activity. The last and corresponding
future activities will be based on the first updated on March 31, 2020. Some spelling author prepared the edited version. Fel-
version for now. Because of the importance errors were corrected. Provisionally men- lows having contributed to this strategy
of the document and of its comprehensive tioned names for taskforce members have and focus areas document are listed in the
content, the decision was made to publish been removed. Academy Board members acknowledgements.
IAHSI Strategy
OVERARCHING GOAL
(Vision)
V: contribute to the health of the world
Mission
V: Contribute to the Health and Well-being for all,2 and with Universal The Academy should also contribute to
Health Coverage in particular. upgrading the health professional’s voice
of the World To ensure clinical relevance, the Academy - to make sure our contributions are clinically
IAHSI should contribute to the health of the needs to have both regional and professional relevant - not just technological opportuni-
world [Crist, 2018]. impact. With that purpose, it will liaise with ties. Active inclusion of professionals and
The 2030 Agenda for Sustainable De- IMIA regional chapters and other regional establishing strong and lasting collabora-
velopment, adopted by all United Nations entities as well as with professional societies tive agreements with health and clinical
Member States in 2015, provides a shared to make sure that the health professionals´ professional bodies seems important – (for
blueprint for peace and prosperity for voice is heard well. IAHSI will also seek to instance, when we see how Electronic Health
people and the planet, now and into the collaborate with patient associations. Record systems (EHRs) quite often add
future. At its heart are the 17 Sustainable Biomedical and Health Informatics is a burden to the clinician).
Development Goals (SDGs), which are key scientific component underpinning Of particular interest is how IAHSI can
an urgent call for action by all countries current trends in biomedical research, health contribute to strengthen IMIA relation-
- developed and developing - in a global care, and population health (e.g., data science, ship with WHO. WHO has recently an-
partnership. They recognize that ending digital health, artificial intelligence, precision nounced important changes in its structure,
poverty and other deprivations must go health). Developments in these new areas creating a Division on Digital Health and
hand-in-hand with strategies that improve need to be evidence-informed and evaluated a new Unit for Artificial Intelligence3 as
health and education, reduce inequality, and in terms of clinical significance today and in well as Recommendation Guidelines for
spur economic growth – all while tackling the future. The Academy should be prepared Digital Interventions4. IAHSI may be able
climate change and working to preserve our to provide leadership in Biomedical and to use its membership to (1) identify current
oceans and forests. Health Informatics. For example, one of the matters where a WHO leadership is likely to
“Good health is one of humanity’s most serious issues that is frequently overlooked is have positive outcomes, and (2) derive some
valued assets. It is key to advancing sustain- that standards are being developed (e.g., ISO principles for WHO action in this arena by
able development - to end poverty, promote T4, SNOMED) and there is little international surveying past good and bad experiences -
peaceful and inclusive societies and protect uptake. The Academy should be providing always leading with the positive.
the environment”. IAHSI commits with leadership in our own countries and interna-
the SDG health goal (SDG 3), as stated tionally in promoting the adoption and use The Academy should achieve this by:
in the Global Action Plan for Healthy Lives of such international standards.
3
https://www.who.int/news-room/detail/06-
03-2019-who-unveils-sweeping-reforms-
in-drive-towards-triple-billion-targets
4
https://apps.who.int/iris/bitstream/handle/10
2
https://www.who.int/sdg/global-action-plan 665/311941/9789241550505-eng.pdf?ua=1
SD2: Advise governments and orga- The Academy needs to focus on its core /evidence /expertise via the web and other
competencies in the academic sector and online channels on a more ‘open’ basis,
nizations on developing health and to respect the importance and the roles wherever possible.
health sciences through informatics of other stakeholders in governments and It is also critical that IAHSI maintains
The Academy should serve governments industries. The most important target of social responsibility for all its scientific
and (primarily international) organizations IAHSI´s dissemination activities might be activities, following these guidelines when in-
by providing information and by advising the upper echelons – the governments, large teracting with governments and organizations:
on informatics’ contributions to health and organizations, big companies – the ones • Transparency rather than confidentiality;
wellbeing. Academy Fellows have sig- who create facts that our field has then to • Long-term preferred to short-term (Par-
nificant experience and standing in the account for without having been asked for liament vs Government).
scientific, policy, engineering, operational, advice, let alone been listened to.
Although advice is, in principle, preferred
and commercial facets of health sciences Academies are institutions that have the
to advocacy, we must recognize that when
informatics. That experience should con- credibility to inform the public and policy
an organization is new and has yet to find
tribute to the holistic nature of any state- makers about problems and their potential
its grounds (only within IMIA we are well
ments/output made by IAHSI which should solutions. This credibility comes not only
established), advocacy will be a need. More-
be wider than the Academic sector. from the scientific excellence of their
over, health sciences informatics itself is not
IAHSI Fellows are sufficiently profession- members but also from their freedom from
so well established - at least within some
al to be able to input / comment without vested political and commercial interests.
major stakeholders / regions. So hereto, ad-
introducing bias through ‘vested political IAHSI should speak with one clear voice
vocacy is a current need for the short term.
and commercial interests’. There could be for Health Sciences Informatics, applying
IAHSI´s advice should pursue relevance,
opportunities for funding from non-aca- rigorous standards of scientific criticism in
timeliness, and receptivity, focusing on
demic sources for advice/assessments a constructive manner and contributing to
problems that need solving rather than
from consultancy and experience-based assuring evidence-informed public policy.
providing solutions in search of problems.
guidance (for example EU research sources IAHSI formally recognizes the needs
or international think tanks). to produce and share artifacts /reflections The Academy should achieve this by:
SD3: Stimulate progress in be converted to knowledge and the technol- education curricula is needed in order to
ogies to rapidly distribute the knowledge. ensure that clinicians acquire basic compe-
Biomedical and Health Informatics We need to reach out to create methods tence in biomedical and health informatics
research, education, and practice of training and understanding of Biomed- (for instance, appreciating the value (and
The advice provided by IAHSI can only be ical and Health Informatics. IAHSI outreach limitations) of a standard record structure
valuable if it is based on solid facts and ev- should also recognize the need to build on what or the use of health information standards
idence. Therefore, to support the advisory exists, at a base level that encompasses the in terminology to maximize the use of ar-
role mentioned in SD2, the Academy must non-academic sphere of biomedical and health tificial intelligence and facilitate secondary
contribute to advancing research in our informatics and general interested citizens. use of clinical data) [France, 2018].
field. The discipline is expanding based on It has been suggested that a revision
the magnitude of the data available that can of medical and other health professions The Academy should achieve this by:
SD4: Share and exchange knowledge ital communication channels and social media in a unique position to help disseminate
Academy members should share and platforms. A unified voice for the Academy best-practice and fight all forms of health
exchange their knowledge on important can have a great impact at the international illiteracy (digital in particular).
developments in health sciences informat- level, as it is feasible to produce multilingual The Academy should have appropriate
ics. This should be achieved through both materials. At the same time, ensuring cultural, communication guidelines for their Fellows
physical and virtual meetings. Topics for gender, economic, and regional diversity when they make expert pronouncements.
discussion should be of international rele- will help us to identify and challenge any For instance, it should always be made
vance and originality with the potential to hidden biases in our activities and products. clear whether a Fellow is speaking from a
have an impact on the vision (V) and SD2-3. In accordance with the draft WHO Glob- personal perspective or as a spokesperson
The Academy can and must avoid prac- al Strategy for Digital Heath proposal,5 we, of the Academy or for a specific institution
tices and attitudes that maintain the image at IMIA, and especially at IAHSI, should or corporate body.
of an “elitist club of experts”, so activities start a discussion around a Digital Health The Academy should look at using the
will aim at increasing equality of access and Global Agenda to promote all the benefits IMIA Yearbook to publish many of the pro-
dissemination as far as possible. of Digital Health and at the same time face posed initiatives – position papers, studies,
Fellows need to experiment with different up to the growing concerns of misuse of reference papers, etc. – with IAHSI branding.
roles and models of engagement. This will information, fake and deep news, discredit
require new skills for making better use of dig- of science, anti-vaxxers and the like. We are The Academy should achieve this by:
https://www.who.int/health-topics/digi-
5
tal-health#tab=tab_1
https://www.who.int/health-topics/digital-health#tab=tab_1
5
5 Evaluation of Progress in
Implementing the Strategy
Dissemination policy published
Number of patient associations
Membership of global
Evaluation - KPIs
Number of mentees
Number of mentors
Academy in completing the different planned
activities, the Academy needs to address how
organizations
the impact of the Academy can be mea-
completed
• Level of activity
• Products released
International Network for Government Science
SD2.O3.A2 Select and provide links to reference
Financial KPIs
V.O2.A2 Contact patient associations
funds
Advice (INGSA)
prospective studies
Acknowledgements
Academy Fellows providing feedback
and input to this strategy and focus areas
document were, in particular: Najeeb Al-
SD2.O4 Reporting on important international
sure IAHSI is listening to the patients´ voice.
SD2
SD2
SD3
SD4
V