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    History of Health Information Technology in The U.S

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    Health IT Workforce Curriculum - 2012
    The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp05-Unit01. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

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    History of Health Information Technology in The U.S

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    Health IT Workforce Curriculum - 2012
    5 views23 pages
    The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp05-Unit01. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

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    Comp5 Unit1c Lecture Slides

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    The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp05-Unit01. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

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    5 views23 pages

    History of Health Information Technology in The U.S

    Uploaded by

    Health IT Workforce Curriculum - 2012
    The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp05-Unit01. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

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    of 23

    History of Health Information

    Technology in the U.S.


    Evolution of Health IT:
    The Early Years
    Lecture c The 1980s

    This material Comp5_Unit1 was developed by The University of Alabama Birmingham, funded by the Department of Health and
    Human Services, Office of the National Coordinator for Health Information Technology under Award Number
    1U24OC000023
    Evolution of Health IT:
    The Early Years
    Learning Objectives
    2
    Discuss the impact that the cost containment focus of
    the 1980s had on the use of health information
    technology
    Discuss the healthcare environment of the 1980s and its
    impact on the types of informatics applications
    developed during this time period
    Discuss the increasing professionalization of
    informaticians and HIT professionals in the 1980s
    including training programs and professional
    organizations
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    General Environment -- 1980s
    Empowerment
    Personal computers
    Computer users:
    Computer specialists
    Children

    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the
    U.S. Evolution of Health IT: The Early Years
    Lecture c
    3
    (CC BY-NC-ND 2.0. Photo by Judy Baxter)
    Influence Patterns
    4
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Source: (Tapscott, 1998)
    Influence Patterns
    5
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Healthcare Environment 1980s
    Cost containment
    Prospective payment (DRGs)
    Increase in HMOs
    6
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Healthcare Environment 1980s
    Cost containment
    Prospective payment (DRGs)
    Increase in HMOs
    Increase in physicians
    More competition for NIH funding
    7
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Healthcare Environment 1980s
    Cost containment
    Prospective payment (DRGs)
    Increase in HMOs
    Increase in physicians
    More competition for NIH funding
    Patient empowerment
    8
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Healthcare Organizations
    Increase revenue
    Decrease costs
    9
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Information Systems
    Automated fiscal, data processing
    Use of information for cost containment
    Automation of administrative, some clinical
    systems
    Information added to HMSS = HIMSS




    Source: (HIMSS Legacy Workgroup, 2007)
    10
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Information Systems
    Automated fiscal, data processing
    Use of information for cost containment
    Automation of administrative, some clinical
    systems
    Information added to HMSS = HIMSS
    Director of Information Systems
    Report to CFO
    Minimal clinical concern

    11
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Physicians
    Scientific practice of medicine
    More group practices
    Decreasing physician autonomy
    Cost containment pressure
    Increase in patient involvement
    Little direct use of computers
    12
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Academic Physicians
    Increased standardization of the art of
    medicine
    13
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Academic Physicians
    Increased standardization of the art of
    medicine
    Health services research
    Focus on cost
    14
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Academic Physicians
    Increased standardization of the art of
    medicine
    Health services research
    Focus on cost
    Research use of computers
    Clinical research

    15
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Medical Informaticians
    Increased development of systems
    Diagnostic decision support systems
    Reminder and alerting systems







    Source: (Miller & Masarie, 1986)
    16
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Medical Informaticians
    Increased development of systems
    Diagnostic decision support systems
    Reminder and alerting systems
    System evaluations begin
    Impact of computer use on reducing costs




    Source: (Wilson et al., 1982)

    17
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Medical Informaticians
    Increased development of systems
    Diagnostic decision support systems
    Reminder and alerting systems
    System evaluations begin
    Impact of computer use on reducing costs
    Increased professionalization/specialization
    AMIA
    NLM training programs
    Specialized informatics fields
    18
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Evolution of Health IT
    Summary 1980s
    Healthcare costs increased
    Efforts at cost containment

    19
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Evolution of Health IT
    Summary 1980s
    Healthcare costs increased
    Efforts at cost containment
    Continued standardization of medical
    practice
    Informatics applications to support
    systematic, scientific practice

    20
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Evolution of Health IT
    Summary 1980s
    Healthcare costs increased
    Efforts at cost containment
    Continued standardization of medical
    practice
    Informatics applications to support
    systematic, scientific practice
    Growing professionalism within
    informatics
    21
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Evolution of Health IT
    Summary 1980s
    Healthcare costs increased
    Efforts at cost containment
    Continued standardization of medical
    practice
    Informatics applications to support
    systematic, scientific practice
    Growing professionalism within informatics
    Children began using computers in
    school
    22
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    Evolution of Health IT
    References Lecture c
    23
    Health IT Workforce Curriculum
    Version 3.0/Spring 2012
    History of Health Information Technology in the U.S.
    Evolution of Health IT: The Early Years
    Lecture c
    References
    HIMSS Legacy Workgroup. History of the Healthcare Information and Management Systems Society (formerly
    Hospital Management Systems Society) [Internet]. Chicago: Healthcare Information and Management Systems
    Society (HIMSS); 2007. Available from: http://www.himss.org/content/files/HIMSS_HISTORY.pdf
    Miller R, Masarie FE. Quick medical reference (QMR) for diagnostic assistance. MD Comput. 1986 Sep-
    Oct;3(5):34-48.
    Tapscott D. Growing up digital. New York: McGraw-Hill, 1998.
    Wilson GA, McDonald CJ, McCabe GP Jr. The effect of immediate access to a computerized medical record on
    physician test ordering: a controlled clinical trial in the emergency room. Am J Public Health. 1982 Jul;72(7):698-
    702.

    Images
    Slide 3: Baxter, Judy , CC BY-NC-ND 2.0, Available from: http://www.flickr.com/photos/judybaxter/3555505/

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