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HIM and HI Educational Update

HIM and HI Educational Update. D R . C A R L A T Y S O N - HOWA RD, HC C D R . S U S A N H . F E NTO N, U T S B M I. H O U S T O N A R E A H I M A. J U N E 27,201 4. American Education Network for Health Information Assurance and Security (AENHIAS).

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HIM and HI Educational Update

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  1. HIM and HI Educational Update D R . C A R L A T Y S O N - HOWA RD, HC C D R . S U S A N H . F E NTO N, U T S B M I HOUSTON AREA HIMA JUNE 27,2014

  2. American Education Network for Health Information Assurance and Security (AENHIAS) T R A D E A DJ U S T M E NT A S S I S TA NC E CO M M U NI T Y CO L L EG E A N D C A RE E R TRA I N I N G ( TA AC C C T) D E PA RTM E N T O F L A B O R ( D O L )

  3. CyberSecurity A cyber a. ttack on the healthcare system is a real threat according to Rick Kam, president and cofounder of ID Experts. He states, “We’re anticipating that 2013 will be the year of a major breach in healthcare”.

  4. AENHIASProject HIM and HIT workers are needed as cyber security experts. The AENHIAS Project will train professionals in cyber security of health information.

  5. AENHIASProject • Lead: Sam Houston State University, Huntsville, Texas • Member Institutions: 6 Community Colleges and Universities nationwide (2 in Texas) • Business Partners: • American Health Information Management Association (AHIMA)-non profit • National Health Sharing and Analysis Center (NH-ISAC)- non-profit • The Council for Adult and Experiential Learning (CAEL) • Lone Star College

  6. CommunityCollegePartners Houston Community College - Coleman College Coppin State University MidState College Greenville Community College Hutchinson Community College Santa Fe College Lone Star College (business partner)

  7. CourseDelivery Blended online and in-person courses. Synchronous sessions (live in-person and remote telepresence) and asynchronously via LMS with Cisco Show and Share. Feedback using adaptive analytics developed by Carnegie Mellon University’s Open Learning Initiative. Self-sustaining.

  8. DR. SUSAN H. FENTON ASSISTANT DEAN FOR ACADEMIC AFFAIRS

  9. TrendsinInformatics • BIGDATA • Mobile Health

  10. FiveGameChangersintheUS

  11. The average person today processes more data in a single day than a person in the 1500s in an entire lifetime. Smolan&Erwitt:The Human FaceofBig Data

  12. 92% of the world’s data was created in just the past two years. Smolan&Erwitt:The Human FaceofBig Data

  13. Whatis5ExabytesofData? • ◦ 5x1018 bytes (5,000,000,000,000,000,000) • All data created by humankind from prehistory to 2003 • 1 billion DVDs • Stacked - distance between Houston and Orlando • Created in two days in 2011 • Created in 10 minutes in 2013

  14. The United States has one-third of the world’s data

  15. “Today a street stall in Mumbai can access more information, maps, statistics, academic papers, price trends, futures markets, and data than a US President could only a few decades ago.” —Juan Enriquez, Founding Director of the Harvard Business School Life Sciences Project http://my.entertainment.yahoo.com/news/street-delights-delhi-mumbai-073216546.html http://newsifact.blogspot.com/2009/02/young-obama-and-jfk-in-oval-office.html

  16. RadioFrequency Identification CellPhone Locations TrafficPatterns Web Browsingand Search ChannelClick Information MainframeLogs Weather Photography CallDetailRecords(CDRs) SocialMedia Communication Events

  17. DataStorageisCheap $600 to buy a disk drive that would store all of the world’s music http://www.howstuffworks.com/hard-disk.htm http://www.maximumpc.com/article/howtos/how_to_stream_your_music_library_any_computer

  18. ComputingisFast 1975: CrayCDC-7600 2012: iPhone 4 Same speed $400 Fastestsupercomputer $5m($32min2013dollar) http://en.wikipedia.org/wiki/File:CDC_7600.jc.jpg FromMcKinsey MGI 2013report

  19. Google ComputerServers Electricityconsumptionin 2011was sufficienttopower200,000homes. http://www.brandpowder.com/2012/10/27/1871/

  20. What can BIG DATA do for Healthcare?

  21. ValueofBigDatatoHealthcare ReducingHealthcareCostsby7.6%

  22. The Magnitude of Healthcare Data • HealthcareDataintheUSin2012 • 150millionterabytesor150exabytes(1.5x1020) • 30timesthedatacreated byhumankindupto 2003 • 43,000timesthedataintheLibraryof Congress • DVDsstackedtogether->distancearoundearth

  23. TheSizeof the HumanGenome 3billion bases HumanGenome 200 copies of White Pages 9.5 years to read out loud 3 Gigabytes (1 DVD) (Houston to Tokyo for world population)

  24. SequencinganEntireHumanGenome =ThePrice ofaDentalCrown Cost ofHumanGenomeProject:$2.7 billion,over13years $1000Genomeiscoming $100,1 hour,nextdecade

  25. Roles of BIG DATA in Healthcare Comparative effectiveness Clinical decision support Remote patient monitoring Quality and performance measures Biomedical discovery Personalized medicine Pharmacovigilance Public health surveillance and response

  26. 2015:Nockin,Inc.(fictitious) Nockin, Inc. • Alzheirax wasapproved byFDA; • $1 billion,13 years • Alzheimer'sdisease • 2016: Dr. Patrick Sonty at UTP • Dan Roe, an Alzheimer’s patient, suffered a stroke • Suspicious of Alzheirax • 2016:Dr.PatrickSontyatUTP • CalledSBMI forhelp NockinCenter forInformaticTherapeutics • 2016: SBMI • Dr. Bernstam built a big data warehouse • Dr. Xu searched 9 million records; found 136 cases (65 deaths) • Dr. Cohen searched 2.5 million literature, found 93 studies of relevant factors of Alzheirax at U TSchoolofBiomedicalInformatics atHouston - Funded witha $15MillionGift fromNockin,Inc. • 2017: FDA • Pull Alzheirax out of the market? • 2017: SBMI • Dr. Zheng discovered 5 gene segments for the adverse events • 2018: SBMI • Dr. Summer developed a Gene Editing procedure for the mutation http://www.nature.com/scitable/blog/theprometheancell/gene_editing_for_a_better

  27. Mobile Health • In 2012… • 6.3billionmobilephones • 1.5billionsmartphones • 7.2billionworldpopulation • 5timesdataas voice traffic

  28. MobileInternet

  29. HealthData fromBody Sensors Imec: Human+++: body networks http://www.imec.be/ScientificReport/SR2008/HTML/1225020.html

  30. Ingestible Sensors (Proteus Digital) Sleep Pattern Monitor ·.:..:·: ••• WirelessTrackers AriaT"'Wi-FiSmartScale Fertility Thermometer

  31. TheFutureofInformatics 2 milliondataworkersareneededby2018. (McKinsey&Company)

  32. SchoolofBiomedicalInformatics SBMI • OnlyprograminTexas • Onlyfree-standingschoolinthe US • Oneofthelargestinthe nation

  33. Mission Educate and train future scientists and professionals in biomedical informatics and health information technology Conduct informatics research to improve healthcare and advance biomedical discovery Develop and use advanced informatics tools to solve practical problems in healthcare

  34. UTHealthInformaticsConsortium UTHealthInformaticsConsortium Schools ClinicalPartners SPH Levels of Biological Systems Sub-Areas of Informatics Population Public Health Informatics ↑ Individual UTP Clinical Informatics (Medical, Nursing, Dental) SOD MHHS HCHD SON MS MDACC StLuke ↑ Organ ↑ Tissue Imaging Informatics MS Education Research Service Operations ↑ Cell ↑ Sub-cellular ↑ Protein ↑ Gene ↑ Molecule Biomedical Informatics SBMI Education Research Bioinformatics (genomics, proteomics) SPH MS

  35. UT System-Wide Informatics Initiative • Led by SBMI • Reach out to other UT Components • Academic • Research • Applications Established Planned Health Academic

  36. AcademicPrograms Applied MS(39SCH) Applied(15SCH) Traditional(15SCH) Doctoral(93SCH) TraditionalMS(39SCH) PublicHealth (15SCH) InternationalCollaborations:Brazil,Mexico,Colombia,Panama,Japan,China,India Continuing Education:shortcourseson selectedinformaticstopics

  37. WhereareSBMIGraduatesEmployed? • PhD graduates (24 since 2003) • 12obtainedfacultypositions(3at Duke,3 at UTH) • AssistantVPat St. Luke’s • MSgraduates(215since2000) • Facultypositions • CMIO,CNIO,InformaticsDirector • Various positionsin hospitals(e.g.,TMCinstitutions) • Various positionsin industry(e.g.,Microsoft) • Entrepreneurialpositions • Certificategraduates(140)

  38. Health IT Online Job Postings Before and After the HITECH Act Tripled in 3 years 26% annual growth US Recession

  39. QUESTIONS

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