- This topic has 28 replies, 14 voices, and was last updated 3 years, 7 months ago by Phone Suu Khaing.
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2020-09-17 at 10:27 am #22531SaranathKeymaster
As we learn that we can consider that health informatics can help to increase value of healthcare practices, in terms of cost, user satisfaction, and superior outcomes. The papers provided in the reading assignment also discuss on how public health informatics can help to improve disease surveillance and the challenges of the implementation, particularly changing from paper-based to electronic-based surveillance system.
1. Have you ever observed a health informatics project in your (other) organization? Please provide a brief introduction.
2. Do you think that this health informatics project can help to improve the current practices, how?
3. Are there any challenges or difficulty in implementing the project?
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2020-09-21 at 9:36 pm #22680Sila KlanklaeoParticipant
1 I have seen a paperless system in a hospital. They use that system to reduce the storage of paper patient history.
2 I think that project can increase the effectiveness of treating patients because that project reduces the patient’s waiting time, Reduce waiting time to find files in case of missed appointments, and Reduce the workload of providing doctors with a large number of patients.
3 I think the difficulty in implementing the project is importing large of paper patient history into a computer.
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2020-09-22 at 9:07 pm #22690Wachirawit SupasaParticipant
1. I was an intern at a laboratory in the provincial hospital and they use Laboratory Information System that can integrate with HOSxp. However, it only sent out the lab result so we need a physician to interpret the result and record it into the Hospital Information System.
2. It can improve current practice by sending information digitally across the hospital network and the physicians don’t have to wait for the lab result papers on their desks. In an emergency case, such as getting lab results for cardiac biomarkers (NT-proBNP, myoglobin, CK-MB, cTnT, cTnI) in the AMI case. Where every minute counts, the medical technologist can bypass all other lab tests for certain patients and they can send out the results to the ER or ward immediately. In this process, it only takes 10-15 minutes from collecting blood to sending lab result out, while using paper, it takes more time.
3. By implementing a project, it has certain issues. For example, some older personnel might not familiar with the digital system and they usually refuse to adapt to it. Also, stability concerns since every result have recorded in the database, not paper, some personnel might not trust it enough.
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2020-10-01 at 3:32 am #22906Khaing Zin Zin HtweParticipant
The laboratory system can be the starting point of a more extensive informatics framework for the hospital. Implementing the system has helped a lot in a matter of life and death of the patient as you have mentioned in the AMI case. I agree with you on that some physicians refusing to adapt to it is a big challenge, and it will call for advocacy about the values of health informatics to conduct to all healthcare providers.
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2020-09-24 at 6:10 pm #22731Pongsakorn SadakornParticipant
1. I have been involved in a visual larva survey in my organization (DDC) and I realized that this protocol can be digitalized by the mobile application so DDC and NECTEC work closely to digitally support the collection of larval survey data at the field and pave a way for the surveillance of Aedes mosquito which is known as TanRabad-Survey.
2.Nowadays, TanRabad SURVEY leads to seamlessly reflects the overall utilization of paper-based forms with simple steps for collecting larval survey data and apparently drives the real-time processing of survey data to allow an instant risk communication in place.
3. Firstly, human acceptance is the first difficulty we met because they didn’t believe that the application will help them to do their job easier. Secondly, the budget is another factor that is very important in terms of developing and implement the project. Software sustainability is key or challenges to indicate the success of the project. Successfully, TanRabad is taken as one of the surveillance tools in the national strategic plan 2018-2021 for the prevention and control of Aedes-borne diseases. Accordingly, all health regions have entirely transformed the visual larval survey process from a paper-based to digital-based and frequently conducted the survey on a monthly basis, rather than three times a year.
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2020-09-24 at 11:11 pm #22750Kridsada SirichaisitParticipant
1. In my hospital have many project for transform paper based to electronic record such as Admission note, Discharge summary note that get many of data from HIS to electronic record and can print out for convenient to use for audit. Death cetificate is one of project that collect data of death case in hospital in format of goverment. Database can use for analysis cause of death in hospital.
2. Yes. Many data in HIS can use for analysis for many research question that use for create new practice guideline that better than old CPG. I use data from nosocomial infection surveillance system for empiric specific antibiotic that match to bacterial nosocomiail infection or I use epidemiogic curve of Mellioidosis in my hospital for empiric treatment with ceftazidime in immonocompromised host in duration of high season. In overall mortality rate was decreased in lower resources
3. Yes. Difficult in all steps for implementation.
1. HIS Database analysis to know table and field that use to new db or report.
2. UI design for ease to use and acceptable for many user
3. Database design
4. Visualization of analytic data
5. Fastest Query Command
6. Peopleware is the main problem in many situation.-
2020-09-25 at 6:47 pm #22767Pongsakorn SadakornParticipant
Agree with you, UI/UX is so important to drive the application.
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2020-09-26 at 5:27 pm #22776Ornpicha ThiampolParticipant
It’s a good idea that you refer to UI. I think this is the best design, especially for the beginner users.
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2020-09-29 at 2:10 pm #22842SaranathKeymaster
It’s great that you have experience in data utilization to assist decision making. It will be really helpful if the database system is fit to the user’s needs.
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2020-09-24 at 11:32 pm #22751Kridsada SirichaisitParticipant
hsTNT (high sense troponin T) can used to diagnosis for NSTEACS (Non ST Elevation Acute Coronary Syndrome). The criteria for diagnosis by hsTNT not only one value of it but it use 2 period for diagnosis. 0,1 protocol, 0,3 protocol. In 0,3 protocol use in 3 criteria <14, 14-70, and > 70. If you can collect data from 2 period of TNT and summarize in term of “Compatible with Myocardial Infarction” by automation report. It’s very useful for unexperienced physician (1st year GP) to interpret TNT and this information can help many patients.
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2020-09-26 at 5:19 pm #22775Ornpicha ThiampolParticipant
1. I saw some projects from the company in the Netherlands. As I know, this company creates a pad (like a strip test) that the patient can test to follow-up the coagulation test result by themselves. They come with the application to consult and interpret the data with the doctor, and the doctor will advise the patient.
2. This project can help to reduce hospital visits. The patients do not need to travel to the hospital, and the doctor can follow-up on the patient’s result quickly.3. I think this project also depends on the pad that they use. The company should ensure the sensitivity and specificity of the place that show the correct result. Furthermore, older people will not be familiar with the application, so they should have accessible and concise content.
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2020-09-27 at 4:57 pm #22809Saravalee SuphakarnParticipant
This type of technology is many useful. The connection between patient and doctor via application like this could make benefit for health system in many situation such as DM patient who need followed blood glucose level. But, as your opinion, it may be inconvenient in older people which is challenges to develop the application for aging society.
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2020-09-29 at 2:13 pm #22843SaranathKeymaster
Telemedicine is particular important particularly in new-normal era. I agree that the validity of the test is critical for this situation.
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2020-09-27 at 4:12 pm #22808Saravalee SuphakarnParticipant
1. At animal hospital that I work, we use web-base application to operate and link every department in the hospital. The application has been run every step of work flow. Patients have to register in the application then history and signalment of the patients are sent to veterinary room. Veterinarian can see history of treatment, vaccination, previous disease from the system. The system also link with laboratory department, pharmacy department, financial department and stock room.
2. As a veterinarian, this information project help to manage and access patient’s data easier and faster that cause increase efficiency of decision making and improve treatment outcomes consequently. The main benefit of this project is increase interoperability of the departments in the hospital which effect on reduced cost of both company and patients who received the services.
3. The challenges of the project is the storage of data. At present, the application use prototype storage which sometime has a problem when main computer server was malfunction and may encounter with capacity of data storage in the future. I my opinion cloud computing could correct the problem.
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2020-09-29 at 2:15 pm #22844SaranathKeymaster
Electronic Medical Record (EMR) is another helpful eHealth project- it has been reported that the EMR can shorten visit duration, reduce human errors, etc. However, data standards and interoperability are an important function when the data have to share among different departments.
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2020-09-27 at 8:14 pm #22815NaphatParticipant
1. Have you ever observed a health informatics project in your (other) organization? Please provide a brief introduction.
I have been conducting information projects in Stemcell bangking lab by recording clients’ health information and stemcell information in the database for the past 5 years.
2. Do you think that this health informatics project can help to improve the current practices, how?
It can help shorten the communication time between the laboratory and other departments such as the accounting, administration or others. And can also deliver the results of the test and the storage of stem cells to customers effectively.
3. Are there any challenges or difficulty in implementing the project
Difficult to search back paper documents and sometimes the document is damaged or the information is not clear. Although it is well documented (good document practice) and being in a room that controls both temperature and humidity.
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2020-09-29 at 2:20 pm #22845SaranathKeymaster
It seems that you have to enter retrospective data in the paper-based into the electronic database. This is very difficult and time-consuming work. I hope that from now on, data will be recorded directly to the electronic system. This would be very useful for data utilization in the future.
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2020-09-29 at 8:28 pm #22857Rawinan SomaParticipant
I have seen and be a user of “HDC” or big data MOPH that provide raw data of patient visit in Thailand, also aggregate data like KPI, dashboard. In raw data part, I used for my project and some data analysis.
This information system could provide overall health data in Thailand which use to monitor health status, provide knowledge after analyzing, also predict some future problem via machine learning. This system has difficulty in data collection and data cleaning. For example, each hospital sending the data, but they do not know the quality of data that they sent, sometimes they sent the duplicate data unintentionally. It makes data cleaning process to be more difficult and sometimes damages the data structure. -
2020-10-01 at 3:21 am #22905Khaing Zin Zin HtweParticipant
For the organization I’m currently working at, we have developed a software (combination of web app and mobile app) for directly observed treatment for TB patients. In response to Covid19 crisis, we had to find a way where community volunteers can provide anti-TB drugs to patients without actually visiting them. The mobile app records volunteer’s call logs to the patient and other information inquired, and further sends those data to the web app controlled by authorized staff.
This newly implemented project can help with treatment adherence of TB patients despite the lack of direct supervision by volunteers during the time of Covid19.
The most significant challenge is some volunteers not having compatible android phone and their reluctance to embrace new technology.
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2020-10-02 at 2:53 pm #22930Sittidech SurasriParticipant
Dear Zin,
It really good to know that you/your country have a system to collect the data especially in COVID-19. In Thailand we also have a web-based application name “Thaichana” that use for collecting data of people who traveled or visited at each place which could help to tracking who may contact or get infected to the COVID-19 and help to control the spread of the infection. But there are still have many challenges of implementing this application such as the awareness of people, and the compliance of organizations/places.
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2020-10-02 at 2:40 pm #22929Sittidech SurasriParticipant
1. Have you ever observed a health informatics project in your (other) organization? Please provide a brief introduction.
# I have involved in my project which studied about Anti-microbial resistant (AMR) and Anti-microbial use (AMU) in both human and animal health, but only technical supports were provided. One of method to collect the data of AMR and AMU was using “WHO NET”- WHONET is a free desktop Windows application for the management and analysis of microbiology laboratory data with a particular focus on antimicrobial resistance surveillance developed and supported by the WHO Collaborating Centre for Surveillance of Antimicrobial Resistance at the Brigham and Women’s Hospital in Boston, Massachusetts. WHONET, available in 28 languages, supports local, national, regional, and global surveillance efforts in over 2,300 hospital, public health, animal health, and food laboratories in over 130 countries worldwide.2. Do you think that this health informatics project can help to improve the current practices, how?
# This application is very useful for collecting, manage and analysis of microbiology laboratory data which help and support in country, regional and global levels in detecting the pathogen, prevention plan and health promotions.3. Are there any challenges or difficulty in implementing the project?
# The challenges are;
– Knowledge or understanding of the user or data entry of the application. It is required the training to all staff.
– Mobile or Internet connection; this application is required the mobile or internet connection to enter/report the data. Some area, internet connection is weak or could not connect.
– Data validation and quality of the data from the application; data that collected from the application should be verified, and data may incorrect or duplicate.-
2020-10-03 at 9:03 am #22972Navinee KruahongParticipant
WHO Net is a really useful software which promote local, national, regional, and global collaborations through the exchange of data and sharing of experiences!
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2020-10-03 at 8:55 am #22971Navinee KruahongParticipant
1. The Department of mental health, Ministry of Public Health, Thailand, established an action plan responding to COVID-19 outbreak. In term of mental health promotion and mental illness prevention, we did a project of mental health surveillance which actively screened for 4 mental health issues (stress, depression, suicide and burnout) among 4 risk groups (health professionals, quarantined people, COVID-19 cases, and vulnerable people in the community). This project took action by health professionals at all level, especially health village volunteers who closely take care people in the community. Some of them use an application that we created for mental health self-screening. The aims of the surveillance is people who need help could meet mental health services that they need.
2. There are many advantages of the transformation into an application for mental health active screening;
– Reach large people who need help
– Enhance mental health response in timely way
– Highlight mental health in hand in the digital era
– Improve collecting, storage, analyzing, and utilizing mental health data3. There are some challenges of using the electronic surveillance;
– We need to train mental health care providers to use the application properly, especially community health workers. Which consume time and budget.
– Internet access in rural areas
– Electronic devices such as mobile phones and tablets may not be available for all community health workers.-
2020-10-03 at 1:06 pm #22974Kaung Khant TinParticipant
Training the mental health care providers would be a difficult especially if your department has a big staff turn over rate. Once the staff fully understands how the system is done, they leave the department for a better opportunity or something else. It happens quite a lot at my organization
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2020-10-03 at 12:53 pm #22973Kaung Khant TinParticipant
1. Have you ever observed a health informatics project in your (other) organization? Please provide a brief introduction.
I’m working at the HIV program where my organization gives treatment and care to the people living with HIV across the country. And a health informatics project which is “OpenMRS project” has been being rolled out at the clinic sites for the last couple of years. OpenMRS is web-based application software that is used as a medical record system of the people living with HIV.2. Do you think that this health informatics project can help to improve the current practices, how?
This OpenMRS project helps a lot to improve the work of our program. The exhaustive and time-consuming manual data entry to the paper is replaced with the effective and fast-paced data entry method which entails the good analytical capacity of the data and reducing costs in terms of paper, human resources, and space for storing patients’ files as well as easing the concerns over the vulnerability of the paper records. The doctor can now also be able to do efficient HIV clinical management on the people living with HIV. Moreover, it also encourages timely and reliable information delivery to the information management system of our HIV program at the operational, tactical, and strategic levels.3. Are there any challenges or difficulties in implementing the project?
Every transition has its own challenges and difficulty, and so does this project. The biggest challenge is the data legacy transfer process. At some sites, the data from the patients’ files have to be entered retrospectively to the OpenMRS system which is physically demanding work. At some sites where a separate electronic medical record system was previously established, the legacy transfer is technically demanding work. Other challenges include challenges relating to organizational and cultural issues such as resistance to change, end-users’ attitudes towards health informatics projects. Some of the users have limited technological abilities whereas some systems in the application are not fully utilized and understood by the users. Moreover, here I guess, an exclusive challenge in our country exists which is the frequent electricity cut-off in some areas. -
2020-10-03 at 3:35 pm #22975Phone Suu KhaingParticipant
1.Have you ever observed a health informatics project in your (other) organization? Please provide a brief introduction.
I have experienced mobile application called “May May” which means “Mother” application developed from other international organization in my country. User has to fill demographic facts with address when entering first page.
It is an application about maternal and child health which included knowledge session with Question and Answer, Videos and other focus group discussion in all ethnic language. It also had service directory. It is very beneficial to those people from remote area who cannot access to hospitals immediately.2.Do you think that this health informatics project can help to improve the current practices, how?
This project is a very effective way to make information, education and communication reach to community with low cost as no paper use for both recording and reporting i.e, how many people downloaded the application and which information is most read by community. It could disseminate correct health knowledge related to maternal and child health.3.Are there any challenges or difficulty in implementing the project?
The biggest challenge is user needs android phones, some knowledge on using android phones as well as internet connection to download t he application (there are places where internet connection is not reached) and to live stream some features.
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