The Chief Clinical Informatics Officer (CCIO)

Kannry, Joseph L.; Sengstack, Patricia; Thyvalikakath, Thankam P.; Poikonen, John; Middleton, Blackford; Payne, Thomas H.; Lehmann, Christoph U.

doi:10.4338/aci-2015-12-r-0174

Cited by 52 publications

(10 citation statements)

References 64 publications

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“…However, this educational issue concerns all other healthcare stakeholders as we will need to ensure, on the one hand, the proper education and training of experts in clinical bioinformatics and, on the other, the familiarization of all concerned medical stakeholders (MDs, nurses, technologists, lab technicians, pharmacists, and other medical or clinical staff) with this specialty. Or, as stated elsewhere, “future education and training must reflect the changing body of knowledge and must be guided by changing day-to-day informatics challenges” [102]. The days when a single physician (or even hospitalist) could cover the entire gamut of medicine are gone, as the practice of medicine becomes increasingly multidisciplinary.…”

Section: Challenges Of Evidence-based Precision Medicinementioning

confidence: 99%

Reconciling evidence-based medicine and precision medicine in the era of big data: challenges and opportunities

2016

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This era of groundbreaking scientific developments in high-resolution, high-throughput technologies is allowing the cost-effective collection and analysis of huge, disparate datasets on individual health. Proper data mining and translation of the vast datasets into clinically actionable knowledge will require the application of clinical bioinformatics. These developments have triggered multiple national initiatives in precision medicine—a data-driven approach centering on the individual. However, clinical implementation of precision medicine poses numerous challenges. Foremost, precision medicine needs to be contrasted with the powerful and widely used practice of evidence-based medicine, which is informed by meta-analyses or group-centered studies from which mean recommendations are derived. This “one size fits all” approach can provide inadequate solutions for outliers. Such outliers, which are far from an oddity as all of us fall into this category for some traits, can be better managed using precision medicine. Here, we argue that it is necessary and possible to bridge between precision medicine and evidence-based medicine. This will require worldwide and responsible data sharing, as well as regularly updated training programs. We also discuss the challenges and opportunities for achieving clinical utility in precision medicine. We project that, through collection, analyses and sharing of standardized medically relevant data globally, evidence-based precision medicine will shift progressively from therapy to prevention, thus leading eventually to improved, clinician-to-patient communication, citizen-centered healthcare and sustained well-being.

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Section: Challenges Of Evidence-based Precision Medicinementioning

confidence: 99%

Reconciling evidence-based medicine and precision medicine in the era of big data: challenges and opportunities

2016

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“…Currently, NI are suggested to be core competencies instead of an isolated set of skills in nursing (Abdrbo 2015;Kleib and Nagle 2018;Sipes et al 2017). Informatics competency requirements are set for different roles and all levels of nurses (nurse administrators, nurse researchers, nurse teachers and practicing nurses) (Collins et al 2017;Egbert et al 2018;Grobe 1989;Kannry et al 2016;Skiba 2016;Strudwick et al 2019) and across different levels in health systems, ranging from service providers to national-level strategic decision makers (Whittaker et al 2015). However, a systematic and formal approach to the implementation of NI in nursing education is still lacking in some countries (Cummings et al 2015;Egbert et al 2018), and research has shown that graduate nurses are inadequately prepared in NI when entering practice (Shin et al 2018) and that more NI training is needed at postgraduate levels in nursing (Choi et al 2013;Kupferschmid et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Emerging Professionals’ Observations of Opportunities and Challenges in Nursing Informatics

Peltonen¹,

Nibber²,

Lewis³

et al. 2019

cjnl

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The importance of nursing informatics (NI) is highlighted because of changing healthcare landscapes in response to rising digital health and technology integration and use. However, NI education, competency requirements and roles are not standardized across the world, and the potential of NI is modestly understood internationally. This paper explores opportunities and challenges in NI discussed in a panel at the 14th International Congress on Nursing and Allied Health Informatics. The panel was organized by the International Medical Informatics Association's-Nursing Informatics Working Group's Student and Emerging Professionals group. Discussions during the panel session were synthesized and analyzed using content analysis. Results indicate that challenges in NI education, career opportunities and roles continue to exist across healthcare settings and regions. Findings suggest that the following issues need attention: (1) collaboration to build stronger infrastructure to guide NI education, research and practice; (2) improved visibility and SPECIAL FOCUS ON NURSING AND DIGITAL HEALTH 8 9 Emerging Professionals' Observations of Opportunities and Challenges in Nursing Informatics appreciation of NI; and (3) greater dissemination of evidence of NI in various health settings. This paper offers recommendations for nurse leaders on strategies to address these issues in NI at the local, regional and global levels.

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“…Moreover, clinical informatics leadership roles, i.e. Chief Clinical Informatics Officer, and Chief Nursing Informatics Officer, should be clearly defined and integrated into the organizational structure of the healthcare institution (Kannry et al, 2016). Academic institutions should also prepare to meet the demand for these roles and integrate health information management and informatics training into F o r P e e r R e v i e w the academic curriculum for all health and allied-health disciplines (Cooper, 2009).…”

Section: Discussionmentioning

confidence: 99%

Understanding health information management practices in public hospitals in Kuwait

Alhuwail

2019

HIM J

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Background: Health information technology (IT) solutions can aid healthcare reform efforts, but without proper information management, these efforts are futile. In this study, we used Kuwait as an example of a high per-capita gross domestic product country that faces information management challenges to draw insights that can be generalised to other developed countries. Objective: (i) to uncover the status quo of information management practices in public hospitals and (ii) to offer recommendations to improve them. Method: This study analysed qualitative and quantitative accreditation-related data pertaining to the compliance with the information management standard at all secondary care public hospitals over two accreditation cycles. Results: Overall, public hospitals had made positive progress in their compliance with the information management standard. However, issues still existed with (i) developing and implementing an information management plan, (ii) involving the appropriate stakeholders in selecting health IT solutions and (iii) access to the Internet by staff and patients. Conclusion: Evidence underscored the importance of proper information management driven by clear centralised strategic plans. Implications: With the rapid adoption of digital health systems, the role of health information management leaders should not be undervalued. Embracing health IT solutions with strong information management practices can aid healthcare reform efforts.

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The Chief Clinical Informatics Officer (CCIO)

Cited by 52 publications

References 64 publications

Reconciling evidence-based medicine and precision medicine in the era of big data: challenges and opportunities

Reconciling evidence-based medicine and precision medicine in the era of big data: challenges and opportunities

Emerging Professionals’ Observations of Opportunities and Challenges in Nursing Informatics

Understanding health information management practices in public hospitals in Kuwait

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