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(US) National Health Information Infrastructure (NHII): Moving Toward Implementation
(US) National Health Information Infrastructure (NHII): Moving Toward Implementation
January 27, 2004 --> View Seminar
William A Yasnoff, MD, PhD, FACMI
Senior Advisor, National Health Information Infrastructure, Department of Health and Human Services
The seminar can be viewed with Realplayer.It is from the University of Utah Med Informatics program: http://www.med.utah.edu/medinfo/seminar.html
Previous seminars are at http://www.med.utah.edu/medinfo/semold.html
William A Yasnoff, MD, PhD, FACMI
Senior Advisor, National Health Information Infrastructure, Department of Health and Human Services
The seminar can be viewed with Realplayer.It is from the University of Utah Med Informatics program: http://www.med.utah.edu/medinfo/seminar.html
Previous seminars are at http://www.med.utah.edu/medinfo/semold.html
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You may be also interested in this recently published paper of mine:
Kamel Boulos MN: Towards evidence-based, GIS-driven national spatial health information infrastructure and surveillance services in the United Kingdom. Int J Health Geogr 2004 Jan, 3:1
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14748927&dopt=Abstract
You may be also interested in this recently published paper of mine:
Kamel Boulos MN: Towards evidence-based, GIS-driven national spatial health information infrastructure and surveillance services in the United Kingdom. Int J Health Geogr 2004 Jan, 3:1
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14748927&dopt=Abstract
Free full text; fully formatted Web and PDF versions will follow (same URLs) in few days.
The paper is about the development of a GIS (Geographic Information Systems)-driven national spatial health information infrastructure. Despite all their potentials, GIS remain very much under-utilised in the UK NHS in mostly low-level, non-strategic tasks, and in a largely fragmented and uncoordinated way. Spatial data and GIS are still not mentioned in any main UK health information strategy or policy document. In striking contrast to this, the US National Health Information Infrastructure Strategy document (also known as “Information for Health”) refers explicitly to GIS and real-time health and disease monitoring and states that “public health will need to include in its toolkit integrated data systems; high-quality community-level data; tools to identify significant health trends in real-time data streams; and geographic information systems” (see [http://ncvhs.hhs.gov/nhiilayo.pdf]). GIS are also explicitly included in the National Electronic Disease Surveillance System (NEDSS) specifications and systems architecture of the US Centres for Disease Control and Prevention (CDC—see [http://www.cdc.gov/nedss/nedssarchitecture/nedsssysarch2.0.pdf].
You will notice, as you read this paper, that there are many requirements, e.g., standards and security, and ingredients of success in common to both the nation-wide implementation of integrated electronic health and social care records and the building of a national spatial health information infrastructure. Both development directions are closely interrelated. In fact, properly implemented electronic health and social care records are always required (in aggregated form) as a key data source within a national spatial health information infrastructure.
You will notice, as you read this paper, that there are many requirements, e.g., standards and security, and ingredients of success in common to both the nation-wide implementation of integrated electronic health and social care records and the building of a national spatial health information infrastructure. Both development directions are closely interrelated. In fact, properly implemented electronic health and social care records are always required (in aggregated form) as a key data source within a national spatial health information infrastructure.
As an aside, one might add that when the Director of the Medical Informatics programme that the US CDC runs for its new staff conducted a poll of 40 students on the area they most wanted more information about, top of their list was GIS (Gerard Rushton, Department of Geography, University of Iowa, personal communication—December 2003).
With all best wishes,
--MNK Boulos
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