Chief medical informatics officer

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A chief medical informatics officer (CMIO, also sometimes referred to as a chief medical information officer, or chief clinical information officer - CCIO in the United Kingdom) is a healthcare executive generally responsible for the health informatics platform required to work with clinical IT staff [1] to support the efficient design, implementation, and use of health technology within a healthcare organization.

Typically the CMIO is a physician [2] with some degree of formal health informatics training or a working equivalent thereof, who often works in conjunction with, or helps to manage other physician, nurse, pharmacy, and general informaticists within the organization. According to the 2012 CMIO Survey, 60% had salaries higher than $200,000 per year. [3]

While historically there have been physicians and others filling this role, the more formal CMIO position started around 1992 [4] to help hospitals support the adoption and implementation of health technologies such as electronic medical records (EMRs), electronic health records (EHRs), computerized physician order entry (CPOE), electronic documentation, health information exchanges (HIEs), and other technologies used in the clinical setting. The trend for healthcare organizations to have a CMIO has continued to grow, and accelerated as technology use in the clinical setting has been stimulated by programs such as the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH Act).

CMIOs generally report to either the chief medical officer (CMO), chief information officer (CIO), chief operations officer (COO), or chief executive officer (CEO). The exact roles and responsibilities vary widely, [5] [6] [7] from organization to organization, often depending on the reporting structure, [8] but they typically include at least one of the following:

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Health informatics discipline at the intersection of information science, computer science, and health care

Health informatics is information engineering applied to the field of health care, essentially the management and use of patient health care information. It is a multidisciplinary field that uses health information technology (HIT) to improve health care via any combination of higher quality, higher efficiency, and new opportunities. The disciplines involved include information science, computer science, social science, behavioral science, management science, and others. The United States National Library of Medicine (NLM) defines health informatics as "the interdisciplinary study of the design, development, adoption and application of IT-based innovations in health care services delivery, management and planning".

Electronic health record Complex software used to manage health information and the care of patients

An electronic health record (EHR) is the systematized collection of patient and population electronically-stored health information in a digital format. These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.

Medical practice management software (PMS) is a category of healthcare software that deals with the day-to-day operations of a medical practice including veterinarians. Such software frequently allows users to capture patient demographics, schedule appointments, maintain lists of insurance payors, perform billing tasks, and generate reports.

The Healthcare Information and Management Systems Society (HIMSS) is an American not-for-profit organization dedicated to improving health care in quality, safety, cost-effectiveness and access through the best use of information technology and management systems. It was founded in 1961 as the Hospital Management Systems Society. It is now headquartered in Chicago, Illinois. The society has more than 80,000 individuals, 480 provider organizations, 470 non-profit partners and 650 health services organizations. HIMSS is a US 501(c)6 organization.

Continuity of Care Record (CCR) is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the Healthcare Information and Management Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and other health informatics vendors.

College of Healthcare Information Management Executives organization

The College of Healthcare Information Management Executives (CHIME) is a professional organization for chief information officers and other senior healthcare IT leaders. CHIME enables its members and business partners to collaborate; exchange ideas and technology; develop professionally; and advocate the effective use of information management to improve the health and healthcare in the communities they serve.

Health information management (HIM) is information management applied to health and health care. It is the practice of acquiring, analyzing and protecting digital and traditional medical information vital to providing quality patient care. With the widespread computerization of health records, traditional (paper-based) records are being replaced with electronic health records (EHRs). The tools of health informatics and health information technology are continually improving to bring greater efficiency to information management in the health care sector. Both hospital information systems and Human Resource for Health Information System (HRHIS) are common implementations of HIM.

Patient portals are healthcare-related online applications that allow patients to interact and communicate with their healthcare providers, such as physicians and hospitals. Typically, portal services are available on the Internet at all hours of the day and night. Some patient portal applications exist as stand-alone web sites and sell their services to healthcare providers. Other portal applications are integrated into the existing web site of a healthcare provider. Still others are modules added onto an existing electronic medical record (EMR) system. What all of these services share is the ability of patients to interact with their medical information via the Internet. Currently, the lines between an EMR, a personal health record, and a patient portal are blurring. For example, Intuit Health and Microsoft HealthVault describe themselves as personal health records (PHRs), but they can interface with EMRs and communicate through the Continuity of Care Record standard, displaying patient data on the Internet so it can be viewed through a patient portal.

Health Information Technology (HIT) is health technology, particularly information technology, applied to health and health care. It supports health information management across computerized systems and the secure exchange of health information between consumers, providers, payers, and quality monitors. Based on an often-cited 2008 report on a small series of studies conducted at four sites that provide ambulatory care – three U.S. medical centers and one in the Netherlands – the use of electronic health records (EHRs) was viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system. According to a 2006 report by the Agency for Healthcare Research and Quality, broad and consistent utilization of HIT will:

Yisrael Mordecai Safeek American physician

Yisrael Safeek is an American physician, author, and healthcare software company executive. For the past 29 years, Safeek occupied a wide spectrum of roles within the US healthcare system - doctor, medical director, hospital co-owner, Joint Commission surveyor, Malcolm Baldrige Board of Examiners, health system Chief Medical Officer, book author, speaker, and software developer. Safeek made the short list for United States Undersecretary of Health. In 2010, he founded The SafeCare Group, a healthcare software firm with headquarters in Lexington, Kentucky with the motto of "Innovating Disrupting Transforming" healthcare. Before founding The SafeCare Group, Safeek served in the dual roles as system Chief Quality Officer of Covenant Health System and at the time the largest health system between Dallas and Los Angeles, and first Chief Medical Officer of the second largest clinical integration program in the US, Health Partners. As Covenant, Safeek accelerated the implementation of advanced clinical technologies, facilitated the adoption of evidence-based medicine,and reduced the overuse and misuse of clinical resources. The network aligned hundreds of independent physicians with the health system's goals and yielded tangible outcomes in patient safety, quality, and efficiency of care. Between 2005 and 2014, Safeek was employed by The Joint Commission holding certifications in the Hospital Accreditation Program (2005–2014), and the Outpatient-Based Surgery Program (2009–2014). In 2007, he was the first Kentucky physician appointed to the Board of Examiners for the Malcolm Baldrige National Quality Award program. Safeek is a diplomate Certified Physician Executive from the Certifying Commission in Medical Management, the American Board of Medical Specialties in Anesthesiology, and the National Board of Medical Examiners. He is a Vanguard Advisory Member of the American Association for Physician Leadership. and Fellow, the “highest honor awarded to physician leaders who have made significant contributions in improving the delivery and outcomes in medicine." In 2017, Safeek published a seven-point Making American Healthcare Great Again strategy. For each policy initiative, there was an outline of the Scope of the Problem; Policy Priorities; Deployment Phases; Special Considerations; and Accountability. A copy of the document was sent to President Trump at the White House.

Allscripts Healthcare Solutions, Inc. is a publicly traded American company that provides physician practices, hospitals, and other healthcare providers with practice management and electronic health record technology. Allscripts also provides solutions for patient engagement and care coordination, as well as financial and analytics technology. The company has more than 180,000 physician users and has solutions in 2,700 hospitals and 13,000 extended care organizations.

Clinical point of care (POC) is the point in time when clinicians deliver healthcare products and services to patients at the time of care.

Fast Healthcare Interoperability Resources is a standard describing data formats and elements and an application programming interface (API) for exchanging electronic health records (EHR). The standard was created by the Health Level Seven International (HL7) health-care standards organization.

Digital health, which includes digital care programs, is the convergence of digital technologies with health, healthcare, living, and society to enhance the efficiency of healthcare delivery and make medicine more personalized and precise. The discipline involves the use of information and communication technologies to help address the health problems and challenges faced by people under treatment. These technologies include both hardware and software solutions and services, including telemedicine, web-based analysis, email, mobile phones and applications, text messages, wearable devices, and clinic or remote monitoring sensors. Generally, digital health is concerned about the development of interconnected health systems to improve the use of computational technologies, smart devices, computational analysis techniques, and communication media to aid healthcare professionals and their clients manage illnesses and health risks, as well as promote health and wellbeing.

Christopher G. Chute American medical researcher

Christopher G. Chute is a Bloomberg Distinguished Professor at Johns Hopkins University, physician-scientist and biomedical informatician known for biomedical terminologies and health information technology (IT) standards. He chairs the World Health Organization Revision Steering Group for the revision of the International Classification of Diseases (ICD-11).

The move to electronic medical records (EMRs) is becoming increasingly prevalent in health care delivery systems in the United States.

Medical image sharing

Medical image sharing is the electronic exchange of medical images between hospitals, physicians and patients. Rather than using traditional media, such as a CD or DVD, and either shipping it out or having patients carry it with them, technology now allows for the sharing of these images using the cloud. The primary format for images is DICOM. Typically, non-image data such as reports may be attached in standard formats like PDF during the sending process. Additionally, there are standards in the industry, such as IHE Cross Enterprise Document Sharing for Imaging (XDS-I), for managing the sharing of documents between healthcare enterprises. A typical architecture involved in setup is a locally installed server, which sits behind the firewall, allowing secure transmissions with outside facilities. In 2009, the Radiological Society of North America launched the "Image Share" project, with the goal of giving patients control of their imaging histories by allowing them to manage these records as they would online banking or shopping.

InterSystems HealthShare is a healthcare informatics platform for hospitals, integrated delivery networks (IDNs) and regional and national health information exchanges (HIE).

Greenway Health company

Greenway Health, LLC is a privately-owned vendor of health information technology (HIT) including integrated electronic health record (EHR), practice management, and revenue cycle management solutions. Intergy, Greenway Health’s cloud-based EHR and practice management solution, serves ambulatory healthcare practices. The company has offices in Tampa, Florida; Alachua, Florida; and Carrollton, Georgia. Greenway Health was formed in 2013 following Vista Equity Partners' acquisition and combination of three HIT vendors: Vitera Healthcare Solutions, SuccessEHS, and Greenway Medical Technologies.

Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records. The US Congress included a formula of both incentives and penalties for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the, American Recovery and Reinvestment Act of 2009.

References

  1. ↑ Archived April 8, 2010, at the Wayback Machine
  2. ↑ "CMIO 2010 Compensation Survey: The Results Are In!". Cmio.net. 2010-02-01. Archived from the original on 2011-10-08. Retrieved 2012-04-17.
  3. ↑ "Chief Medical Information Officer Salary | MHA Guide: Health Administration Degree Guide". MHA Guide. Retrieved 2012-04-17.
  4. ↑ Betsy Hersher. "The Chief Medical Information Officer and Beyond" (PDF). Retrieved 2012-04-17.Cite journal requires |journal= (help)
  5. ↑ "CMIO Role Definition". CMIO Magazine. Retrieved 2012-04-17.
  6. ↑ Joseph Conn (July 30, 2007). "What does a chief medical information officer do?". ModernHealthcare.com. Retrieved 2012-04-17.
  7. ↑ "Common Examples of Healthcare IT Failure". Ischool.drexel.edu. Retrieved 2012-04-17.
  8. ↑ "The Changing Role of the CMIO". Hhnmag.com. 2008-02-15. Archived from the original on 2012-02-26. Retrieved 2012-04-17.
  9. ↑ "The Role of the CMIO - Clinfowiki". Informatics-review.com. 2011-11-21. Archived from the original on 2012-02-06. Retrieved 2012-04-17.
  10. ↑ R. Dirk Stanley, MD (2010-09-08). "EMR Implementation: Clinical Informatics and the CMIO". Psqh.com. Archived from the original on 2012-03-10. Retrieved 2012-04-17.
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