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Healthcare Knowledge Management

Healthcare Knowledge Management. Kannika Chukiatmun For AGDP. Knowledge Management in Health. “…The basic practices to which it refers are as old as healthcare itself.

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Healthcare Knowledge Management

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  1. HealthcareKnowledge Management Kannika Chukiatmun For AGDP

  2. Knowledge Management in Health • “…The basic practices to which it refers are as old as healthcare itself. Since time immemorial, doctors and other practitioners have collected and shared information about their healing practices, both as individuals and as groups or communities.” Phillip C.Candy Director of education, Training and Development National Health Service UK.

  3. Knowledge Management in Health • “…While there are several different conceptual models and definitions of knowledge management offered by various authors, they all share the view that it is more or less formal process of gathering, analyzing, and sharing information and insight based on health data that have been collected in various ways for various purpose.” Phillip C.Candy Director of education, Training and Development National Health Service UK.

  4. Knowledge Management in Health • “…The four major elements: • Access to quality clinical data • Knowledge discovery • Knowledge translation • Knowledge integration and sharing : are underpin virtually all the chapters. ….many of them are concerned with how this process has been affected by the development and widespread adoption of advanced information and communication technologies” Phillip C.Candy Director of education, Training and Development National Health Service UK.

  5. The Issues • Complex reciprocal relationship developing between healthcare and technology • The centuries-evolved specialization of practice VS the consequent fragmentation of the care pathway from the patient point of view • The information distributed among all the increasing stake holders brings up the question of how to deal with the separation of aspects of healthcare and the distributed nature of knowledge about individual patients • Making sense of information = right or wrong ? • Harmonization and standardization = partiality and gap • Ethic, privacy, legal issues etc.

  6. To deal with those issues….. • Individual practitioners • Community of practitioners • Patients and health information Is it the old way in the new look ?

  7. Refocusing the Issues • Complex reciprocal relationship developing between healthcare and technology • The centuries-evolved specialization of practice VS the consequent fragmentation of the care pathway from the patient point of view • The information distributed among all the increasing stake holders brings up the question of how to deal with the separation of aspects of healthcare and the distributed nature of knowledge about individual patients • Making sense of information = right or wrong ? • Harmonization and standardization = partiality and gap • Ethic, privacy, legal issues etc.

  8. The impacts and its own issues • The paradigm shift as the physicians move away from germ theory of diseases to genetics. • The explosion of information • How to make sense of information…… • …. • From Knowledge Discovery to Knowledge Management and to Knowledge Engineering….and to……? • The dynamic nature of clinical data • The ability to interpret context-based healthcare information • The domain that support three integrals healthcare components (stake holders as one : not each stake holders) • ………

  9. What is the problem ? “Various ways &various purposes of health data collections” Administration Front office HIS, HIM Back office Specific purpose Research, CRM, registries Clinical information ???

  10. Back to the future : “Clinical Knowledge Management” • Clinical data collection for diagnosis. • Clinical data decision making for treatment. • Clinical data record and progress note. • Clinical research. • Clinical data acquisition, dissemination and organization. • Implementation of clinical knowledge. • Clinical teaching and knowledge extraction.

  11. Back to the future : “Clinical Knowledge Management” • Model for KM in Primary Care Explicit Tacit Information-centered KM Learner-centered KM

  12. Back to the future : “Clinical Knowledge Management” • The Multidimensional in nature……. Integral tools / systems Information technology Healthcare third party Patients Stake holders Practitioners

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