Vanderbilt University
Department of Biomedical Informatics
BMIF 300: FOUNDATIONS OF BIOMEDICAL INFORMATICS
AND EVIDENCE-BASED PRACTICE
COURSE PLAN
Fall 2005
Instructor Information
Kevin B. Johnson, MD, MS
Associate Professor of Biomedical Informatics
Associate Professor of Pediatrics
Room 428, Eskind Biomedical Library
Phone 615-936-1556; Fax 615-936-1427
Daniel R. Masys, M.D.
Professor and Chair
Department of Biomedical Informatics
Vanderbilt University Medical Center
Room 416 Eskind Biomedical Library
Office Hours: Fridays, 10:00 – 12:00 noon or by appointment
Enrolled Students, Fall 2005
Class Times: Tuesdays 2:30 – 5:30 pm.; Fridays (lab) 2:30 – 3:30 pm.
Class Location: EBL 414 (Tuesdays) EBL 456 (Fridays)
Overview
This course introduces students to the discipline of biomedical informatics from the
perspective of research in the field. On Mondays, students will explore recurrent themes
and application domains in the field. On Wednesdays, students will examine methods of
research that are particularly well adapted to evaluating informatics applications and their
impact. On Fridays, students will learn about the current research of faculty members.
Students will integrate this learning in the course project, developing a research proposal
on a topic related to a selected faculty member’s research focus.
index
DM = Daniel Masys, MD, DBMI
KJ = Kevin Johnson, MD, MS, DBMI
PT = Pauline M. Todd, Eskind Biomedical Library
RM = Randolph A. Miller, MD, DBMI
MF = Mark Frisse, MD, DBMI
SB = Steve Brown, MD, MS
JJ = Jim Jirjis, MD
AS = Anderson Spickard III, MD, MS
Instructor
BMIF 300, Foundations of Biomedical Informatics and Evidence-Based Practice
Syllabus, Fall 2005
Page 1 of 6
Week of
Aug 22
Tuesday
August 22
No class
Aug 29
Data center tour (2PM)
August 30
Medical data and Standards
Instructor: DM
Readings: Shortliffe Ch 2,3, 6
Sept 5
Instructor: KJ
Readings: Shortliffe Ch 13, 14
Sept 19
Sept 26
Information Retrieval
Instructor: KJ
Readings: Shortliffe, Ch 15
September 9
ICU presentation
Instructor: Patel, (pager# 835-1438)
Meet at Vandy Children’s Hospital at 5th floor
elevators.
September 13
September 16
Computer-based patient records
My Health at Vandy
Instructor: KJ
Readings: Shortliffe, Ch 9, 10, 12
Personal Health Records
Instructor: DM
Readings: Shortliffe, Ch 11
Instructor: JJ
September 20
September 23
Online databases
QMR
Instructor: PT
Readings:
Order entry
Instructor: RM
Readings: Shortliffe, Ch 16
Instructor: RM
September 27
Security / confidentiality/ privacy
Instructor: DM
Readings: For the Record Exec
Summary
Masys (2001): Internet/Intranets
HIPAA Privacy and Security Rule
FAQs
Oct 3
September 2
September 6
Imaging and patient monitoring
Sept 12
Friday (lab)
August 26
September 30
PCASSO, Encryption
Instructor: DM
Readings:
PCASSO papers, 1997 and 2002
October 4
History of the (informatics) World,
Part II, Project, discussion
Instructor: KJ
Readings: Shortliffe, Ch 19
October 7
NDF RT
Instructor: SB
BMIF 300, Foundations of Biomedical Informatics and Evidence-Based Practice
Syllabus, Fall 2005
Page 2 of 6
Oct 10
October 11
Who’s who in Informatics TEST
Informatics research
October 14
Seminal evaluations in Informatics
Instructor: KJ
Instructor: KJ
Readings: Shortliffe, Ch
Oct 17
October 18
October 21
Evaluation
Evaluation
Instructor: KJ
Readings: Shortliffe, Ch 8;
Friedman Ch 1,2, 4, 7, 8, 9
Instructor: KJ
Oct 24
October 25
October 28
Computers in medical education
Systems development lifecycle (Byrd??)
Instructor: AS
Readings: Shortliffe, Ch 17
Instructor: JB
Oct 31
November 1
Vanderbilt’s Role in Building
Regional and National Health
Information Infrastructure
Instructor: KJ
Readings:
Public health informatics
Instructor: KJ
Readings: Shortliffe, Ch 11
Nov 7
November 4
Applied bioinformatics
Instructor DM
Readings: Shortliffe Ch 18
November 8
November 11
Advanced technologies
Old Harding pediatrics field trip
Instructor: KJ
Readings:
Primary care informatics
Instructor: KJ
Instructor: KJ
Readings:
Nov 14
November 15
Ethics in Informatics
November 18
TBA
Instructor: KJ
Readings: Shortliffe, Ch 7,
Friedman Ch 10, 11
Test
BMIF 300, Foundations of Biomedical Informatics and Evidence-Based Practice
Syllabus, Fall 2005
Page 3 of 6
Nov 21
November 22
Holiday
Nov 28
Dec 5
November 25
Holiday
November 29
December 2
Project (no class)
December 6
Project (no class)
December 9
Presentation
Wrap up
Required Textbooks
1. Shortliffe EH, Pereault LE, Wiederhold G, Fagan LM (Eds.). Medical Informatics:
Computer Applications in Health Care and Biomedicine (2nd Ed.). New York:
Springer-Verlag, 2000. ISBN 0-387-98472-0.
2. Friedman CP, Wyatt JC. Evaluation Methods in Medical Informatics. New York:
Springer-Verlag, 1996. ISBN 0-387-94228-9.
Other Readings
1. Epilogue (Chap. 7), Collen MF “History of Medical Informatics in the U.S.”
2. Adams WG, Mann AM, Bauchner H. Use of an Electronic Medical Record
Improves the Quality of Urban Pediatric Primary Care. Pediatrics 2003;111:626–
3. Center for Information Technology Leadership. The Value of Computerized
Provider Order entry in Ambulatory Settings. Executive Preview
4. Institute of Medicine EHR Letter Report, 2003
5. Lorenzi N. Strategies for Creating Successful Local Health Information
Infrastructure Initiatives December, 2003
6. Thomas EJ, Peterson LA, Measuring Errors and Adverse events in Health Care. J
Gen Inter Med 2003; 18:61-7.
7.
Hersh, William. Information Retrieval at the Millennium
8. Executive Summary of For the Record: Protecting Electronic Health Information.
National Academy Press, 1997
9.
Masys DR, Baker DB. Patient-Centered Access to Secure Systems Online
(PCASSO): a secure approach to clinical data access via the World Wide Web. Proc
AMIA Annu Fall Symp. 1997;:340-3.
10. Baker DB, Barnhart R, Buss, T: PCASSO: Applying and Extending State of the
Art Security in the Healthcare Domain. ASAC 1997
11. Masys, D, Baker, D, Butros, A, Cowles, KE. Giving patients access to their medical
records via the internet: the PCASSO experience. J Am Med Inform Assoc, 9(2),
181-91, 2002.
12. Masys DR: Internet and Intranet Technologies. In Carter J: Electronic Patient
Records: A Guide for Clinicians and Administrators. American College of
Physicians, Philadelphia, PA. 2001.
13. Frequently Asked Questions about the HIPAA Security Rule
BMIF 300, Foundations of Biomedical Informatics and Evidence-Based Practice
Syllabus, Fall 2005
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14. Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry
and clinical decision support systems on medication safety: a systematic review.
Arch Intern Med. 2003 Jun 23; 163(12):1409-16.
15. Bates DW. Using information technology to reduce rates of medication errors in
hospitals. Br Med J. 2000; 320: 788-790.
16. Rosenbloom ST, Giuse NB, Jerome RN, Blackford JU. Providing Evidence Based
Answers to Complex Clinical Questions: Evaluating the Consistency of Article
Selection. Acad Med 2004. To be published November 2004.
17. Koonce T, Giuse NB, Todd P. Evidence-based Databases versus Primary Medical
Literature: an In-house Investigation on Their Optimal Use. Journal of the Medical
Library Association. To be published October 2004.
18. Sathe N, Lee P, Giuse NB. A Power Information User (PIU) Model to Promote
Information Integration in Tennessee’s Public Health Community. Journal of the
Medical Library Association. To be published October 2004.
19. Brender J, Nøhr C, McNair P. Research needs and priorities in health informatics.
International Journal of Medical Informatics, 2000 (58-59), 257-289.
20. Wofford M, Spickard A. III, Wofford J. The computer-based lecture. J Gen Intern
Med 2001; 16:464-468.
21. Kim MI, Johnson KB. Personal Health Records. J Am Med Inform Assoc, 2002;
Mar-Apr; 9(2):171-80.
22. Additional readings as specified by the faculty to be read before the Friday labs.
Required Project: To be discussed
Course Requirements and Grading
Students are expected to read assignments before class and to come to class prepared to
discuss the material. Class attendance and completion of the final project is expected of all
students. The course grade will be based on attendance/participation (20%), quizzes (30%),
and the final project and presentation (50%). For the 1-credit lab (Fridays), students will
receive credit for participating and engaging the speaker in discussion. If extenuating
circumstances require a student to request an excused absence, the student may receive
credit for that session by responding in writing to questions provided by the Instructor.
BMIF 300, Foundations of Biomedical Informatics and Evidence-Based Practice
Syllabus, Fall 2005
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Grading Scale
Students may earn up to 100 points (100%) in the course. The grading scale is as follows:
98-100
A+
94-97
A
90-93
A87-89
B+
84-86
B
80-83
B77-79
C+
74-76
C
70-73
C66-69
D+
62-65
D
58-61
D<58
F
Students enrolled in a Department of Biomedical Informatics program of studies must
achieve a minimum grade of "B-" in this course.
Special Needs or Problems
Students whose circumstances or learning styles require special accommodations should
bring their needs to the attention of the Instructor, who will make every effort to facilitate
the students’ success. If a student should find the Instructor’s methods of teaching or
evaluation to be problematic, the student should first talk with the Instructor. If the matter
remains unresolved, the student should seek advice from the Chair of the Department of
Biomedical Informatics, Dr. Daniel Masys.
BMIF 300, Foundations of Biomedical Informatics and Evidence-Based Practice
Syllabus, Fall 2005
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