The University of North Carolina Chapel Hill Health Informatics Study Prepared by Anne Parker Anne.Parker@mindspring.com (252) 249-1985 January 19, 2005 UNC Chapel Hill Health Informatics Study Scope of Work A group of faculty from the Schools of Nursing, Public Health, Pharmacy, Information and Library Science, and Medicine, who constitute a working group on health informatics, have considerable interest in developing an interdisciplinary certificate program in health informatics. This consultant was hired by the School of Information and Library Science with funding from the Health Affairs Interdisciplinary Education Committee to conduct a planning study that Establishes a baseline of existing health informatics activities at UNC, Inventories offerings at peer institutions' health informatics programs, and Identifies gaps between UNC offerings and those of other institutions. . The report is charged with recommending follow-on activities such as a market study and business plan for an interdisciplinary approach to health informatics. Draft findings were reviewed with the faculty working group on health informatics and suggestions were incorporated into the final report. The recent report from the Institute of Medicine, Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century,1 highlights the need for public health education to expand beyond its traditional core content areas into informatics, genomics, communication, cultural competence, community-based participatory research, global health, policy and law, and public health ethics. The report notes that "Understanding and being able to apply information and computer science technology to public health practice and learning (i.e., public health informatics) are necessary competencies for public health professionals in this information age in which we are vitally dependent upon data." 2 Health Informatics at Other Universities Methodology A few universities have established separate health or medical informatics centers that focus academic work in health informatics. Most programs, however, are now fully embedded within a department, with a few reaching out to other disciplines/departments for areas of specialization. Institutions offering graduate health informatics programs of study were surveyed to determine the scope of their offerings, the focus, the areas of specialization, and the degree to which these programs incorporated an interdisciplinary element. The results are summarized in the table in Appendix B. The information was gathered via web searches, and the results were validated by checking dates and crosschecking with other sites at each of the universities3. (See the discussion of Iowa below for an example of cross-checking.) If the information was questionable, current registrar course listings were checked to see if courses were actually offered. If the site passed initial screening, no attempt was made to verify that course listings were still accurate. Only US programs were included in the search. To locate institutions that offer health informatics programs, a number of strategies were used: Information from members of the Health Informatics Working Group Google and Clusty search engines 1 2 3 Gebbie, Kristine; Rosenstock, Linda; Hernandez, Lyla, Eds.; Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century; The National Academies Press; Washington, D.C.; 2004. K. Gebbie, L. Rosenstock, and L. Hernandez, Eds., The National Academies Press, 2003, page 7. See http://books.nap.edu/catalog/10542.html If programs were initially located via a university's search engine, the next step validated that information about the program could be located through the administrative hierarchy. UNC Chapel Hill Health Informatics Study January 2005 Brad Hemminger's annual report on bioinformatics4 programs that also lists health informatics for some schools Institutions that had or have NLM training grants Professional associations for Nursing, Public Health, Libraries, Medicine, Dentistry, Pharmacy, Library Science Informatics-specific association web sites, e.g., AMIA, searching for a university affiliation (e.g. faculty serving as officers or authors) and collaborative agreements with universities (e.g, conference host sites, continuing education) Continuing and online education sites e.g. the Public Health Foundation's www.training.org, MLANet, and others. Informatics conference program speaker affiliation US News and World Report graduate programs listings Professional training sites Links from located universities US News list of SLIS schools ALISE statistics5 related to specializations, cross-listings, and joint degree programs The first pass used primarily the first four sources. Undergraduate programs were eliminated from the list, as were any that appeared to be strictly IT systems development and management programs and an initial profile was developed for the remainder. 6 Additional research using the next three sources and additional research on institutional web sites then expanded the list and the data. A final culling reduced the number of institutions to nineteen (see Appendix B), and these were then analyzed further. Type of certification At least 30 US institutions offer credit-bearing, post-baccalaureate degrees in health informatics or a specialization in Health Informatics. Medical and Biomedical informatics programs were included in this total when the program did not focused exclusively in the biological sciences. In addition to these 30, two for-profit institutions, University of Phoenix and DeVry, offer post-baccalaureate certification programs in Nursing Informatics, No online information was available about these programs online and they were not investigated further. Informatics Post Baccalaureate Certificate Eighteen informatics certificate programs are offered for credit. Most Programs are either concurrent with a master's program or can be applied to a full master's degree. Programs ranged in length from 12 to 24 credit hours Min as indicated in the table below. Some programs have a varying credit number of credit hours, depending on the qualifications of the individual hours N % student. (The minimum is listed in the table.) 12 4 22% Oregon offers an online 24 hour certificate in medical informatics, the 15-16 4 22% University of Illinois at Chicago's 23 hour certificate is also available 18 2 11% online. Both can be used as the beginning of a master's program as 20-21 3 17% can Pittsburgh's on-campus certification program. Excelsior College 23 2 11% has a post-baccalaureate certificate online that requires 17 hours, which cannot be applied to a master's degree. Certificate programs at Duke 24 3 17% (Nursing), Washington, and Iowa are designed to be used in Total 18 100% conjunction with other post graduate study. 4 5 6 http://ils.unc.edu/bmh/bioinfo/bioinformatics_programs_summary http://ils.unc.edu/ALISE/2004/Curriculum/Table%20III-9.htm Thanks to Anna Kinman in Linda Carl's office for her good help with this activity. 2 UNC Chapel Hill Health Informatics Study January 2005 Most of these programs offer a professional master's degree, with an emphasis on the application of informatics. Four institutions, Oregon Health and Science University, the University of Pittsburgh, Master's Degree Description MS in informatics for MDs MSN with informatics specialization MS or professional master's degree in health or biomedical informatics MS or professional master's degree in public health informatics Interdisciplinary master's programs MSLS or MSIS with health or medical informatics specialization (not including health sciences librarianship). N 1 11 14 5 10 2 Vanderbilt University and the University of Washington also have research programs in informatics. Pittsburgh and Vanderbilt have a strong computational focus. Johns Hopkins offers a two-year fellowship in informatics. Of the six top schools from US News and World Report's 1999 rankings of library schools' Health Sciences Librarianship programs7 only three list Health Sciences Librarianship or any health/medical area as a specialization area for the MS degree as indicated in the table below. Pittsburgh has a strong interdisciplinary presence in biomedical informatics, and UNT has a wide range of offerings in other disciplines. 1. 2. 3. 4. 5. 6. Institution University of Pittsburgh University of North Texas University of North Carolina-Chapel Hill University of South Carolina-Columbia University of Missouri-Columbia University of Maryland-College Park Health Specialization? Yes Yes None mentioned None mentioned None mentioned Yes The survey found very few non-credit, continuing education opportunities for health informatics offered by universities. Oregon Health and Science University offers a 30 contact hour, online, cohort-based program, Introduction to Biomedical Informatics for Health Sciences Librarians. (See Appendix B.) Stanford offers a medical informatics short course targeted to MDs that is online and self paced for 22.5 contact hours of CME credit. UNC's CDC-funded Center for Public Health Preparedness has one recorded webcast with slides that addresses the topic 8. Drexel had advertised a certification in Health Sciences Librarianship last year, but that option no longer appears on Drexel's web site. Other, non-academic providers had few, if any, online or self-study offerings in informatics. The AMA online CE website had no courses on this topic. HIMSS, (Healthcare Information and Management Systems Society) had one IT management short course in spite of listing six informatics-related subjects among its 19 hot topics.9 The Public Health Foundation's training center, www.train.org, lists 6 informatics courses (search by topic) including the UNC course. These include a variety of topics ranging from FDA part 11, to the use of the web for public health services delivery. (See Appendix C.) 7 8 9 1999 Rankings of Health Sciences Librarianship, http://www.usnews.com/usnews/edu/grad/rankings/lib/premium/libsp2.php See http://www.sph.unc.edu/nccphp/ HIMSS Hot topics list: http://www.himss.org/asp/about_issues.asp 3 UNC Chapel Hill Health Informatics Study January 2005 Continuing education opportunities for health informatics appear to be delivered primarily through conferences, local workshops, and institutes. 10 For an association-approved conference, attendance at conference sessions may qualify for continuing education contact hours and workshops held in conjunction with a conference usually qualify. There are numerous national medical informatics associations, some of which are based in a profession or operating as a special interest group of the professional association. Appendix D contains a list of national associations providing continuing education, and Appendix E contains a list of informatics credentialing and CE certification agencies. If UNC elects to develop a certification program, it may make such a program more attractive by close association with one or more credentials. Target competencies With respect to information and resources, these informatics programs tended to address competencies for five different roles, with many programs addressing multiple roles as indicated in the table. Role Manager User Description Planning, implementation, operation of IT systems and resources either as a primary or secondary responsibility Using information resources and tools effectively Developing and delivering information resources for others Developing and delivering health related systems Investigating effectiveness of informatics strategies Connecting users of information with the appropriate information and technologies N 30 12 Provider Programs in professional schools tend to focus on management and sometimes on Developer user competencies. User competencies are listed for a school only when multiple Researcher courses outside of a foundation informatics course address advanced Broker topics. For example, some schools offer GIS and public health surveillance courses or use of large health databases in addition to a basic overview of information resources and searching. These schools are listed with a "user" role. 6 6 8 4 Some public health programs also included courses in information delivery (e.g. for community health information) as well as use of information and tools. Programs in medical schools tended to be more computer science, research, and tool development focus (e.g. decision support), while allied health and public health-based programs tended to have more of a management and user focus. Older programs and those housed in information science schools place emphasis on systems design, management, and development. Domain In addition to specific disciplines, programs tended to focus their programs in one or more four broad domains that are noted in the table: Foundation Programs that introduce basic concepts and/or technologies upon which are based the full range of information and systems in health informatics, Clinical These programs focus the study of technologies and information that concern individual patients. Clinical systems include such areas as imaging technologies, diagnostic support, and patient records. Public Health These programs include the study of technologies and information that deal with populations. GIS, surveillance, large databases, and consumer information are among the topics addressed in this domain. Biological systems These programs include the study of bioinformatics topics. Programs which are primarily related to bioinformatics were not included in the summary. 10 See for example, "Continuing Education in Nursing Informatics," CIN: Computers, Informatics, Nursing, September/October 2003, pp. 227-286. 4 UNC Chapel Hill Health Informatics Study Focus Areas Certification Foundation Clinical 9 9 2 23 8 3 20 34 MS/ MA Certificate Non-credit cont. edu. Total Public Health 10 6 16 January 2005 Most programs include one or two introductory, or foundation courses. "Foundation" is listed as an area of focus in this table and in Appendix A when the particular program allows students to complete the degree or certificate requirements with multiple introductory-level courses on aspects of informatics. Programs that are interdisciplinary often include elements of all four domains, though the breadth may be somewhat tempered by the administrative location of the offering unit. Interdisciplinary Programs Seven schools in the table have interdisciplinary informatics programs. Some institutions (e.g. Iowa) have extensive cross-listings for the same limited number of foundation courses with electives in a variety of units, but that seems to be the exception. IUPUI and Pittsburgh are more typical, with core courses housed in a school (e.g. Center for Biomedical Informatics or SLIS), and electives available in a variety of other schools. Schools were not flagged as an interdisciplinary offering if the program description offered a generic option of one or two electives from another department. Departments most frequently participating in interdisciplinary health informatics offerings were nursing, public health, medicine, information and library science. Iowa presents an interesting case that may bear further investigation. A university-wide interdisciplinary informatics certificate, master's, and PhD program were proposed and apparently available in 2002, when the program's website11 was last updated. There is now no listing for an interdisciplinary program in Health Informatics on the University's main pages and the telephone number listed answers as the"Geriatric Program." The only remaining artifacts of this broad attempt at collaboration seem to be the extensive cross-listings for Health Informatics I and II, an interdisciplinary program housed in the School of Nursing, and references to the Health Informatics Steering Committee, which sponsored a conference on informatics in October 2004. Some interdisciplinary programs rely or relied on federal funding (e.g. NIH or NLM) for both research and training, while public health programs rely on CDC and homeland security-related funding. Not all program web sites include news about grant funded activities, but for those that do, the informatics "hot topics" for funding seem to be related to homeland security – i.e., public health surveillance, health department preparedness, and systems security. Online Offerings Ten of the nineteen schools listed have online programs leading to a degree, certification, or specialization in health or medical informatics. Four require some campus time, usually a few days each year. Oregon requires no on-campus time for certification, but requires six on-campus credits for the professional master's program. All online programs except one are offered in an instructor-led, scheduled group mode. The exception is a self-paced short course offered by Stanford for CME credit. Some used a fixed schedule / cohort group model while others allowed more student flexibility. Health Informatics Courses and Programs at UNC Chapel Hill Methodology To identify UNC courses related to informatics, the following sources of information were used: Graduate catalog – searching for the term "informatics" as well as scanning course titles in Health Affairs and SILS entries 11 www2.uiowa.edu/hinfo 5 UNC Chapel Hill Health Informatics Study January 2005 Web search of the UNC site for "informatics" Search the UNC Registrar's course offerings for 2003-2004 for "Informatics" and scan Health Affairs schools and SILS course titles for informatics offerings not titled with that term Scan of course titles listed on school and department web pages Information from members of the Health Informatics Working Group Courses listed as requirements or electives for health degrees with an Informatics or Information Technology Specialty SILS courses that serve the Bioinformatics certification as electives or requirements This list of courses was reviewed by faculty in the working group and inactive and redundant listings were removed, new courses were added and descriptions were updated and analyzed. A number of SILS courses such as Database II, Natural Language Processing, could easily serve as electives for health informatics programs, but are not included in this table because they did not meet the selection criteria. The names of the final 26 health informatics-related courses are listed in Appendix B. Program Specializations Two Health Affairs schools offer a specialization in informatics within an MS program, Nursing and Public Health. Nursing offers the Master of Science degree in Health Care Systems and the School of Public Health's residential Master of Health Administration degree, offered by the department of Health Policy and Administration (HPAA) offers a concentration in Information Systems. Each of these programs includes informatics electives. The Nursing degree requires 6 credits from the School of Information and Library Science (SILS) and the HPAA degree requires 6 hours from 11 information systems courses, 6 of which are offered by SILS. Nursing and Public Health also offer dual degree programs with SILS. No other School of Public Health degree program offers a concentration in Information Systems. Dentistry does not appear to offer any informatics courses, Medicine has one, one-credit required course, and Pharmacy cross-lists two health informatics courses with Public Health. The Pharmacy faculty member who co-taught both courses has since left UNC and the fate of those courses is uncertain. As noted above, SILS is ranked by US News and World Report as one of the top six schools for health sciences librarianship and offers three regularly-offered courses in health science topics, but does not define the area as a specialization. From the perspective of program offerings, only Nursing appears to give health informatics a very high priority at this time. SILS has the coursework, but no defined concentration or certificate. (There is a certificate in Bioinformatics. See Appendix H.) One of the problems with offering concentrations is that most professional master's programs are heavily concentrated in courses in the professional domain and leave room for very few electives. Course Characteristics UNC's health informatics course offerings (Appendix B) were analyzed for interdisciplinary nature, as indicated by explicit listing as an elective or cross-listing in another program. Similar to the university programs described above, they were also categorized according to the information role being targeted and the general domain. In addition, a designation of level and breadth was assigned. Interdisciplinary courses In the experience of many members of the faculty working group on health informatics, interdisciplinary courses have generated very positive feedback from students. A second benefit of interdisciplinary courses is sharing course development, expertise, and teaching loads. A third benefit, particularly if faculty collaboration is involved, is that it can lead to interdisciplinary research, which is highly valued at UNC. Of the 27 courses listed in Appendix B, 16 are clearly interdisciplinary and another five are possible candidates. Four are probably not suitable and two are unknown based on current information. Even the four that are discipline-specific to a great degree, there may be useful elements that would be worth 6 UNC Chapel Hill Health Informatics Study January 2005 sharing indirectly. As a starting point for defining those common threads, Appendix C contains a table of selected topics that are shared by at least two courses. Target competencies (Role) Given that none of the departments presently involved has a strong computational bent, it is not surprising that only three courses address developer competencies, and then in combination with another role. Information broker competencies were addressed by 5 courses, with information provider having 9 courses and information user and manager at 10 each. Since both the Nursing and HPAA degrees are management degrees, the results are not surprising. Domain The preponderance of SILS courses in the list, and the survey nature of other courses yields 16 courses categorized as "foundation." Seven focus on clinical systems or data and six on public health and one is unknown. (Three are both clinical and public health.) Level With the exception of a two SILS courses, all courses are either overview / survey courses or targeted to introducing a limited set of new skills and concepts. Eight are overview courses and 11 introduce some set of basic skills. While some course descriptions mention theory or concepts, the overall focus is very applied. Again, except for SILS, there was no current evidence of doctoral study or research activity in health informatics aside from a few vestiges of an earlier NIH training grant. Many of the faculty teaching informatics courses outside of SILS and Nursing are not research faculty. UNC Chapel Hill's Strengths and Weaknesses In comparing UNC's health informatics offerings with other institutions, UNC has a good selection of topics, but little depth in any one area. While there is a good deal of diversity, there are also a number of courses that appear to teach the same basic set of information searching and qualifying skills. The SILS foundation core is quite strong, and does include more advanced coursework in health-related topics. There are a few areas that could be added: project management (covered in only one or two sessions in courses that do touch on it), information security (again typically only one or two course sessions), and information policy. The introductory nature of most of these offerings might make collaboration on interdisciplinary courses less likely to serve as a springboard to interdisciplinary research. In the same vein, the listing of another department's courses, typically doesn't involve much collaboration. Cross-listing courses and team teaching form stronger ties. UNC faces a number of challenges in developing an interdisciplinary certification in health informatics, particularly in attracting an off-campus audience, but it also has a significant number of strengths. + Strengths Interdisciplinary education is an academic priority Committed, enthusiastic working group + IOM report on Public Health + Enrollment is trending upward + Students are interested + Have experience with dual degrees (~1 MPH/ MSIS and 2 MSN/ MSIS each year) + Concentrations attract students (MSN in Health Care Systems has ~35 students/ year) + - - Weaknesses Credit and grading systems vary among schools Not a research funding priority Outside of SILS, coursework is introductory level Administrative barriers to collaboration Lack of faculty rewards for instructional innovation Other than SILS, there are a limited number of tenured faculty teaching informatics courses Only a few online courses to attract non-UNC students; significant resistance to online delivery 7 UNC Chapel Hill Health Informatics Study + + + Strengths Once established, the ongoing cost of a certification program is near zero Strong CE enrollments in SPH and Nursing Good UNC exemplars (see below) January 2005 - Weaknesses Wide variety of possible foci may make a certificate difficult to define - Expectation of free CE (esp. Public Health) - No dean currently champions the idea Trends and Recommendations Methodology Trend information was gathered from the following sources: Agency reports (e.g. Institute of Medicine) Interviews with a few members of each constituency Web review of relevant associations (Appendix E and F) for white papers, courses, "hot topics" Web search of traditional sources of funding for health professional development (e.g. NIH, NLM, CDC) for interest in health informatics funding and position statements Web search of training sites for courses Search of the University of Toronto professional training center for library continuing education. Toronto has historically been responsible for 67% of the non-credit, continuing education courses for Library Science12 ALISE 2004 reports of curriculum changes in schools of Information and Library Science Review of initial findings with faculty working group on informatics These reviews were synthesized into a few large trends described here. Since the SILS 1997 Health Sciences Librarian market research study 13 was conducted, the dot com bubble burst and the aftermath of 9/11 has refocused many national priorities toward security and bioterrorism. Funding for bioinformatics and evidence-based medicine seem to be strong.14 In the wake of the Vioxx problems, consumer health information, and technologies such as data mining may see an increase in interest and funding. The initiative to promote the widespread adoption of an Electronic Health Record, cites consumer health information access and the use of IT for error avoidance.15 Syndromic surveillance has already begun to have an impact on funding as part of the bioterrorism threat response. Large-scale planning reports such as the Institute of Medicine's report, Who Will Keep the Public Healthy?14 continue to give the general area of health informatics a high priority, but funding will still likely be tied to aspects of health sciences that align most strongly with these priorities. The acquisition of informatics skills by the various health professions continues to be a priority for the disciplines of Medicine, Public Health, and Nursing and that trend is likely to continue. Dentistry and Pharmacy exhibit fewer signs of interest. In the public health sector, informatics competencies have been defined for different types of public health employees, and the Centers for Disease Control (CDC) has been active providing training opportunities to upgrade skills over all competencies. The training infrastructure is largely in place, but there are few courses in informatics. Nationally, Schools of Information and Library Science are increasing the number of health related courses, especially in consumer health information.12 12 13 14 15 ALISE 2003 report, Continuing Professional Education: http://ils.unc.ALISE/2003/CE01.htm Moran, Barbara, Preparing Tomorrow's Health Sciences Librarians: Feasibility and Marketing Studies, NLM planning grant 1 T15 LMO7113-01, September 1997. Gebbie, Kristine; Rosenstock, Linda; Hernandez, Lyla, Eds.; Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century; The National Academies Press; Washington, D.C.; 2004, p. 24. Office of the Coordinator of Health Information Technology, http://www.hhs.gov/healthit/executivesummary.html 8 UNC Chapel Hill Health Informatics Study January 2005 Delivery of credit and CE courses in an online format or in a hybrid form (occasional campus visits) continues to increase. For master's programs targeted to working professionals, it is by far the most convenient mode. UNC Models In developing an interdisciplinary certificate program, UNC does have a variety of experiences from which it can draw. These include: The Biomedical informatics certification program offers an interdisciplinary model that has facilitated research as well as instruction. Appendix F describes the certificate program through SILS. Interdisciplinary certificates in a variety of topics (e.g. aging) already exist on campus. See http://www.unc.edu/gradrecord/front/certificate.html for examples. Dual degree programs between SPH and SILS and Nursing and SILS are in place. Online courses such as Consumer Health Information, Evidence-based Medicine, and Health Care Informatics have high student satisfaction rates. SILS' Evidence-Based Medicine course provides an example of mixing CE and credit students. Team teaching across departments has worked well for Pre-clinical Informatics and other, non-informatics courses. Recommendations Proceeding with an interdisciplinary health informatics certificate seems a worthwhile objective and can be accomplished in stages as indicated below. UNC has a good foundation upon which to build and the topic is gaining visibility. The recommendations below will move the project forward and will hopefully also reduce the cost to participating faculty members. Recommendation: Establish a home for the working group. The working group on health informatics needs to be part of a larger, sanctioned structure to proceed. The group has discussed several options the most likely of which is to be part of Health Affairs Interdisciplinary Education Committee. Recommendation: Develop and conduct an internal marketing campaign. The purposes of the internal marketing campaign are as follows: Gain support and neutralize resistance among faculty and administrators for health informatics. Identify a health affairs dean who will be a program champion. Gain support of the SILS dean. Solicit student input about priorities for the certificate. Share information about informatics courses and topics with faculty and students across departments (e.g. for content sharing, for additional electives). The marketing campaign can consist of activities such the following: Initiate a speaker series that highlights both instructional and research connections and strengthens opportunities for interdisciplinary research. Publish and distribute information about the array of courses that are currently available at UNC along with enrollment instructions. Review published informatics competencies and tie to existing courses. Based on feedback from these activities, refine the scope, target audience, and delivery strategies for a certificate program. Recommendation: Strengthen the current offerings. Serve the widest audience possible with hybrid or online delivery. Review intro/skills courses to see if it's worth cross-listing courses to increase access and strengthen interdisciplinary ties. 9 UNC Chapel Hill Health Informatics Study January 2005 Identify gaps in the offerings and identify possible instructors. Update electives for SPH and Nursing. Share course modules. Some courses are highly modular and make extensive use of case studies (e.g. Pre-clinical Informatics). These can be shared across disciplines. Common topics for informatics courses are itemized in Appendix C. Recommendation: Develop an initial concentration program within SILS. Define a health sciences area of concentration. Highlight health connections; list SPH and/or Nursing courses as electives where appropriate. Delay any marketing plan for certification until internal marketing has resulted in strong support from at least one dean in Health Affairs. Conclusion The working group's goal of an interdisciplinary informatics certificate is feasible, but unlikely to attract much support or additional funding at this time. The recommendations listed above will help develop the needed base of support for an interdisciplinary certificate and continue the progress that has been made thus far. The recommendations can be acted upon concurrently or be addressed over a longer period of time as resources are available. 10 Appendix A: Graduate Health Informatics Programs School University of Arizona Cost16 Credit $3,854/yr $12,624 Credit Subject Area / Degree or Certificate Appl/ Resrch MS Nursing Health Care Systems or Nursing Informatics Applied Credit Post Master's Certif in systems or informatics Informatics Courses Length17( credit) Data management, statistics, systems eval, systems mgt theory, internship, elective 36 Applied Data management, statistics, systems eval, systems mgt theory, internship, elective Cert: 15 U of AL Birmingham $200/ 500 per credit hr Credit MS Health Informatics, optional dual degree w/ Health Administration Applied Systems design, communication, data bases, clin and admin sys, data mining projc mgt strat planning, security 60 University of California - Davis $1495/ 3,441 per quarter Credit MS Medical Informatics Applied Intro, Patient records, medical decision support, web-based enterprise systems, clinical data acquisition 15 req. + others as needed Target Audience Nurses wanting to get into advanced practice roles Those with advanced degrees in health sciences Delivery On campus Focus Roles: manager Areas: foundation, clinical On campus Roles: manager, developer On campus Roles: research, developer Areas: clinical University of Colorado $302/ $936/ Credit hour Credit Master of Science with a Nursing Specialization in Health Care Informatics Applied Certificate in Health Care Informatics Columbia University $864/ credit hour Credit Somewhat interdisciplinary University of Connecticut t 16 17 MS Biomedical informatics specialty in clinical information or population informatics Applied MS or PhD research degree Research Evidence-Based practice, Human Technology Interface, Health Systems Policy and Social Justice, Management Information for Decision Support, Information Systems Life Cycle, Advanced Practicum: Healthcare Informatics, Health Communications, Knowledge Systems, TeleHealth Applications, Database Management Systems 34 Biomedical concepts, computer apps in health and biomedicine, computing concepts, mathematical concepts; electives: Dss, eval user interaction, many others. Optional electives in nursing, dentistry, public health. (Only Dentistry cross-references) 30 MS Nurses wanting to get into advanced practice roles All online – no need to come to campus Roles: manager Professionals with advanced degrees, scientific background On campus Roles: research, manager Areas: foundation Cert: 16 60 PhD Areas: clinical Academic/ research interests $3,000 / 1 week session Noncredit Intensive course in bioinformatics (New offering) Applied Overview, technology, pological applications, clinical applications, finance, organizational behavior 40+ contact hours Sr. management On campus Roles: manager Areas: foundation $325/ course $1,425 / certificate Noncredit Certificate in Healthcare Information Technology (baccalaureate level) Applied IT and Healthcare IT infrastructure, major application systems and solutions, systems development and selection, estrategy, project management 5 5-week courses Mid-level IT staff, offered in conjunction w/ HIMSS, since 2002 online Roles: manager Areas: clinical and foundation First figure listed is in-state costs, second is out-of state. Length is given in credit hours except where noted. 11 Appendix A: Graduate Health Informatics Programs School Duke University Cost16 Credit $646/ credit hour Credit Subject Area / Degree or Certificate Nursing MSN degree in Nursing Informatics; Post-Master’s Certificate in Nursing Informatics Appl/ Resrch Applied Informatics Courses Length17( credit) Target Audience Emory University $445/ credit hr ~$1,717 / credit hr Credit Credit Nursing Informatics Certificate MSPH in Public Health Informatics Applied Applied Research Excelsior College $350 / hr credit Health Care Informatics Certificate Applied Online – core courses online, others may require 3-5 consecutive campus days each semester Roles: manager Nursing degree with interest in informatics certification On campus Roles: manager 48 plus 200 hrs of practicum Those with strong quantitative skills. (Biostatistics focus) On campus 17 Any health care professional with a bachelor’s degree that’s interested in improving the delivery of health care through info technology Online – no on campus requirement Roles: manager On campus (have other DL programs) Roles: manager MSN 40 Intro, Emerging technology, Healthcare IS, prepare to take Nursing Informatics credentialing exam 12 Principles, DBMS, artificial intelligence, GIS, surveillance; electives for public health or clinical specialties BS degree required; credit toward MSN in clinical practice Cert. 21 Interdisciplinary George Washington University Harvard/ MIT (Div of Health Sciences and Technology) $810 per credit hr MPH in Health Information Systems Credit Medical Informatics Master’s program (degree granted by MIT) Appl Rsrch Focus Nursing informatics: fulltime working BSN or MSN with several years experience. Certificate is post MSN MSN: management and statistics courses, public health plus Overview of Healthcare Info Systems, Mgt of Info Sys, Proj Mgt, infrastructure Medicine – 3rd year opportunity for joint degree w/ UNC – SILS for MD/MSLS or MD/MSIS Eastern University Delivery Core is PH courses plus 5 basic systems courses (DB, SA); Options include GIS in trend analysis, epi databases; Certif credits transfer to MS. MS 36 Cert. 18 A pre-graduate prep course in computer science, 66 units of graduate subjects, master’s thesis of 24 units 2 years full time Designed for individuals who already have MD degree or who are currently enrolled in MD program in the HST Division Areas: public health, some clinical Areas: foundation Roles: research Areas: public health or clinical Areas; foundation (IS) Areas: public health Roles: systems developer, research Areas: vary – clinical mgt to AI 12 Appendix A: Graduate Health Informatics Programs School Cost16 Credit University of Illinois at Chicago $450/ credit hour Credit Subject Area / Degree or Certificate Master’s of Public Health Informatics (MPHI) Appl/ Resrch Applied Certificate Program – Public Health Informatics (CP) Interdisciplinary Population-based health care MPHI: 6 public health core courses, 8 informatics courses, a practicum and capstone experience Length17( credit) Target Audience MPHI: 48 MPHI: Health Agency Personnel, Managed Care Organization staff, International Health Agency Personnel, Federal Health Officers Cert: 23 CP: Health Care Data, Health Information and Decision Support Systems, WEB-Based Public Health Informatics, Applications of Geographic Information Systems in Public Health, and an integrative paper Health Informatics MS and Certificate IUPUI Informatics Courses $236/ 637 per credit hr credit Interdisciplinary MS Health Informatics School of Informatics Applied Appl Undergrad minor and certificate options Delivery All online – no on campus requirements Focus Roles: manager, user Areas: public health CP: Professionals w/ public health deg or exp w/ informatics wishing to upgrade their skills; students in schools of public health outside the US wanting public health informatics w/ agreement of their schools. Patient-based health care; patient management, clinical records, business processes, decision support. Certificate requires prior MS 23 Wide range of specializations. Core includes intro, info mgt, statistics. Electives in clinical info, HCI, project mgt. and variety of electives from CS, SLIS, and SPH 36 Professionals wishing to upgrade skills Certificate online; many master's courses Roles: manager On campus Roles: manager, developer, user Areas: clinical Focus: clinical, public, foundation Affiliation with Regenstrief Institute, research and dev in med records systems, information stds. U of Iowa Interdisciplinary $944/ credit Credit Interdisciplinary PhD – Health Informatics Certificate Appl Use of data, eval of information, IT , extensive options for related work; Appears to be available for nursing only; proposed for others. HI I (tools and technology) is cross-listed in Nursing, Eng, Radiology, SLIS, medicine; HI II is cross-listed for Eng., Nurs, and Rad. PhD 76 Cert. 20 Certificate in conjunction with other master's, doctoral pgm; or as post-graduate study Roles: user Focus: clinical 13 Appendix A: Graduate Health Informatics Programs School Johns Hopkins Cost16 Credit No cost fellowship Subject Area / Degree or Certificate Fellowship in Health Informatics offered through division of Health Science Informatics Appl/ Resrch Rsrch Informatics Courses Didactics – include core curriculum in health science informatics, electives, two weekly seminars Length17( credit) Target Audience 2 years full time Delivery On campus Practical experience – six practica/rotations in operational information technology environments throughout the university and with outside partners Focus Roles: broker, provider, researcher Areas: vary Research experience Loyola University Chicago University of Maryland Baltimore $529 / credit hour $380 / $681 credit hour Credit MS Nursing Health Systems Management, subspecialty in Healthcare Informatics or Outcomes Performance Management. Credit Certificate Credit MS with a Nursing Informatics Major Applied Applied Post-Master's Certificate Program in Nursing Informatics University of Minnesota $681/ 1,272 Credit Master's of Health Informatics; MS (Medical School, Department of Laboratory Medicine and Pathology) University of MissouriColumbia 656 / 793 per hr Credit Executive MS online; MS on campus Applied Research Interdisciplinary University of Nebraska $205 / 575 Credit Health systems Nursing Specialist (MS, Nursing Informatics specialization Applied IS for Health Care Mgt, Practicum Informatics: Using tech to educate patients and support care; knowledge rep. and vocabularies; decision support. Opt: DB, Strategic IS. Outcomes Mgt: Performance mgt theory, outcomes performance methods, 38 Nurses interested in leadership positions; certification in Nursing Informatics or Healthcare Quality On campus Roles: manager, provider, user Healthcare Informatics Cert. 12 Nurses interested in certification in Nursing Informatics Systems analysis, project mgt, nursing informatics concepts, Database, practicum, electives 39-40 Practicing professionals Certificate can be achieved after 15-24 credits of Graduate level study. Advisors work independently and directly with students to craft a program based on individual needs and learning objectives. Cert. 1524 Quantitative and decision support focus; intro, operations research, IT in health care, trends, seminars, 6 hours of electives outside of health informatics program. Project for MS. MHI 32 MS 42 MHI Professionals with quantitative skills; MS Those with research interests On campus Roles: researcher, analyst Areas: clinical 9 courses and an individualized research project: Introduction to Health Informatics, Administration of Health Care Organizations, System Architecture, Economics of Health Care, Research Methods, Decision Support, Controlled Terminology, Knowledge Management, Security, Data Repositories 33 Individuals with three years of clinical, technical or administrative experience in health care or the health sciences. Online except requires 8 on campus weekend sessions (4 per year) Roles: manager Analysis, design and implementation, data management, systems analysis 44 Nursing professionals On campus Roles: user, some manager Areas: clinical Some courses available online Roles: manager (others optional) Areas: foundation Sub-specialties: security, development, others Areas: clinical; foundation (IS) 14 Appendix A: Graduate Health Informatics Programs School Cost16 Credit Subject Area / Degree or Certificate Appl/ Resrch Informatics Courses Nursing Informatics Certification NYU $1,213 Credit MA Nursing Informatics U of N Texas Oregon Health & Science University Credit Assessment and analysis of clinical and nursing information systems, data bases, decision support, implementation, mgt, evaluation of IS MS 36 Nursing: Health care informatics, 2 courses in Systems Analysis, internet applications, systems effectiveness, database, or interface design. 40 plus residency Public Health: at least 2 courses in intro Hlth info sys, database, systems analysis, info retrieval, interface design, internet apps, or large health care databases. (6 courses offered by School of Info and Lib Sci; joint degree also offered.) 52 MS Information Science – health informatics program Info mgt, Med Informatics, clin care info, community health info, imaging; 6 hrs in pub health optional, field experience MS 36 CAS Same w/ up to 12 hrs in other informatics programs Cert. 24 Certificate: 8 three-credit courses – Intro to Medical Informatics, Clinical Systems, Information retrieval and Digital libraries, Organizational Behavior and Management and 4 elective courses. Can serve as entry to master's program Cert.: 24 Nursing: MS Healthcare Systems Applied Applied Public Health: MPH concentration in Information Systems $401/ 659 (decr w/ hrs taken) $433/ 499 credit hr Credit Credit Distance Learning Graduate Certificate in Medical Informatics (CMI) Appl Resrch Professional Master of Biomedical Informatics (PMBI) Interdisciplinary Target Audience Delivery Cert. 1215 Post-master's Certification University of North Carolina Chapel Hill Length17( credit) Areas: foundation Professional nurses MS: same as professional master's but requires master’s thesis Ph.D. in Biomedical Informatics (PHD) PHD: Demonstration of Biomedical Informatics knowledge On campus Cert. 21 Roles: manager Areas: clinical Professional nurses On campus Roles: manager Areas: foundation, Those interested in healthcare management On campus Roles: manager, Areas: foundation, public health PMBI or MS: 52 PHD: 48 Libs, clinical settings, pub health Online, some on campus mtgs Roles: manager, provider, broker Areas: clinical, public health option health prof seeking addn'l training in info and mgt technology; non-health care prof seeking training in health information and technology. PMBI: no master’s thesis required Master of Science Program in Biomedical Informatics(MS) Focus Certificate program is co-sponsored with HIMSS CMI: Online PMBI: offered on campus or online with sixcredit oncampus requirement Roles: manager, user, provider, developer Areas: primarily clinical MS: on campus PHD: on campus $25/hr Noncredit Intro to Biomed Informatics for HS Librarians Applied MLA approved CE; 4 modules, 30 contact hrs Health Sciences Librarians Online, cohort Roles: broker Areas: clinical, foundation 15 Appendix A: Graduate Health Informatics Programs School Cost16 University of Pittsburgh $14,000 /year $25,566 /year Credit credit Subject Area / Degree or Certificate MS in Biomedical Informatics Appl/ Resrch Applied Resrch Ph.D. in Biomedical Informatics Interdisciplinary Informatics Courses Master's: Computational competency tools and concepts, wide range of specializations; fellowship training pgms Length17( credit) MS 36 credits Cert.: 15 Ph.D.: add 18 or more credits of research work leading to an acceptable dissertation. Biomedical Informatics Training Certificate Program Target Audience Delivery health prof or scientists seeking formal training in informational and computational methods. Programming basics are a prereq. On campus Information professionals; Online; cohort group Focus Roles: tool dev, research, user, clin/res manager Focus: clinical, general, bio, public health, esp. surveillance Certificate: Required Biomedical Informatics Core (4 credits), Biomedical Informatics Distribution (student choice of 3 courses, 9 credits), and Res Project School of Library and Info Sciences MS, CAS, PHD College of St. Scholastica University of South Florida Nursing Credit $233/ $894 Credit MA, Health Information Management Post master's certificate Applied Resrch Applied Applied MS in Nursing Informatics Stanford University $1199/ unit Credit Professional Master's (PM) Applied MS omitted – primarily bioinformatics Interdisciplinary State University of NY – Downstate Medical informatics specialization, including FastTrack MS online program w/ spci. In Med Lib / med informatics; 12 hrs related work in SLIS, or health professions MS 36 Cert. 24 PhD 54 Data management emphasis. Tech. application in health care, process redesign and project mgt, security, data mining 36 – 61 (if no RHIA cred.) Clinical systems applications, project mgt, Information Systems Roles: provider, broker, manager Focus: clinical, consumer, pub health Variety of practicing health professionals, especially those already holding RHIA or RHIT credentials Online ( 1 week / year on campus) 18+ missing pre-req. Professional On campus MS adds large databases, data analysis, information management and retrieval 46 Professional PM: 5 categories – Biomedical Informatics (15 units), Computer Science (9 units), Decision Science & Statistics (9 units), Biomedical domain knowledge (9 units), Social and ethical issues (6 units) 54 PM: Intended for those with advanced backgrounds in biology or medicine but lack training in CS and/or biomedical informatics Online in process, 3 days onsite each yr Roles: manager, provider Focus: foundation Roles: manager Focus: clinical, foundation Focus: clinical or public health Roles: manager, user Areas: Clinical and bioinformatics $995 Noncredit Med informatics short course Applied Broad overview, retrieval, encryption, stds, privacy DSS, imaging, HIPPA 22.5 CME MDs others Online, selfpaced Roles: user Areas: mostly clinical $288 / 455 Credit MS in Health Informatics (Medicine / Related Health Professions) Applied Information retrieval, DB, medical imaging, internet integration, medical DSS, evaluation of health IS 39 Wide range of professionals On campus Roles: manager Areas: clinical, foundation 16 Appendix A: Graduate Health Informatics Programs School Cost16 University of Utah $14,046 vs $25,566 /sem Subject Area / Degree or Certificate credit Department of Medical Informatics offers M.S., PhD, and one year Master’s degree clinical health information systems, computerized decision-making, evaluation of computerized patient care, genetic epidemiology/Bioinformatics, medical imaging, and medical informatics MS: 30 MS Clinical/Nursing Informatics Program Nursing Informatics: Intro to Clinical/Nursing Informatics, Program Planning and Development, Clinical Systems Analysis, Clinical Database Design, Clinical Decision Support, Primer of IT Operations, Nursing Informatics Seminar, Nursing Informatics Practicum 39 Concentrations in clin sys, DSS, Evidenced based practice, Policy and Admin, molecular med, clin bioinformatics; interdisciplinary electives; MS required for PhD MS 27-49 (Grew out of Epi background.) DB, informatics intro, evaluation methods, intro to bioinformatics 31 including final project Vanderbilt University of Virginia School of Medicine $500 / 1,200 Credit Appl/ Resrch MS or PhD Biomedical Informatics; Training programs esp. MD Post graduate training Res and appl MS Health Evaluation Science, Specialty in Informatics in Medicine and Health Applied Informatics Courses Length17( credit) Credit Target Audience One Year Master’s: for physicians Delivery On campus Focus Roles: manager, user PhD: 40 Focus: clinical, foundation Roles: manager Focus: mostly clinical, some public health Health professional or computer science / math On campus Roles: research manager Areas: clinical, biomedical Health professional On campus Roles: manager Areas: foundation Interdisciplinary 17 Appendix A: Graduate Health Informatics Programs School Cost16 Credit U Washington $2,622/se m credit Interdisciplinary Non-res: $6022/se m Subject Area / Degree or Certificate Certificate Program in Biomedical and Health Informatics (C) Appl/ Resrch resrch M.S. in Biomedical and Health Informatics Ph.D. in Biomedical and Health Informatics Informatics Courses (C): Med Informatics, Integrated Systems,Technical and Sociopolitical Dimensions, Capstone project. Opt: Computing Fundamentals for Health Professionals, Informatics Project Management, Biology and Informatics, Clinical Topics and Informatics, Public Health Surveillance and Informatics Length17( credit) Cert: 5 courses MS: 2 years PhD: 5 years M.S. & PH.D.: Med Informatics, Biomedical Decision Support, Knwlge Representation and Appli, Sociotechnical Issues in Biomed Informatics, Biomedical info Access, Biology and Informatics, Clinical Topics and Informatics, Public health Surveillance and Informatics, research or statistics Target Audience Delivery (C): Certificate is designed to address the biomedical informatics training needs of graduate and professional students currently enrolled in selected UW graduate programs. Currently the Certificate is offered to students in the Schools of Nursing and Public Health, as well as the Information School. On campus Medical professional or CS / business professional. Focus on strategies for educating adults On campus with some distance delivery available Focus Roles: user Focus: clinical informatics, public health, biology M.S. only: 4 electives in chosen area of specialization, seminars and thesis Ph.D. teaching; 5 addnl courses in area of specialization, research seminars, oral presentations and exams Medical College of Wisconsin & Milwaulkee School of Engineering $487 / credit (quarter system) Credit MS in Medical Informatics Applied Emphasis on business principles and managing large projects Intro, ethics, project management, systems analyis, db, networks, decision support 48 + 6 hrs internship or research Roles: manager Areas: clinical, foundation 18 Appendix B: UNC Health Informatics Courses school(s) course/ activity Title SPH EPI 213 Public Health Surveillance SPH HBHE 295 The Internet and Public Health: Promises and Perils SPH HPAA 155 Introduction to Management Information Systems in Health Care SPH HPAA 157 Database Design for Healthcare Applications Certificate / Deg Program Certificate in Field Epidemiology SPH Exec Master's Faculty Subject Areas Interdiscipl Role Domain Ryder, Woods surveillance systems; GIS; bioterrorism; fundamentals of disease surveillance and outbreak response primarily using infectious disease models. Special attention will be given to novel surveillance systems specifically designed to detect outbreaks of acute infectious disease consistent with bioterrorism. N user pub hlth intro skills Ribisl An overview of the positive and negative impacts of the Internet on public health. Covers research, evaluating sites, ethics and use of theory that addresses key public health problems. conceptual and practical aspects of the analysis, development, and utilization of computer-based info systems. Issues important to managers of health care organizations. Focus: transition from large, mainframe systems to smaller, microcomputerbased, user-oriented systems Hands on introduction to the design and implementation of relational databases to manage and analyze healthcare data (using Microsoft Access). Includes design of fully automated databases as well as the use of Access as an analysis tool in conjunction with Microsoft Excel N user provider pub hlth overview Y mgt foundation intro skills Y User foundation Intro skills Potenziani/Tho mas Yarbrough Mandelkehr Level 19 Appendix B: UNC Health Informatics Courses school(s) course/ activity Title Certificate / Deg Program SPH HPAA 256 PPES 254 EPI 140-2 Informatics: Use of Large Health Care Databases SPH HPAA 269 Clinical Informatics for Outcomes Mgt SPH HPAA xxx Health care information mgt for Pub Hlth Executives (untitled, offered fall 2005) SILS INLS 11001W Consumer Health Information MSLS/ MSIS SILS INLS 110111 GIS Digital Information: Uses, Resources, and Software Tools MSIS SILS INLS 111 Information Resources and Services MSLS/MSIS Bioinf cert elect Exec Masters Faculty Subject Areas Interdiscipl Role Domain Level Greene, Smith, West, Saunders Interdiscip. course; practical training in the analysis of large, secondary databases: hospital, physician, pharmaceutical data..Topics: data preparation, algorithm development, QC, dataset limitations Role of clinical informatics skills and tools in healthcare organizational performance improvement and how role is currently evolving in hospitals, group practices, and provider organizations Change mgt, computerized physician order entry, electronic health records, use of patient data for pub health surveillance and clinical research Explore resources and services to be selected and evaluated when providing consumer health information; the evolution of the CHI movement, current trends and future projections; impact of CHI on different segments of society Active course? Y user pub hlth intro skills ? mgt clinical ? ? mgt clinical pub hlth overview Y broker pub hlth ? Poss ? ? ? Poss user broker foundation intro skills Travers Gollop Analysis, use, and eval of info and ref systems, services, and tools with attention to printed and electronic modes of delivery. Foundation in search techniques for electronic info retrieval, question nego, and interviewing. 20 Appendix B: UNC Health Informatics Courses school(s) course/ activity Title Certificate / Deg Program SILS INLS 131 Management of Information Agencies MSLS/MSIS Bioinf cert MHA elect SILS INLS 150 Organization of Information MSIS Bioinf cert (or 151) INLS 151 Organization of Materials I MSLS Bioinf cert (or 150) SILS INLS 156 Introduction to Database Concepts and Applications SILS INLS 157 Database Systems I MSLS/ MSIS NURS MS elect? Bioinf cert elect? MHA elect? MSIS NURS MS elect? Bioinf cert? Faculty Subject Areas Interdiscipl Role Domain Level Intro to mgt principles and practices for information professionals working in all types of organizations. Topics include planning, budgeting, org theory, staffing, leadership, org change, and decision making. Intro to the problems and methods of organizing info, including info structures, knowledge schemas, data structures, terminological control, index language functions, and implications for searching Intro to the org of library materials. Topics: formal systems for description, access, and subject cataloging including AACR2, MARC, Dewey Decimal classification, Library of Congress Classification, and subject headings Design and impl. of database systems. Semantic modeling, relational database theory, SQL. Y mgt foundation overview Poss provider broker foundation overview N provider broker foundation overview Y dev mgt foundation intro skills Y dev mgt foundation intermed skills Intermed.-level design and implementation of database systems, building on topics studied in INLS 156. Additional topics include MySQL, non-text db, and data warehouses. 21 Appendix B: UNC Health Informatics Courses school(s) course/ activity Title Certificate / Deg Program SILS INLS 162 Systems Analysis MSLS/ MSIS NURS MS elect Bioinf cert MHA elect SILS INLS 172 Information Retrieval MSLS/MSIS Bioinf cert MHA elect SILS INLS 180 Human Information Interactions MSLS/MSIS Bioinf cert elect SILS INLS 181 Internet Applications MSIS NURS MS elect SILS INLS 203 Information Systems Effectiveness MSIS NURS MS elect Faculty Subject Areas Interdiscipl Role Domain Level Intro to systems approach to the design and development of information systems. Methods and tools for the analysis and modeling of system functionality (e.g., structured analysis) and data represented in the system (e.g., object-oriented analysis) Study of info retrieval & question answering techniques, including document classif., retrieval and eval. techniques, handling of large data collections, use of feedback. Behavioral and cognitive activities of those who interact with information, emphasis on the role of information mediators. How info needs are recognized and resolved; use and dissemination of info. . Intro to Internet concepts, apps, and services. Intro to TCP/IP protocol; clients and servers for Internet comm., browsing, and navigation. Topics: policy, mgt, and implementation issues. Performance measurement and methodology in the evaluation of information systems and services. Roles of objectives, performance measures, data collection approaches, and analytical approaches Y dev mgt foundation intro skills Y provider broker user foundation intro skills Poss provider foundation intro skills Y dev mgt foundation overview Y mgt foundation overview 22 Appendix B: UNC Health Informatics Courses school(s) course/ activity Title Certificate / Deg Program Faculty SILS INLS 21003W Evidence-based Medicine and the Medical Librarian MSLS Schardt SILS INLS 216 Health Sciences Environment MSLS/MSIS Monnig SILS INLS 225 Health Sciences Information MSLS/MSIS SILS INLS 257 User Interface Design MSIS NURS MS elect MHA Elect Subject Areas Interdiscipl Role Domain Level optional10 CEUs).Intro to the practice of evidence-based medicine (EBM). use of the scientific literature in the clinical decision making process. developing good clinical questions; identifying reliable resources and effective searching strategies; and evaluating the quality of research studies, role of the r librarian in the practice of EBM. Trends in health care delivery, biomedical research, and health sciences education with emphasis on the impact and use of information. Includes observation of clinical and research settings. Survey of information used in the health sciences disciplines and professions: the org. of sources, current techniques, and tools for its control. Basic principles for designing the human interface to information systems, emphasizing computerassisted systems. Major topics: users' conceptual models of systems, human information processing capabilities, styles of interfaces, and evaluation methods. Prereq: INLS 162 (Sys. An.) Poss user provider clinical intro skills N provider foundation overview Poss user provider foundation intro skills Y provider dev foundation intermed skills 23 Appendix B: UNC Health Informatics Courses school(s) course/ activity Title Certificate / Deg Program Faculty MED MEDI 134 Pre-clinical Informatics MD Juliani, Collins (HSL) NURS NURS 117 Informatics MSN - required for Health Care systems spec; elective for others Boyington PHARM PHCY 101 Pharmacoinformatics Pharm D elective Golbraikh PHARM PHCY 616 PUBH 616 Health Care Informatics not listed as a pharmacy or pub health elective in web pgm descriptions Smith, Brock Subject Areas Interdiscipl Role Domain Level Intro to library resources; triaging Information resources;personal productivity and web development; PubMED skills; Privacy and security (HIPAA); Biblio info mgt. (Endnote), intro to evidenced Based Medicine. Uses cases. This course provides an overview of the diverse options for the use of computerized systems in health care organizations anddelivery of health care. Topics: theories, concepts, and principles relevant to health care informatics; integration of data, information, and knowledge for clin and admin decisionmaking. Appl of info and communication technologies in medicine and pharmacy; Use the general purpose informatics software; handson skills in web page design and development develop skills for using technology to solve clinical and public health problems; increase K and skils in heath infomatics, teach skills for using technology to develop an evidence-based practice N user clinical intro skills Y mgt foundation clinical overview Y user clinical intro skills Y user clinical pub hlth intro skills 24 Appendix C: UNC Health Informatics Courses by Topic Selected Topics – Part I Selected Topics – Part I School Course SPH EPI 213 SPH HBHE 295 SPH SPH HPAA 155 HPAA 157 Public Health Surveillance The Internet and Public Health: Promises and Perils Introduction to Management Information Systems in Health Care Database Design for Healthcare Applications Domain N pub hlth Level intro skills Poss pub hlth overview Y foundation Y foundation intro skills Intro skills Y pub hlth intro skills ? clinical ? ? clinical overview Y pub hlth ? Poss ? Poss foundation ? intro skills Y Poss N foundation foundation foundation overview overview overview intro skills SILS HPAA xxx INLS 110-01W SILS INLS 110-111 SILS INLS 111 SILS SILS INLS 131 INLS 150 INLS 151 Informatics: Use of Large Health Care Databases Clinical Informatics for Outcomes Mgt Health care information mgt for Pub Hlth Executives Consumer Health Information GIS Digital Information: Uses, Resources, and Software Tools Information Resources and Services Management of Information Agencies Organization of Information Organization of Materials I SILS INLS 156 Introduction to Database Concepts and Applications Y foundation SILS INLS 157 Database Systems I Y foundation SILS INLS 162 Systems Analysis Y foundation SILS INLS 172 Y foundation SILS SILS INLS 180 INLS 181 Poss Y foundation foundation SILS INLS 203 Information Retrieval Human Information Interactions Internet Applications Information Systems Effectiveness intermed skills intro skills intro skills intro skills overview Y foundation overview SPH SPH SPH HPAA 256 HPAA 269 Title Interdiscipl GIS Surveil -lance Y Y Social impact Req'ments Privacy security Communication Org chg Sys design RFP dev Y Y Proj mgt Sys eval Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 25 Appendix C: UNC Health Informatics Courses by Topic Selected Topics – Part I Interdiscipl Domain Level Y clinical intro skills N foundation Y foundation User Interface Design Y foundation Pre-clinical Informatics parts clinical Informatics Y foundation clinical Pharmacoinformatics Y clinical overview intro skills Y clinical pub hlth intro skills School Course Title SILS INLS 210-03W SILS INLS 216 SILS INLS 225 Evidence-based Medicine and the Medical Librarian Health Sciences Environment Health Sciences Information SILS INLS 257 MEDI 134 MED PHARM NURS 117 PHCY 101 PHARM PHCY 616 PUBH 616 NURS Health Care Informatics GIS Surveil -lance Social impact Req'ments overview intro skills Privacy security Communication Org chg Sys design RFP dev Proj mgt Sys eval Y intermed skills intro skills Y Y Y Y Y Y Y Selected Topics – Part II Selected Topics – Part II School Course SPH EPI 213 SPH HBHE 295 SPH SPH SPH SPH SPH SILS HPAA 155 HPAA 157 HPAA 256 HPAA 269 HPAA xxx INLS 110-01W Title Public Health Surveillance The Internet and Public Health: Promises and Perils Introduction to Management Information Systems in Health Care Database Design for Healthcare Applications Informatics: Use of Large Health Care Databases Clinical Informatics for Outcomes Mgt Health care information mgt for Pub Hlth Executives Consumer Health Information Interdiscipl Domain Level N pub hlth intro skills Poss pub hlth overview Y foundation intro skills Y foundation Intro skills Y pub hlth intro skills ? ? Y clinical clinical pub hlth DB design Info eval Data analysis Org Chg Clinical Sys Y Y Search Internet dev Decision supp Y Y Y Y ? overview ? Y 26 Appendix C: UNC Health Informatics Courses by Topic Selected Topics – Part II School SILS INLS 110-111 SILS INLS 111 SILS SILS INLS 131 INLS 150 INLS 151 Title GIS Digital Information: Uses, Resources, and Software Tools Information Resources and Services Management of Information Agencies Organization of Information Organization of Materials I INLS 156 Introduction to Database Concepts and Applications SILS Course SILS SILS SILS INLS 157 INLS 162 INLS 172 SILS SILS INLS 180 INLS 181 SILS INLS 203 SILS INLS 210-03W SILS INLS 216 SILS INLS 225 SILS MED NURS PHARM PHARM INLS 257 MEDI 134 NURS 117 PHCY 101 PHCY 616 PUBH 616 Database Systems I Systems Analysis Information Retrieval Human Information Interactions Internet Applications Information Systems Effectiveness Evidence-based Medicine and the Medical Librarian Health Sciences Environment Health Sciences Information Interdiscipl Domain Level Poss ? ? Poss foundation intro skills Y Poss N foundation foundation foundation overview overview overview Y foundation intro skills Y Y Y Y foundation foundation foundation intermed skills intro skills intro skills Y Y Poss Y foundation foundation intro skills overview Y foundation overview Poss clinical intro skills Y N foundation overview Y Poss foundation intro skills Y User Interface Design Y foundation intermed skills Pre-clinical Informatics N clinical intro skills Informatics Y foundation clinical overview Pharmacoinformatics Y clinical intro skills Health Care Informatics Y clinical pub hlth intro skills DB design Info eval Data analysis Org Chg Clinical Sys Y Search Internet dev Decision supp Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 27 Appendix D: Public Health Foundation – CE courses in the "Informatics" Category Title Provider Format Rating Agent GXP FDA Part 11 Electronic Records UniversityOfHealthCare/UniversityOfBusiness Web-based Training - Self-study no reviews Health Care Statistics Pitt Community College Web-based Training - Facilitated no reviews Health Economics Information National Information Center on Health Services Web-based Training no - Self-study reviews Resources: A Self Study Course Research and Health Care Technology HIPAA Focused Training 4 Data UniversityOfHealthCare/UniversityOfBusiness and Computer Security Web-based Training - Self-study no reviews Information Management in Public Health Settings Web-based Training - Self-study no reviews University of South Florida - College of Public Health Public Health Grand Rounds: Wired Communities: Putting the UNC/CDC 'E' in Public Health Webstream/Archived no Webcast reviews The Role of Information/Communication Agency for Healthcare Research and Quality Technology and (AHRQ) Monitoring/Surveillance Systems in Bioterrorism Preparedness Webstream/Archived no Webcast reviews 28 Appendix E: Non-university Informatics Continuing Education Providers Continuing Education Providers - Associations Name Members Medical Library Association http://www.mlanet.org 3,610 indiv, 1,048 institutions 50,000 indiv. American Public Health Assn. http://www.apha.org Directors of Health Promotion and Education http://www.dhpe.org/ Association of State Health Officers http://www.astho.org/ Society for Public Health Education http://www.sophe.org/ American Association for Health Education http://www.aahperd.org/aahe/ American Health Information Management Association http://www.ahima.org/ Target Audience Medical Librarians Education Public Health Professionals www.train.org varies Directors and associate members State Health Leadership Self-study materials, some online $25 and up Webcasts and publications NA 4,000 Educators $14-400 ~8,000 Educators 2 conferences each yr, video conf, self study articles (CHES credit) Journal-based self study 50,000 managing, analyzing, and utilizing data vital for patient care Information systems managers Online courses, audio conferences, conferences $95-$300 Oregon Health Sci. U, Conn, certificates. MC Strategies courses in HIPAA, mgt, systems. In 15-20 min sessions Web conferences, seminars, self-study, satellite $20 - ???? ~400 ~50 Healthcare Information Management Systems Association http://www.himss.org 15,000 indiv 220 corp American College of Healthcare Executives http://www.ache.org/ 26,000 Healthcare organizations managers Event Cost Certifications Offered Consumer Health Information Specialist $165- ~$1,000 Registered Health Information Administrator, Certification in Healthcare Privacy, in Healthcare Security, in both Certified Healthcare Executive, Fellow of the American College of Healthcare Executives 29 Appendix F: Informatics Credentials and Continuing Education Certification Agencies Note: This list includes includes only those certifications and credentials requiring at least a BA degree. American Health Informatics Association (AHIMA) Health Information Management Registered Health Information Administrator (RHIA) 18 - education and experience (More experience with BS, less with PhD) ; pass exam plus education and experience, maintain via 30 clock-hours of CE credits every 2 years. Healthcare Privacy and Security Certified in Healthcare Privacy (CHP)19 education and experience (More experience with BS, less with PhD); pass exam, maintain via 30 clock-hours of credits every 2 years; 15 must be directly related to privacy Certified in Healthcare Security (CHS) 20 education and experience; pass exam, maintain via 30 clock-hours of credits every 2 years; 15 must be directly related to security Certified in Healthcare Privacy and Security (CHPS) pass CHP and CHS exam, maintain 40 clock-hours of credits every 2 years; 10 related to privacy, 10 related to security American Nurses Credentialing Center Nursing Informatics Certification21 Certification requires education plus experience, more experience with BS, less with PhD and 30 hours of CE credit within the prior 3 years. Certification lasts for five years. Renewal requirements include 1,000 practice hours and either 75 CE contact hours or 5 academic semester-hour credits Medical Library Association Consumer Health Information Specialist22 Level I requires 12 contact hours of CE, 8 of which must be MLA-approved. Available for both librarians and non-librarians. Valid for 3 years; renewal requires 8 contact hours. Level II requires 24 contact hours of CE, 18 of which must be MLA-approved. Valid for 3 years; renewal requires 8 contact hours. National Commission for Health Education Credentialing Certified Health Education Specialist23 Certification requires degree or 25 semester hours in health educator-related coursework and passing the certification exam. Certification must be renewed every five years with 75 contact hours of CE during that time. Of that 75, at least 45 must come from NCEHC-approved providers. 18 http://www.ahima.org/certification/what.cfm#rhia http://www.ahima.org/certification/what.cfm#chp http://www.ahima.org/certification/what.cfm#chs 21 http://www.nursingworld.org/ancc/certification/cert/certs/informatics.html 22 http://www.mlanet.org/pdf/ce/p&p-final-21.pdf 23 http://www.nchec.org/becomeches/eligibility.asp 19 20 Page 30 Appendix F: Informatics Credentials and Continuing Education Certification Agencies Healthcare Information and Management Systems Society Certified Professional in Healthcare Information and Management Systems (CPHIMS)24 Certification requires BS or higher degree plus experience in health systems administration/management, clinical information systems, e-health, information systems, or management engineering. Certification lasts for 3 years and may be renewed by 45 contact hours of continuing professional education in information and management systems, with a minimum of 25 contact hours from HIMSS approved continuing professional education. Accrediting Council for Continuing Medical Education Approves organizations for offering Continuing Medical Education (CME) credit. Lists approved organizations and those receiving exemplary accreditation. American College of Healthcare Executives Certified Healthcare Executive (CHE) Certification requires BS or higher degree plus experience in health systems management, passing the certification exam, an additional 12 hours continuing education credit within the prior two years, participation and leadership in healthcare and community/civic affairs, and holding a position in healthcare management with significant responsibilities. Recertification every 3 years requires 24 contact hours of CE (12 ACHE approved). Attendance at the annual Congress earns 12 hours of CE credit. Fellow of the American College of Healthcare Executives (FACHE) 24 Certification requires three years' with CHE certification in good standing, holding a healthcare management position or a healthcare management-related position of sufficient duties and responsibilities, 24 hours of continuing education within the past three years, evidence of participation and leadership in healthcare and community/civic affairs, and successful completion of a Fellow project. http://www.himss.org/ASP/certification_cphims.asp Page 31 Appendix G: Health Informatics Credentials and CE Certification Agencies Note: This list includes only those certifications and credentials requiring at least a BA degree. American Health Informatics Association (AHIMA) Health Information Management Registered Health Information Administrator (RHIA)25 - education and experience (More experience with BS, less with PhD) ; pass exam plus education and experience, maintain via 30 clock-hours of CE credits every 2 years. Healthcare Privacy and Security Certified in Healthcare Privacy (CHP)26 education and experience (More experience with BS, less with PhD); pass exam, maintain via 30 clock-hours of credits every 2 years; 15 must be directly related to privacy Certified in Healthcare Security (CHS) 27 education and experience; pass exam, maintain via 30 clock-hours of credits every 2 years; 15 must be directly related to security Certified in Healthcare Privacy and Security (CHPS) pass CHP and CHS exam, maintain 40 clock-hours of credits every 2 years; 10 related to privacy, 10 related to security American Nurses Credentialing Center Nursing Informatics Certification28 Certification requires education plus experience, more experience with BS, less with PhD and 30 hours of CE credit within the prior 3 years. Certification lasts for five years. Renewal requirements include 1,000 practice hours and either 75 CE contact hours or 5 academic semester-hour credits Medical Library Association Consumer Health Information Specialist29 Level I requires 12 contact hours of CE, 8 of which must be MLA-approved. Available for both librarians and non-librarians. Valid for 3 years; renewal requires 8 contact hours. Level II requires 24 contact hours of CE, 18 of which must be MLA-approved. Valid for 3 years; renewal requires 8 contact hours. National Commission for Health Education Credentialing Certified Health Education Specialist30 Certification requires degree or 25 semester hours in health educator-related coursework and passing the certification exam. Certification must be renewed every five years with 75 contact hours of CE during that time. Of that 75, at least 45 must come from NCEHC-approved providers. 25 http://www.ahima.org/certification/what.cfm#rhia http://www.ahima.org/certification/what.cfm#chp http://www.ahima.org/certification/what.cfm#chs 28 http://www.nursingworld.org/ancc/certification/cert/certs/informatics.html 29 http://www.mlanet.org/pdf/ce/p&p-final-21.pdf 30 http://www.nchec.org/becomeches/eligibility.asp 26 27 Page 32 Appendix G: Health Informatics Credentials and CE Certification Agencies Healthcare Information and Management Systems Society Certified Professional in Healthcare Information and Management Systems (CPHIMS) 31 Certification requires BS or higher degree plus experience in health systems administration/management, clinical information systems, e-health, information systems, or management engineering. Certification lasts for 3 years and may be renewed by 45 contact hours of continuing professional education in information and management systems, with a minimum of 25 contact hours from HIMSS approved continuing professional education. Accrediting Council for Continuing Medical Education Approves organizations for offering Continuing Medical Education (CME) credit. Lists approved organizations and those receiving exemplary accreditation. American College of Healthcare Executives Certified Healthcare Executive (CHE) Certification requires BS or higher degree plus experience in health systems management, passing the certification exam, an additional 12 hours continuing education credit within the prior two years, participation and leadership in healthcare and community/civic affairs, and holding a position in healthcare management with significant responsibilities. Recertification every 3 years requires 24 contact hours of CE (12 ACHE approved). Attendance at the annual Congress earns 12 hours of CE credit. Fellow of the American College of Healthcare Executives (FACHE) 31 Certification requires three years' with CHE certification in good standing, holding a healthcare management position or a healthcare management-related position of sufficient duties and responsibilities, 24 hours of continuing education within the past three years, evidence of participation and leadership in healthcare and community/civic affairs, and successful completion of a Fellow project. http://www.himss.org/ASP/certification_cphims.asp Page 33 Appendix H: SILS Certificate in Bioinformatics School of Library and Information Science Certificate of Specialization in Bioinformatics A certificate of Specialization in Bioinformatics from SILS is awarded in conjunction with either the Master’s of Library Science or Master’s of Information Science degrees from the School of Information and Library Science. To earn this certificate a currently enrolled student must complete the following requirements. Requirements to earn a Certificate of Specialization in Bioinformatics 1. Successful completion of the MSIS or MSLS degree from SILS. This requires 48 hours of approved graduate course work. 2. Successful completion of the following graduate level courses. Most of these courses are already required as part of the master’s degree. Courses can be waived with the permission of the program director if equivalent previous course work can be demonstrated. Certificate Required Courses (may already be required by Master’s Degree) Biostatistics Biological Sciences Course Description INLS 102 INLS 131 INLS 150 or 151 INLS 162 INLS 172 INLS 180 INLS 201 INLS 256 INLS 279 (repeat: min 2, max 4) INLS 392 3 credit hours minimum 6 credit hours minimum Information Tools Management of Info Agencies Organization of Info/Materials Systems Analysis Information Retrieval Human Information Interactions Research Methods Database I Bioinformatics Research Review Master’s Paper See options below See options below Biostatistics Course(s): At least one three credit course from the following: BIOS 101 Fundamentals of Biostatistics BIOS 110 Principles of Statistical Inference Biological Sciences Courses: At least two three credit courses from the following: BME 151: From Genes to Tissues: Molecular Biology and Genetics… BIO 122 Human Genetics (Prerequisite BIO 50) BIO 162 Computational Genomics BIO 164 Molecular Biology (Prerequisite BIO 50 and CHEM 61) BIO 130 Introduction to Biological Chemistry (CHEM 130 is same course) BIOCHEM 105 Molecular Biology BIOCHEM 276 Macromolecular Modeling (Prerequisite CHEM 130) BIOCHEM 134 Case Studies in Molecular Biology (Prerequisite CHEM 130) For the required biostatistics and biological sciences courses, students may substitute other similar courses of their choosing with permission of the program director. Biostatistics and Biological Sciences courses may count towards the SILS master’s degree 48 credit hours requirement. Page 34 Appendix H: SILS Certificate in Bioinformatics Elective Courses: In completing the 48 graduate credit hours required for a master’s, the student has the option of taking additional SILS courses. Listed below are courses recommended as elective options for students earning the Certificate of Specialization in Bioinformatics. INLS 111 Information Resources and Services INLS 145 Introduction to Archives and Record Management INLS 161 Non-numeric programming INLS 211 Information Retrieval Search Strategies INLS 222 Science Information INLS 225 Health Sciences Information INLS 235 Digital Libraries: Principles and Applications INLS 252 MetaData INLS 257 User Interface Design INLS 258 Database II INLS 259 Web Databases INLS 265 Abstracting and Indexing for Information Retrieval 3. The student is expected to complete a significant project in the area of bioinformatics. This can be satisfied by either (1) successfully completing a Master’s project/paper in the area of bioinformatics; (2) working on a research project in an academic environment (research rotation, project course, etc); or (3) experience in a commercial setting, for instance a summer internship with a company, or previous work experience. The work to satisfy this requirement must be approved by the director of the SILS bioinformatics certificate program. Training projects are expected to be on the order of 10 hrs/week for one semester or one full summer (both summer sessions). Current training program projects include research rotations with UNC faculty members participating in the UNC bioinformatics curriculum, internships with Health Sciences library, and internships with pharmaceutical companies in the Research Triangle. Equivalent Classes Students who have taken similar courses to those on the required list may apply for waivers for any of these courses. For instance if a student earned a grade equivalent to a graduate Pass (undergraduate C) or better in an undergraduate course in BioChemistry that was equivalent to BIO 130, they could apply to waive this required course. Also, students may substitute, with the approval of the Bioinformatics Program Director, a similar or more advanced course for one of the listed courses. Performance in classes Students must successfully complete their coursework. The requirements are the same as for the general Master’s degree. A student automatically becomes ineligible for the program upon receipt of one failing grade (“F”), or nine or more hours of “L” (low pass). SILS policy states that students with six or more credit hours of "IN" (incomplete) or "AB" (absent from final exam) will have the number of courses for which they may register restricted in subsequent semesters. A Page 35 Appendix H: SILS Certificate in Bioinformatics student in this situation may not exceed nine combined credit hours of outstanding incompletes and registered credit hours. Example Course Work to Earn Bioinformatics Certificate Library of Science Master’s student example This student has an undergraduate education that included only an introductory undergraduate level chemistry course. Based on his undergraduate courses he waives the INLS 102 requirement. He learns about bioinformatics during the spring semester of his first year and begins with the bioinformatics seminar the 2nd year. Because of his broad ranging interests and late start, he chooses to spread his course work out over five semesters. He does a master’s paper related to his research rotation with the Genetics department. Total credits earned: 58. Library Science Master’s Student 1st Year Fall Spring INLS 131 INLS 151 INLS 180 INLS 111 INLS 256 INLS 161 INLS 153 INLS 252 2nd Year BIO 130 BIOS 101 BMME 151 INLS 145 INLS 279 (1) INLS 257 INLS 310 INLS 201 INLS 110-19 (1) INLS 279 (1) 3rd Year INLS 172 INLS 392 INLS 225 INLS 279 (1) Summer Research rotation with bioinformatics faculty member in Genetics department at UNC. Page 36 Appendix H: SILS Certificate in Bioinformatics Information Science Master’s student example This student has an undergraduate education that includes biology and chemistry course work. Based on her undergraduate courses she waives the INLS 102 and BIO 130 requirements. She knows she has an interest in bioinformatics and begins with the bioinformatics seminar the 1st year. She takes Biology 162 (Computational Genomics) and Biostatistics 110 (Principles of Statistical Inference) as part of her 48 credit hours for her master’s of information science. She does a master’s paper in bioinformatics as a follow-up to her internship with the Health Sciences Library. Total credits earned: 49. Information Science Master’s Student 1st Year Fall Spring Summer INLS 131 INLS 150 INLS 162 INLS 172 INLS 279 (1) INLS 256 INLS 161 INLS 180 INLS 111 INLS 110-19 (1) Internship with Health Sciences Library 2nd Year BIO 162 BIOS 110 INLS 201 INLS 201 INLS 279 (1) INLS 310 INLS 252 INLS 392 INLS 279 (1) Page 37