Healthcare Knowledge Management - DentNet's CDE group

coilcruelManagement

Nov 6, 2013 (4 years and 6 days ago)

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Healthcare


Knowledge Management


Kannika Chukiatmun

For AGDP

Knowledge Management in Health


“…The basic practices to which it refers
are as old as healthcare itself.



Since time immemorial, doctors and
other practitioners have
collected
and
shared information

about their healing
practices,
both as individuals and as
groups or communities
.”

Phillip C.Candy

Director of education, Training and Development

National Health Service UK.

Knowledge Management in Health


“…While there are several different conceptual
models and definitions of knowledge
management offered by various authors, they
all share the view that it is more or less
formal
process of gathering, analyzing, and sharing
information and insight based on health data

that have been
collected in various ways for
various purpose
.”

Phillip C.Candy

Director of education, Training and Development

National Health Service UK.

Knowledge Management in Health


“…The four major elements:


Access to quality clinical data


Knowledge discovery


Knowledge translation


Knowledge integration and sharing

:
are underpin virtually all the chapters
.



….many of them are
concerned
with how this process
has been affected by the development and widespread
adoption of
advanced information and communication
technologies


Phillip C.Candy

Director of education, Training and Development

National Health Service UK.

The Issues


Complex reciprocal relationship developing between
healthcare and technology


The centuries
-
evolved specialization of practice VS the
consequent fragmentation of the care pathway from the
patient point of view


The information distributed among all the increasing
stake holders brings up the question of how to deal with
the separation of aspects of healthcare and the
distributed nature of knowledge about individual patients


Making sense of information = right or wrong ?


Harmonization and standardization = partiality and gap


Ethic, privacy, legal issues etc.


To deal with those issues…..


Individual practitioners


Community of practitioners


Patients and health information

Is it the old
way in the
new look ?

Refocusing the Issues


Complex reciprocal relationship developing between
healthcare and technology


The centuries
-
evolved specialization of practice VS the
consequent fragmentation of the care pathway from the
patient point of view


The information distributed among all the increasing
stake holders brings up the question of how to deal with
the separation of aspects of healthcare and the
distributed nature of knowledge about individual patients


Making sense of information = right or wrong ?


Harmonization and standardization = partiality and gap


Ethic, privacy, legal issues etc.


The impacts and its own issues


The paradigm shift as the
physicians move away from
germ theory of diseases to genetics
.


The explosion of information


How to make sense of information……


….



From Knowledge Discovery to Knowledge Management
and to Knowledge Engineering….
and to……?


The dynamic nature of clinical data


The ability to interpret context
-
based healthcare information


The domain that support
three integrals healthcare components

(stake holders as one : not each stake holders)


………

What is the problem ?

“Various ways &various purposes of health data collections”


Administration

Front office HIS, HIM

Back office


Specific purpose Research, CRM, registries


Clinical information ???



Back to the future :

“Clinical Knowledge Management”


Clinical data collection for diagnosis.


Clinical data decision making for treatment.


Clinical data record and progress note.


Clinical research.


Clinical data acquisition, dissemination and
organization.


Implementation of clinical knowledge.


Clinical teaching and knowledge extraction.

Back to the future :

“Clinical Knowledge Management”


Model for KM in Primary Care

EBM Domain

Community of
Practice
Domain

Clinical Audit
Domain

Mentorship
Domain

Explicit

Tacit

Information
-
centered
KM

Learner
-
centered
KM

Integral tools / systems

Back to the future :

“Clinical Knowledge Management”


The Multidimensional
in nature…….

EBM
Domain

Community
of Practice
Domain

Clinical
Audit
Domain

Mentorship
Domain

Stake holders

Practitioners

Healthcare third party

Patients

Information technology