8/30/07 School of Information and Library Science University of North Carolina at Chapel Hill INLS 748 (216): Health Sciences Environment Thursdays 2:00 - 4:30 p.m 214 Manning Hall Instructor: Joanne Gard Marshall 301 Manning Hall marshall@ils.unc.edu (919) 843-9668 or 843-7883 Office hours: After class or by appointment Class Blackboard site: http://blackboard.unc.edu/ Course Description Prerequisites: INLS 501, INLS 585 or permission of instructor Trends in health care policy, biomedical research, health sciences education and health services with an emphasis on the impact and use of information This course provides a useful background for those interested in health informatics, health sciences libraries and information services and other applications of LIS skills in the health domain We will look at the health sciences environment at the state, national and international levels through the lenses of health care policy, evidence-based practice and information access and use We will use a seminar style in which students and the instructor will take turns presenting and leading discussions using key readings and other resources Learning Objectives To gain an understanding of the complex array of factors influencing the health and health care environment locally and globally To appreciate the role of public policy in shaping health and health care at the individual, community and population health levels To become familiar with major trends in health care services To become familiar with major trends in health sciences education To become familiar with major trends in health sciences research To become familiar with the international trend towards evidence-based health care and its implications for information access To examine the activities of major government health organizations including : World Health Organization, U.K National Health Service, Health Canada, U.S National Institutes of Health, U.S National Library of Medicine, US Center for Disease Control, US National Science Foundation, US Agency for Healthcare Research Quality To explore the roles of health information professionals such as informaticians, librarians, informationists, and medical records professionals To explore roles of major health information professional associations including: the American Medical Informatics Association (AMIA); the Medical Library Association (MLANET); American Society for Information Science and Technology (ASIST) SIG/MED, American Health Information Management Association (AHIMA) and the Healthcare Information and Management Society (HIMSS) 10 To understand the roles of major information providers in the health field such as: the World Health Organization (WHO), the US National Institutes of Health (NIH), the US National Library of Medicine (NLM); the US Center for Disease Control (CDC); and the US Agency for Healthcare Research Quality (AHRQ) Grading (see Schedule of classes for due dates) 15% Overall class participation, including discussion of readings 30% Review and presentation of two chapters in the key text for the course: Shortliffe, E.H., Cimino, J.J., eds Biomedical Informatics: Computer Applications in Health Care and Biomedicine 3d ed New York: Springer Verlag, 2006 Available full text online at UNC Libraries Each written chapter review should be about pages double-spaced Students will give a 15 to 20 minute presentation on the selected chapter and lead a discussion Provide a one-page summary handout for the class Powerpoint is optional Each chapter assignment will account for 15% of the grade Chapter titles may be viewed at: http://www.amazon.com/gp/reader/0387289860/ref=sib_dp_pt/1035693031-7075052#reader-link Selection of the chapters should be negotiated with the instructor Students will be required select different chapters so that we can cover as many chapters as possible in some depth in class We will select chapters for discussion at the August 30 class 55% Major paper on topic to be negotiated with the instructor The paper should be about 20 pages double-spaced with a substantial bibliography in Vancouver style Students will present an overview of their paper at the final class and distribute a one-page summary handout Powerpoint is optional If students prefer a different approach, e.g a paper/project or something else this may be negotiated with the instructor Each student will be responsible for presenting and leading the discussion on a key book related to evaluation A one to two page summary of the book should be distributed (Due 2/15) Megan Henderson – All written assignments should be sent electronically to marshall@ils.unc.edu Students are referred to the Graduate School website for explanation of the grading system used for graduate students at UNC Students are expected to follow the practices described in the UNC Honor Code Document Form and Style Students should use the bibliographic style most often used in health sciences environments, namely the Vancouver Style Guidelines may be found at http://www.nlm.nih.gov/bsd/uniform_requirements.html Key Web Resource We will make extensive use of the resources found at www.kaiseredu.org, an online health policy resource for faculty and students Key Text Shortliffe, E.H., Cimino, J.J., eds Biomedical Informatics: Computer Applications in Health Care and Biomedicine 3d ed New York: Springer Verlag, 2006 Available full text online at UNC Libraries Acknowledgement Many thanks to Carol Perryman for her assistance with the course bibliography Schedule of classes (Note that key readings and Web resources should be reviewed prior to the scheduled class) Aug 23 - Introductions, class overview Office of Disease Prevention and Health Promotion, U.S Department of Health and Human Services Healthy People 2010 Institute of Medicine, Committee on the Consequences of Uninsurance Insuring America's Health: Principles and Recommendations Washington, DC, USA: National Academies Press, 2004 http://www.iom.edu/CMS/3809/4660/17632.aspx e-book: http://www.nap.edu/catalog.php?record_id=10874#toc Sep - Health Policy – US (continued) Key Readings and Web resources: U.S Department of Health & Human Services Value-driven Health Care http://www.hhs.gov/valuedriven/ We will also listen to and discuss the Kaiser tutorial on the Role of States in Health Care Policy which may be found at: http://www.kaiseredu.org/tutorials/StateHealth/player.html Note that the Kaiser tutorials may take a few minutes to load Sep 13 - Health Policy – Global Key Readings and Web Resources: Frenk, J., Sepulveda J., McGuiness, & Knaul, F (1997) The future of world health: The new world order and international health BMJ, 314(7091):1404-12 World Health Organization website http://www.who.int/about/en/ UK National Health Service website http://www.nhs.uk/Pages/homepage.aspx UK National Health Service Health Direct website http://www.nhsdirect.nhs.uk/ Health Canada website: http://www.hc-sc.gc.ca/index_e.html Sep 20 - First Chapter review assignment due Class presentations and discussion of Chapters in Shortliffe and Cimino Sep 27 – Biomedical and Health Research Key Readings and Web Resources: Department of Health and Human Services / Centers for Disease Control Advancing the Nation’s Health: A Guide to Public Health Research Needs, 2006 - 2015 http://www.cdc.gov/od/science/PHResearch/cdcra/AdvancingTheNationsHealth.pdf National Institutes of Health NIH Roadmap for Medical Research Translational Research initiative http://nihroadmap.nih.gov/clinicalresearch/overviewtranslational.asp NIH Public Access Policy See Pubmed database at: http://www.pubmedcentral.nih.gov/ NLM Long Range Plan http://www.nlm.nih.gov/pubs/plan/lrpdocs.html US Center for Disease Control http://www.cdc.gov/ Agency for Healthcare Research Quality http://www.ahrq.gov/ National Science Foundation http://www.nsf.gov/ Oct - Health Sciences Education Key Readings and Web Resources: American Association of Health Sciences Libraries Building on success: Knowledge management within the academic health center http://www.aahsl.org/document/CTFprint.pdf American Association of Medical Colleges website http://www.aamc.org/ Association of Faculties of Medicine of Canada website: http://www.afmc.ca/pages/about.html American Nurses Association website at: http://www.nursingworld.org/ Allied health professional associations list at: http://www.ama-assn.org/ama/pub/category/3584.html Oct 11 – No class Health Services View/read the following resources on health issues at www.kaiseredu.org A short film about how nurses save lives listed under the heading Videos Read the information about medical malpractice policy at http://www.kaiseredu.org/topics_im.asp?id=226&parentID=59&imID=1 Read the information about prescription drug costs at http://www.kaiseredu.org/topics_im.asp?id=352&parentID=68&imID=1 Listen to least one of the tutorials on the Kaiser site except Medical 101 and Medicaid 101 which will be covered later Oct 18 – No class – Fall break Oct 25 – Second Chapter review assignment due Class presentations and discussion of chapters in Shortliffe and Cimino Discussion of Kaiser tutorials chosen as key readings for Oct 11 class Nov – No class Health Services View/read the following resources on health issues on the http://www.kaiseredu.org/ website: Read the information about minority health at http://www.kaiseredu.org/topics.asp? id=67&tuID=27&refID=51&sidenav=246&newid=303 Read the information about quality of care at http://www.kaiseredu.org/topics.asp?id=70&isID=30&refID=31&sidenav=249&smart=59 Listen to the Medicare 101 tutorial at http://www.kaiseredu.org/tutorials/Medicare101_2006/player.html Listen to the Medicaid 101 tutorial at http://www.kaiseredu.org/tutorials/medicaidbasics/medicaid.html Nov – Evidence-based health care Key readings/Web Resources Review the websites for Centers of Evidence-based Practice in Health listed at the end of the course bibliography Be prepared to discuss the content and approach taken by two of the centers during the class We will decide ahead of time which centers people will focus on Nov 15 – Key information-related issues in the health care environment We will use the topics covered in the text edited by Shortliffe and Cimino as a guide for our discussion and relate the information issues to the content that we have covered in the course on health policy, research, education and services Key readings/ Web Resources: Shortliffe, E.H., Cimino, J.J., eds Biomedical Informatics: Computer Applications in Health Care and Biomedicine 3d ed New York: Springer Verlag, 2006 Available full text online at UNC Libraries Websites of the following organizations: American Medical Informatics Association (AMIA) http://www.amia.org/ Medical Library Association (MLA) http://www.mlanet.org/ American Society for Information Science and Technology (ASIST) SIG/MED http://www.asis.org/SIG/SIGMED/ American Health Information Management Association (AHIMA) http://www.ahima.org/ Healthcare Information and Management Society (HIMSS) http://www.himss.org/ASP/index.asp Nov 22 - No class – Thanksgiving Nov 29 – Last class – Final assignment presentation with one-page summary handouts Written final assignment due Dec