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Introduction
• Healthcare is a knowledge driven process
• and thus knowledge management
• and the tools to manage knowledge in healthcare sector
• are gaining attention.
• Providing the right knowledge at the right time,
• i.e., at the point of decision making by implementing knowledge
management in healthcare is paramount.
~Leila S. et al.2017
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Contents
• Data, information & knowledge
• Types of knowledge management
• Knowledge management and its importance
• Sources of knowledge
• Need of knowledge management
• Gaps in the information system
• Suitable tools used and health related problem
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Data, information & knowledge
Data Information
Knowledge
Processed
Relevant &
actionable
Relevant & actionable data
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Main types of knowledge
• Tacit knowledge
That type of knowledge which people carry in their mind & is
therefore difficult to access.
Tacit knowledge can only be achieved through experience.
• Explicit knowledge
That type of knowledge which has been or can be articulated, codified
& stored in certain media.
It can be quickly and easily transmitted from one individual to another
and is organized systematically.
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Knowledge in the Healthcare
Industry
• The healthcare industry is complex;
• no matter what country or delivery system.
• It involves multiple professionals in diverse workplaces
• collaborating in order to deliver proper care to patients.
• Healthcare providers such as family physicians, nurses, specialists, lab
technicians, and others
• use different systems and facilities to process patient data.
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Knowledge in the Healthcare
Industry
• Patients often receive care at more than one medical facility,
• including clinics, hospitals, and rehabilitation centers
• that may or may not be affiliated with others.
• If patient data is not coordinated, duplication occurs.
• Detection, removal, and correction of redundant records is
then required.
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Categories of healthcare knowledge
• Provider knowledge
• typically contains both explicit and tacit knowledge.
• For instance, doctors must know the standard medical practice for a
particular condition,
• but years of practice and experience have given them
• an internal knowledge base that can complement standard treatment.
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Categories of healthcare knowledge
• Patient knowledge
• is generally tacit and is often referred to as “health status.”
• A patient’s self-knowledge of current and past medical conditions is
vital for providers to know
• if they are to diagnose, prescribe for, and treat illnesses.
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Knowledge management
• Knowledge management is a systematic approach to :
Acquiring
analysing
storing
and disseminating information related to products,
manufacturing processes and components.
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Knowledge Management (KM) Systems in Healthcare
• The healthcare industry relies heavily on knowledge;
• evidence-based testing,
• diagnoses,
• and treatments are expected to be implemented in a patient’s best
interests.
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Knowledge Management in HC
• Knowledge Management offers many advantages to the industry
• but the adoption of knowledge management in healthcare has been
challenging.
• Data and information are collected and organized from varied sources
• processing it requires sophisticated tools and technologies.
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Knowledge Management in HC
• The goal of knowledge management in healthcare is to provide
decision-makers
• with the tools they need to turn information into a knowledge asset.
• There are different types of knowledge management strategies medical
providers must identify to use KM effectively:
• Knowledge creation and transfer
• Knowledge organization
• Knowledge-sharing behavior
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Knowledge Management in HC
• Knowledge in the healthcare industry includes
• Data/information
• Experience
• Issues related to integration/storage/management
• Need for innovative analytic approaches
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Categories of healthcare knowledge
• Organizational knowledge
• is data and information that’s available for providers’ and patients’
access.
• It often contains information collected from text-based materials,
diagnostic systems, and other medical providers.
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Key Components of Knowledge Management
in Healthcare
Knowledge Creation and Capture
• Healthcare generates vast amounts of data and insights through
clinical practices, research, and patient interactions.
• Capturing this knowledge involves documenting procedures,
treatments, outcomes, and new research findings.
• Clinical notes, electronic health records (EHR), case studies, and
research papers are some common knowledge sources.
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Knowledge Storage and Organization
• Once knowledge is created, it needs to be organized in a way that is
easily accessible.
• Tools like databases, content management systems, and knowledge
repositories help store and organize healthcare knowledge.
• Healthcare institutions often use cloud-based solutions, EHR systems,
and document management platforms
• to store and organize clinical data, protocols, and research findings.
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Knowledge Sharing and Distribution
• Knowledge must be disseminated across departments, healthcare
professionals, and even patients.
• This can be achieved through collaboration platforms, training
programs, medical journals, conferences, and peer-to-peer exchanges.
• Collaboration tools such as intranets, telemedicine platforms, and
online forums allow healthcare workers to share best practices
• and case experiences across various specialties and regions.
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Knowledge Application
• The ultimate goal of KM is to ensure that knowledge is used to
improve patient care, streamline operations, and support innovation.
• This includes applying clinical guidelines, evidence-based practices,
and treatment protocols in daily care delivery.
• Decision support systems (DSS) integrated with EHRs can help
clinicians by providing real-time information,
• such as drug interactions, treatment suggestions, and diagnostic
support.
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Continuous Learning and
Improvement
• Healthcare is a rapidly evolving field, and continuous learning is
crucial.
• KM facilitates ongoing education and professional development
• by providing access to the latest research, guidelines, and
technological innovations.
• Online learning platforms, workshops, and knowledge-sharing
sessions
• are essential in maintaining up-to-date skills and knowledge.
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Technology and Tools in KM
• Electronic Health Records (EHRs)
• Serve as central repositories of patient information and are crucial for
documenting and sharing clinical knowledge.
• Clinical Decision Support Systems (CDSS)
• Provide healthcare providers with patient-specific assessments and
recommendations based on clinical guidelines.
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Technology and Tools in KM
• Telemedicine Platforms
• Enable knowledge exchange and consultations across geographic
distances, improving accessibility to expertise.
• Artificial Intelligence (AI)
• AI tools can mine vast datasets to uncover patterns, provide
predictive analytics, and support clinical decision-making
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Benefits of Knowledge Management in
Healthcare
• Improved Patient Care
• Access to comprehensive, evidence-based information allows
• healthcare providers to make better clinical decisions, leading to
improved patient outcomes.
• Enhanced Collaboration
• KM fosters collaboration across departments, organizations, and
geographies, facilitating the sharing of expertise and best practices
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Benefits of Knowledge Management in
Healthcare
• Operational efficiency
• KM helps in streamlining administrative processes and optimizing
resource allocation, reducing redundancy and improving efficiency.
• Innovation in Healthcare practices
• By constantly capturing and analyzing knowledge, healthcare
organizations can innovate in terms of treatment protocols,
technologies, and service delivery models.
• Risk Reduction: Sharing knowledge of adverse events, errors, and near
misses across the organization helps reduce the chances of future
incident.
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Challenges in Healthcare Knowledge
Management
• Data overload
• With the immense amount of data generated, it can be overwhelming
to filter out useful knowledge from mere data.
• Interoperability issues:
• Different systems and platforms may not communicate seamlessly,
making it difficult to share information.
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Challenges in Healthcare Knowledge
Management
• Data Security and Privacy Concerns
• Handling sensitive patient information requires robust security
measures and compliance with privacy laws.
• Resistance to Change
• Healthcare professionals may resist adopting new KM systems due to
a lack of training or comfort with new technologies.
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Implementing Knowledge Management in Healthcare:
• To successfully implement KM in healthcare, organizations should:
Foster a culture of knowledge sharing and collaboration.
Invest in the right technology and infrastructure.
Train healthcare professionals to use KM tools effectively.
Develop policies that encourage the documentation and sharing of
clinical experiences and outcomes.
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Data Collection in Healthcare:
Tools, Methods, and Importance
HEALTH INFORMATICS LECTURE
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Data collection in healthcare
• In healthcare, data goes beyond mere numbers and facts;
• it serves as the essential foundation for decision-making,
patient care, and operational effectiveness.
• But what does data collection in healthcare actually entail?
• It involves the organized process of gathering, measuring,
and analyzing health-related information.
• This practice is crucial, as it directly influences patient
outcomes and the overall performance of healthcare
systems.
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The Importance of Data Collection in
Healthcare
• Data collection is fundamental in today's healthcare,
• underpinning evidence-based decisions and enhancing
patient care.
• Its role in delivering personalized treatments is
transformative.
• For example, genomic data can pinpoint cancer treatments
• targeting specific mutations, elevating success rates.
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Cont.’
• Data boosts operational efficiency.
• Healthcare institutions, using data insights,
• can streamline patient flow and resource allocation.
• For instance, insights into peak admission times
• enable hospitals to adjust staffing, improving patient
experience.
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Cont.’.
• Analyzing patient data helps researchers identify disease patterns,
improving understanding and treatment.
• For example, tracking flu outbreaks allows health agencies to predict
its spread and allocate resources effectively.
• Data collection is a key driver in healthcare, enhancing treatments,
operations, and research,
• and paving the way for a more informed future.
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Types of data collected in healthcare
• Patient Demographics
• This includes basic information about patients, such as age,
gender, and location.
• Recognizing these differences ensures comprehensive care
• tailored to diverse populations, addressing unique health
needs and promoting equity in care delivery.
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Types of data collected in healthcare
• Clinical Data
• This encompasses everything from diagnoses to treatments,
medications, and lab results.
• Such data forms the core of patient health records, guiding care
decisions.
• By analyzing this data, healthcare providers can track a
patient's health journey,
• anticipate potential complications,
• and make informed decisions about future care, ensuring
optimal outcomes.
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Types of data collected in healthcare
• Operational and Financial Data
• In addition to patient care, this data explores the complexities of
hospital operations,
• including billing and insurance claims.
• It provides valuable insights into the business aspects of
healthcare,
• enabling institutions to optimize resource use,
• streamline processes, and maintain financial stability.
• Thus improving operational efficiency, ultimately enhancing
patient care.
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Types of data collected in healthcare
• Patient-generated data has become increasingly important with
technological advancements,
• allowing patients to take a more active role in managing their health.
• The use of wearables and home monitoring devices has introduced a
new era of real-time data collection,
• including metrics like heart rates and sleep patterns, which
enhances patient engagement.
• This data not only empowers patients to manage their health
• but also provides healthcare professionals with valuable insights to
personalize care more effectively.
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Tools and Methods for Data
Collection
• Electronic Health Records (EHRs)
• Have become the cornerstone of modern healthcare.
• They centralize patient data, from medical history to recent
visits,
• ensuring that healthcare providers have a comprehensive
view of a patient's health.
• This centralization facilitates easy access and analysis,
• streamlining care coordination across different specialties.
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Tools and Methods for Data
Collection
• Research Tools
• Surveys, interviews, and observational studies are pivotal in
healthcare research.
• to uncover vital insights about cardiovascular health.
• These tools drive new discoveries and innovations, shaping
the future of medical care and interventions.
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Surveys in Healthcare
Research
• A survey is a structured method for collecting data from a
large group of individuals
• often using questionnaires or online forms.
• It helps researchers collect information on a variety of
topics,
• such as patient behaviors, attitudes toward health
practices, and health outcomes.
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Surveys in Healthcare Research
• Applications:
• Epidemiological studies
• Surveys are essential in studying the prevalence and risk factors of diseases
within a population.
• Patient satisfaction and quality of care
• Healthcare organizations use surveys to gather feedback from patients on
their experiences.
• Health behaviors
• Surveys help in understanding behaviors like smoking, exercise, and dietary
habits that influence public health.
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Surveys in Healthcare Research
• Example:
• The Framingham Heart Study utilized surveys to collect
detailed health histories from participants over several
decades.
• This helped identify key risk factors for heart disease,
• such as high blood pressure, cholesterol levels, and smoking
• Discovery of the link between diabetes and heart disease,
leading to new interventions.
• The development of preventive strategies, including the
promotion of healthier lifestyles.
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Interviews in Healthcare Research
• Interviews involve direct, one-on-one interaction between a
researcher and a participant
• allow for in-depth data collection.
• Interviews can be structured, semi-structured, or unstructured,
depending on the research goals.
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Interviews in Healthcare Research
• Applications
• Qualitative research:
• Interviews are used to gather detailed personal stories,
experiences, and insights
• especially when exploring complex health conditions or patient
experiences.
• Clinical research
• Interviews help gather information about patients' symptoms,
treatment preferences, and the impact of illness on their daily
lives.
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Interviews in Healthcare Research
• Example
• In cancer research, interviews with patients can provide valuable
insights
• into the emotional and psychological impact of treatment, informing
better patient-centered care approaches.
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The role of these methods in
healthcare innovation
• Surveys, interviews, and observational studies
• often reveal new trends, associations, and insights
• that form the basis for new medical theories and
interventions.
• For example, the Framingham Heart Study's findings on the
role of cholesterol and hypertension in heart disease
• have led to the development of preventive treatments and
lifestyle interventions.
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Cont.’
• Improving Healthcare
• By providing real-world data on patient experiences, disease
progression, and treatment outcomes,
• these research methods help shape clinical guidelines,
• improve healthcare delivery,
• and promote patient-centered care.
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Cont.’
• Innovation in care
• These tools also foster innovation in the design of new
medical technologies,
• interventions,
• and public health strategies
• by highlighting areas where improvements are needed.
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Summary
• Surveys provide quantitative data on large populations,
helping to identify health trends and risk factors.
• Interviews offer qualitative insights into personal health
experiences and patient perspectives.
• Observational Studies track real-world behaviors and
health outcomes, without intervention, to understand
natural disease progression.
• These research methods work together to drive innovations
in healthcare, shaping better treatments and improving
health outcomes.
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Wearable devices and remote
monitoring:
• Devices such as the Apple Watch offer a glimpse into real-
time patient health,
• tracking metrics like heart rate, sleep patterns, and activity
levels.
• This continuous monitoring enables proactive care,
• allowing healthcare providers to intervene before minor
issues escalate into significant problems.
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Wearable devices and remote
monitoring:
• Apple Watch: Tracks heart rate, ECG (electrocardiogram), blood
oxygen levels, activity levels, sleep patterns, and even detects falls.
• Fitbit: Measures steps, heart rate, sleep, calories burned, and activity
levels. Some models also offer advanced metrics like stress levels and
skin temperature.
• WHOOP Strap: Focuses on continuous health monitoring, including
heart rate variability, sleep quality, and recovery metrics, primarily
used for performance optimization.
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Medical-Grade Wearables
• Biostrap: Monitors heart rate, oxygen saturation, sleep quality,
respiratory rate, and more, with a focus on clinical-grade precision.
• Dexcom G6: Continuous glucose monitoring (CGM) device that
provides real-time glucose levels for diabetic patients.
• It can be paired with a smartphone to track blood sugar trends
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Benefits of Wearables and Remote
Monitoring Tools
• Continuous monitoring: Real-time tracking of health
metrics like heart rate, glucose, blood pressure, and more.
• Patient engagement: Patients are empowered to take an
active role in their health and manage chronic conditions
more effectively.
• Data sharing: Allows healthcare providers to access up-to-
date patient information, improving care coordination.
• Preventive health: Continuous data collection can lead to
early detection of health issues before they become critical.
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Mobile Health Applications and Patient Portals
• Platforms like MyChart empower patients
• by putting health data at their fingertips.
• They facilitate self-reporting, allowing patients to log
symptoms or medications.
• Moreover, they foster engagement by providing a channel
for feedback,
• appointment scheduling, and direct communication with
healthcare providers.
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• See your medications, test results, upcoming appointments,
medical bills, price estimates,
• and more all in one place, even if you've been seen at
multiple healthcare organizations.
• Share your medical record with anyone who needs it.
• Most of your healthcare providers can already get the
information they need,
• but if they can't, you have the power to share your record on
the spot.
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• Make appointments at your convenience, complete pre-visit
tasks from home, and find the nearest urgent care or
emergency room when you need it.
• Send a message, get online diagnosis and treatment, talk
face-to-face over video, or arrange to follow up with a doctor
in person, depending on the level of care you need.
• Stay on top of everyone's appointments and check in on
family members who need extra help, all from your account.
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Imaging and Diagnostic Tools
• Advanced technologies have revolutionized diagnostics.
• For instance, Magnetic Resonance Imaging (MRI)
• can provide detailed images of soft tissues, aiding in the diagnosis
of conditions like multiple sclerosis.
• Similarly, genomic sequencing can uncover genetic predispositions
to certain diseases, enabling personalized care plans.
• These tools provide precise data, enhancing diagnostic accuracy
and guiding effective treatment strategies.
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Challenges in data collection
• Data privacy and security
• Data accuracy: Ensuring consistency and accuracy across
platforms is paramount to derive meaningful insights.
• Inaccurate data can lead to misdiagnoses or inappropriate
treatments.
• Ethical considerations: Issues concerning patient consent,
data usage, and sharing are at the forefront.
• Quality improvement challenges: For healthcare to
continuously evolve, data collection tailored to quality
improvement is essential
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Improving data collection in
healthcare
• Strategies for Improvement:
• Effective data collection in healthcare isn't just about having the
right tools; it's also about the right approach.
• comprehensive training programs that ensure staff are well-
versed in data entry and analysis,
• the adoption of cutting-edge technology like AI-driven
analytics,
• Continuous feedback loops and regular system upgrades
• further ensure that data collection remains efficient and error-
free.
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Improving data collection in
healthcare
• Quality Improvement Tools
• In the quest for excellence in healthcare, quality improvement
(QI) tools play a pivotal role.
• Platforms like IHI's QI Toolkit provide healthcare professionals
with resources to drive better patient outcomes.
• These tools, often based on statistical analysis and lean
methodologies,
• help identify areas of improvement, streamline processes, and
implement best practices
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Improving data collection in
healthcare
• Adherence to Standards
• In the digital age, the importance of standards cannot be
overstated.
• Organizations like HL7 provide frameworks that ensure data
consistency and interoperability across different platforms.
• By adhering to these standards, healthcare institutions can
ensure that data is not only consistent
• but also easily exchangeable, facilitating collaborative care
and comprehensive research.
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Improving data collection in
healthcare
• Modern Methods:
• The healthcare sector is ever-evolving, and so are the
methods for data collection.
• Embracing the latest in technology, such as AI-driven
predictive analytics,
• ensures that data remains relevant, accurate, and
actionable.
#59:The IHI's QI Toolkit refers to the Institute for Healthcare Improvement's Quality Improvement Toolkit. The IHI is a nonprofit organization that focuses on improving healthcare worldwide, and the QI Toolkit is a comprehensive resource designed to help healthcare organizations implement quality improvement (QI) initiatives effectively.