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Heads of the class: New clinical informatics certification opens up opportunities

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An informatics opportunity for hospitalists

Dr. Blake Lesselroth

The American Board of Medical Specialties' decision to recognize clinical informatics as a board-certified subspecialty heralds an important professional opportunity for hospitalists. Many hospitalists are already an ideal fit to serve as champions in this movement; they boast strong project management skills, possess an understanding of health-systems management, and occupy a central role within their community of practice. Also, medical facilities tend to rely upon hospitalists to implement health information technologies (HIT).

Hospitalists should expect an increased demand for their expertise as regulatory mandates accelerate HIT adoption. However, for their specialty to evolve, hospitalists should consider how formal training in informatics could reinforce their value - especially in a changing health care landscape. First, hospitalists cross-trained in informatics are better positioned to lead system design, apply evidence-based practices to deployments, and promote a constructive culture of innovation. Second, while hospitalists have long been associated with quality improvement research, they will need formal training to effectively guide in the selection, validation, and piloting of performance measures. Finally, membership in the informatics community can increase access to new ideas and products in knowledge systems, computerized decision support, and mobile technologies.

In summary, informatics certification represents one promising path to fostering professional development, guiding HIT development, and enriching a portfolio of scholarship.

Dr. Blake J. Lesselroth is a hospitalist and informatician at Portland (Ore.) Veterans Affairs Medical Center, and teaches medical informatics at Oregon Health Sciences University.


 

Meanwhile, Dr. Peter Killoran, a Texas anesthesiologist, is using his CI training to help track patient outcomes and evaluate data for the University of Texas Health Science Center at Houston, School of Biomedical Informatics. Dr. Killoran’s work includes improving health care quality and safety through health information technology and biomedical informatics.

"Quality improvement is a big part of the curriculum for this specialty," said Dr. Killoran, an assistant professor of anesthesiology at the UTHealth Medical School. "That’s because increasingly, medicine is focusing on improving outcomes and the rational use of heath care resources, and all of that comes down to the data."

Dr. Peter Killoran

As the field of CI continues to grow, health providers are needed to participate in the subspecialty and add their voices, said Dr. Genevieve Melton-Meaux, of the department of surgery at the University of Minnesota, Minneapolis, and a faculty fellow for the university’s Institute for Health Informatics. She was recently CI certified.

"The electronic health record and health information technology are the ‘nervous system’ of clinical care," she said. "There are important opportunities to improve the design, implementation, optimization, and use of these technologies and their resultant data, which will ultimately help to improve the efficiency and safety of health care, as well as improve the process of clinical discovery."

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