The Social and Technical Context of Health Informatics

In this module, you will be given an introduction to the course and its foundational concepts. After providing examples of health IT in the contexts of patients, providers, and populations—the three contexts we always return to—we articulate the drivers that motivate developments in health IT and informatics. We then provide the core definitions of key terms (like “health IT” and “informatics”) and introduce the core framework for your work in this course, the Informatics Stack.

In this module, we start our journey down the Stack to explain the world of informatics and health IT. We explore the top four levels of the Stack (World, Organization, Roles, and Functions), and then proceed to discuss new US medical-care (“World”) policies that drive health care Organizations to change practice, so they can accomplish their core Functions. We also discuss the history of health IT in relation to such policies in the past. We begin a course-long discussion of interoperability (which occurs at each level of the Stack), and privacy/confidentiality/security. We end with an explication of methods used to Evaluate whether an IT project has achieved the Organizational goals set for that project.

In this module, we continue the journey, starting with the role of needs, requirements, and specifications. We then turn to how workflow issues are turned into requirements and how information systems, built to satisfy those requirements, are assembled. We close with the cautionary notes of how poorly built systems harm the very workflows they were designed to improve.