ࡱ> NM`!$nCml9":Fxcdd``6cV8c0Y2v Workflow for Content DevelopmentKExpert (provides content and responds to documentation and spreadsheet) Abstractor (develops documentation which is used to develop spreadsheet prototype) Programmer (develops software based on spreadsheet and interfaces to HIS) Validator (compares output from software programs to that of the spreadsheet) User (provides feedback)LZL ^Documentation and SpreadsheetsExtract from the medical literature and expert advice. Abstract into a brief document that is accessible and easy to use, Implement the information in the document into an MS Excel spreadsheet Provide material for feedbackExcel Spreadsheet1. Purpose 2. Documentation 3. Date and Disclaimer 4. Unit Conversion 5. Data Entry 6. Point Assignment 7. Intermediate Calculation 8. Calculation/Interpretation 9. Data tables!&Strengths and Weakness of SpreadsheetsEasy to implement Able to capture the essential information Modifiable by many users Can be used by programmers as development guide Can be used to validate programs Not elegant On-Line ProgramsModeled on spreadsheets Provide a better user interface Have better control of data entry Able to integrate with other programs Able to interface with HIS Wireless access HIS InterfacefAutomatic data entry to reduce user effort and error Improved documentation Improved quality assurance Quality and ValidationTest software with all possible input values Verify implementation Verify clinical utility Define constraints on use Control changes, especially during revisions Ensure responsibility FDA ValidationMany examples of calculation-related failures in health care Requires adherence to good manufacturing practices Compliance is expensive in time and labor to implement and maintain Higher Level FunctionsSelecting the best algorithm for a situation or particular patient Automating system maintenance Intelligent user assistants Automatic execution with alerts Automatic test ordering to meet goals Role in Guidelines and ProtocolsHelp reduce guideline  bloat Encourages modular design Defined input and output behaviors Simpler maintenance Global Resource{Translation is relatively inexpensive. Communicate and share expertise. Standardize care. Economic for developing countries  ;Centralized Institute(s) Goal: Development and Maintenance$<! }Experts (with administrative assistants) Abstractors Programmers Translators Librarians Quality Assurance Research Management~~,Tasks of a Department of Health Informatics Need for a separate hospital department with an expanded role beyond fiscals and data storage Select algorithms Modify algorithms for local conditions and practice Determine diagnostic and therapeutic equivalents)Local Factors Affecting Transportability dLaboratory testing Therapeutics Populations Social conditions Environmental issues Legal constraints   0` 33` Sf3f` 33g` f` www3PP` ZXdbmo` \ғq>9y`Ӣ` 3f3ff` 3f3FKf` hk]wwwfܹ` ff>>\`Y{ff` R>&- {p_/̴>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>>  (    6Vf  P f  T Click to edit Master title style! !  0Yf   f  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     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"2 a:Houston, Texas USA.-@Times-. 2 i? www.medal.org..-՜.+,0p    $ On-screen Showquanta healthcare solutionsiG TimesBlank PresentationMicrosoft Word Document5Introduction to Medal: The Medical Algorithm ProjectOutline!Perceived Problems in HealthcarePossible SolutionsGoals of MedalWhat is an Algorithm?!Workflow for Content DevelopmentDocumentation and SpreadsheetsExcel Spreadsheet'Strengths and Weakness of SpreadsheetsOn-Line ProgramsHIS InterfaceQuality and ValidationFDA ValidationHigher Level Functions!Role in Guidelines and ProtocolsGlobal Resource<Centralized Institute(s) Goal: Development and Maintenance-Tasks of a Department of Health Informatics *Local Factors Affecting Transportability  Fonts UsedDesign TemplateEmbedded OLE Servers Slide Titles_^Y0SriramSriram  !"#$%&'()*+,-./012346789:;<>?@ABCDFGHIJKLORoot EntrydO)PicturesCurrent UserESummaryInformation(5PowerPoint Document(YDocumentSummaryInformation8=