The Case for the Pediatric Cardiologist-Informaticist.

Journal: Pediatric cardiology
Published Date:

Abstract

One of the most ubiquitous and profound impacts to the delivery of healthcare over the last three decades has been the introduction of digital technologies to healthcare workflows. Electronic medical records (EMR) have moved from rare to universal. Integration of digital healthcare technology has led to significant growth in data generation from a broad array of medical devices and episodes of care. This flow of data has accelerated methods and technologies for extraction, curation, labeling and analysis leading to new advancements in statistics and data science with the goal of supporting research and quality improvement efforts. With this technological revolution, the role of the physician experts-clinical informaticists-in this area has evolved from champion for use of an EMR system to specialized, multi-dimensional expertise in information technology systems, data science, federal and state healthcare information technology law, and advanced use of the EMR for healthcare delivery, research, quality, population health, and implementation science. These changes are seen throughout pediatric and adult healthcare spaces although some specialties stand to benefit the most from this revolution in healthcare technology. Caring for children with congenital and acquired heart disease requires both a broad infrastructure of imaging, data capture, and EMR systems as well as nuanced understanding of the broad and heterogeneous fields of pediatric and congenital heart disease. This perspectives manuscript introduces clinical informatics to the pediatric cardiology community while endorsing the pediatric cardiologist-informaticist as an essential member of the care model in this new era of pediatric cardiac care. The development and optimization of pediatric cardiology-specific healthcare technology and digital systems of cardiac imaging, procedures, remote monitoring, research/quality improvement databases, EMR optimization, care delivery, process improvement, change management, and leadership will be discussed from the perspective of the pediatric cardiologist-informaticist.

Authors

  • Javier J Lasa
    Division of Cardiology, Children's Medical Center, UT Southwestern Medical Center, 1925 Medical District Dr, Dallas, TX, 75235, USA. [email protected].
  • Brian Han
    Division of Cardiology, Lucile Packard Children's Hospital, Stanford University School of Medicine, 725 Welch Rd, MC 5208, Palo Alto, CA, 94304, USA.
  • Andrew Y Shin
    Stanford University, Stanford, CA, 94305, USA.
  • Aaron Dorfman
    Division of Cardiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
  • John N Kheir
    Department of Cardiology, Boston Children's Hospital, Boston, MA.
  • Justin Long
    Children's Healthcare of Atlanta Heart Center, Arthur M. Blank Hospital, 2220 North Druid Hills Rd NE, Atlanta, GA, 30329, USA.
  • Aimee Liou
    Division of Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin St, Houston, TX, 77030, USA.
  • Michael P Goldsmith
    Division of Cardiac Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.

Keywords

No keywords available for this article.