National health information infrastructure model: a milestone for health information management education realignment.
OBJECTIVE
Challenges and drawbacks of the health information management (HIM) curriculum at the Master's degree were examined, including lack of well-established computing sciences and inadequacy to give rise to specific competencies. Information management was condensed to the hospital setting to intensify the indispensability of a well-organized educational campaign. The healthcare information dimensions of a national health information infrastructure (NHII) model present novel requirements for HIM education.


METHODS
Articles related to challenges and barriers to adoption of the personal health record (PHR), the core component of personal health dimension of an NHII, were searched through sources including Science Direct, ProQuest, and PubMed. Through a literature review, concerns about the PHR that are associated with HIM functions and responsibilities were extracted. In the community/public health dimension of the NHII the main components have been specified, and the targeted information was gathered through literature review, e-mail, and navigation of international and national organizations. Again, topics related to HIM were evoked.


RESULTS
Using an information system (decision support system, artificial neural network, etc.) to support PHR media and content, patient education, patient-HIM communication skills, consumer health information, conducting a surveillance system in other areas of healthcare such as a risk factor surveillance system, occupational health, using an information system to analyze aggregated data including a geographic information system, data mining, online analytical processing, public health vocabulary and classification system, and emerging automated coding systems pose major knowledge gaps in HIM education.


CONCLUSIONS
Combining all required skills and expertise to handle personal and public dimensions of healthcare information in a single curriculum is simply impractical. Role expansion and role extension for HIM professionals should be defined based on the essence of HIM roles and responsibilities. Forming a curriculum development team consisting of various professional profiles brings divergent views regarding the HIM curriculum and paves the way for HIM to branch out at the Master's and Ph.D. levels based on advanced information technology.
Department of Health Information Management, Tehran University of Medical Sciences, Tehran, Iran.
Zahra
Z
Meidani
Farhnaz
F
Sadoughi
Maryam
M
Ahmadi
Mohammad Reza
MR
Maleki
Alireza
A
Zohoor
Basema
B
Saddik
D003479:Curriculum; D020000:Decision Support Systems, Clinical / Q000295:instrumentation; D057286:Electronic Health Records; D063025:Health Information Management / Q000295:instrumentation* / Q000379:methods / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D057226:Information Seeking Behavior; D007492:Iran; D016571:Neural Networks, Computer; D011361:Professional Competence; D012307:Risk Factors; D017216:Telemedicine / Q000295:instrumentation* / Q000379:methods / Q000458:organization & administration