Click Here for Medical Informatics Resource Page
Class Presentations (password required):
Click Here for Class Presentations 1-3
Click Here for Class Presentation on HIPAA
Click Here for Class Presentation on Smart Cards and UID's
Click Here for Class Presentation on Medical Web Design and FTC Actions
Click Here for Class Presentation on Safety Critical Systems
Click Here for Class Presentation on Genomics
Course Description:
Computing is
ubiquitous within the medical environment. This course will examine the dynamics
of biomedical
computing from legal, ethical and social perspectives. Since these considerations cannot be undertaken without
a solid knowledge of the technologies and techniques at issue, the course will also provide the student with a
grounding in the fundamentals of scientific and professional practices, including the evolution and implementation
of architectures & networks, the design and theory of record-keeping systems, therapeutic devices, clinical
decision-making techniques, the digital laboratory and integrated health management systems.
Legal and ethical topics will include: privacy & confidentiality, risk & liability, professional responsibility,
legislative mandates and processes, computational genomics, intellectual property and economic issues.
Classes will be conducted in seminar format. Opportunities will be afforded to visit facilities involved in these
areas and to communicate with professionals working within the field. The successful completion of the class
will require the preparation of an original research paper. A portion of the course will be devoted to individual
advising and assistance in research. Students will be exposed to contemporary online and library-based information
resources. Tours of the UCONN Health Center and Law School libraries will be offered and use of these facilities
will be encouraged.
This course is appropriate for students in the computing, legal, bio-engineering and managerial disciplines as well
as for professionals who are involved in clinical or administrative aspects of computing within health care or research
environments. A knowledge of programming, network architecture and basic principles of A.I. are helpful, but not
absolutely required. Students without a computing background may be required to consult additional, introductory
technical
readings.
Course Texts:
1. Online Articles
2. Class Handouts and Slides
3. Reserve Materials located in Computer Science
Office
Course Evaluation:
1. Section Quizzes [30%]
2. Paper Preparation Research Assignments
[20%]
3. Course Research Paper
[40%]
4. Class Participation
(including attendance) [10%]
Course Policies:
1. Attendance is presumed. Three or more unexcused absences will result in loss of participation score.
2. Assignments must be submitted in analog form. No emails will be accepted.
3. Students must have Web access.
4.
Students must have "unzipping" program to access downloads.
Assignment:
Warner, Medical Informatics: A Real Discipline?, JAMIA, 2: 207-214
(1995)
Assignment:
Reserve:
McLean, Chapter 4:
Types of Privacy in McLean: Privacy and Its Invasion, pp. 47-60
Gellman, Prescribing Privacy: The Uncertain Role of
the Physician in the Protection of Patient Privacy (1984), pp. 8-11
Hippocratic Oath
Supplemental:
Warren
& Brandeis, The Right to Privacy
Olmstead
v. United States 277 U.S. 438 (1928)
HEW
Code of Fair Information Practices (1973)
Privacy Act of 1974 (Public
Law: 93-5795; USC 552a: 88 Stat. 1896)
FOIA
(5 U.S.C. 552) section on non-disclosable data
Weeks Four thru Six: Privacy II -
Governmental Policies, Evolution & Conflicts
** 02/18/03 -- CCSU Library Seminar - Meet at 6:45 in the library. ** Postponed due to snow
** 02/26/03 -- UCONN Library Class - Meet at UCONN Medical School Academic Entrance by 7:00 **
Click HERE for Directions to the Medical School in Farmington
Topics:
Seminal
Medical Privacy Jurisprudence
The Federal
& State Regulatory Processes
HIPAA
Online Medical Research
Assignment:
Whalen
v. Roe 429 U.S. 589 (1977)
Supplemental:
All privacy
cases covered in class are contained within Medical Informatics Resource Page
Epic Health
Confidentiality Bibliography
General
Accounting Office "Medical Records Privacy (February 25, 1999) (.pdf
file) [Tentative]
UCONN Health Center Library Web Site
** Paper
Topic Due in Class or by Email by week of 02/25**
Week Seven & Eight:
Week Seven Topic:
HIPAA
Assignment:
Security & Privacy: An Introduction to HIPAA (.pdf file)
Week Nine: Universal ID's and Smart
Cards
Assignment:
Smart
Cards: Scientific American 274, no. 8 (August 1996): 40-45
Szolovits
& Kohane: Against Simple Universal Health-Care Identifiers (pdf
file)
EPIC White Paper on
Unique Health Identifier
Week Ten: Vacation
Week Eleven: Internet Issues
Topics:
User-Critical Site Design
Electronic Mail
Federal, State & Private Enforcement
Best and
Worst Practices
Assignment:
Murphy,
Patient-centered E-mail: Developing the Right Policies (2000)
Mandl et al., Patient-Physican Communication (1998)
Kane et al., Guidelines for the Clinical Use of E-Mail (1998)
AMA Email Guidelines (Army Medical Report, 2000)
Supplemental:
Spielberg, Online Without a Net: Physician-Patient Communication,
25 Am. J. L. and Med. (2000)
Kane, et al.,
Guidelines for the Clinical Use of Electronic Mail, JAMIA, 5: 104-111
(1998)
** Paper "Main Sources" Due in Class by 04/01 **
Week Twelve: Risks
Topics:
Contemporary
Decision-Making Structures, Protocols, Algorithms and Theories
Software
Engineering
Best Practices
Assignment:
Smith, Limits of Correctness in Computers, Report CSLI-85-36,
Center for the Study of Language and Information,
Stanford University, California, October 1985
Leveson
& Turner, An Investigation of the THERAC-25 Accidents, IEEE Computer
26(7) (1993)
Week Thirteen:
Physical Computing
Topics:
Telemedicine
Robotic Surgery & Treatment
Embedded Computing
Agency, Standards and Liability
Assignment:
TBA
Privacy Implications
Assignment:
Salon -
Decoding the Genome
Boyle Chapter - Will be made available in Class, Tuesday, 3/29
** Paper's Outline due in class by 4/22 **
Week Fifteen: Autonomous, Decision-Support &
"Expert" Systems
Topics:
History of Artificial Intelligence in Medicine
Expert Systems in Medicine
Clinical Software Overview
Risks of Decision-Support Systems
Assignment:
Will be made available in Class, Tuesday, 3/29
Snapper, Responsibility for
Computer-Based Decisions in Health Care
Miller & Goodman, Ethical Challenges in the Use of
Decision-Support Software in Clinical Practice
Week Sixteen: Design Issues
Topics:
Safety-Critical Design
Standards & Testing
Human Factors Considerations
Assignment:
TBA
Week Seventeen: Presentations
All papers are due in person on final class tonight.