![Page 1: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/1.jpg)
University of MinnesotaInformation Technology in
Healthcare Medical Industry Leadership Institute
Course: MILI/PUBH 6562Fall Semester B, 2013
David L. Edgerton, Jr., BSEE, MBAInstructor
![Page 2: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/2.jpg)
Health IT Hardware Overview
• Computer Components• Virtual Components Tour• Evolution of Health IT Processing • Network Fundamentals• Data Switches for the Health Internet
![Page 3: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/3.jpg)
The Health IT Pyramid
Hardware
Decision Support Software
Life Support Software
Clinical & Financial Data
![Page 4: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/4.jpg)
‘Hands On’ Components of Health Information Technology
![Page 5: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/5.jpg)
Major Components of a Computer System
Input Output1. Arithmetic/Logic2. Control Unit3. Registers
Secondary Storage
Primary Storage
CPU
Information
Control
![Page 6: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/6.jpg)
Central Processing Unit (CPU)
• Arithmetic/Logic Unit– e.g., if diagnosis=‘diabetes’ then count patient
• Control Unit– home of the machine code
• Registers– place-holders within the CPU as it processes data.
![Page 7: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/7.jpg)
Primary Storage
• Core memory:– Read-only memory– Random-access memory– Cache memory
• Started off being very expensive• Extremely cheap today relatively to a few
years ago (32 MB, $1,280 in 1993; 32 MB, <$1 in 2012)
![Page 8: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/8.jpg)
Secondary Storage
• Magnetic disks (e.g., Hard drives)• Magnetic tapes (e.g., Tape drives) • Optical disks– CD (700 MB)– DVD (4,300 or 4.3 GB)– Blu-Ray (25/50 GB)
• Smart cards• Solid state drives (e.g., SSD / USB drives)
![Page 9: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/9.jpg)
Input Devices
• Keyboard• Pointing device– mouse– trackball– pointing stick
• Scanner• Handwriting recognition devices• Voice input
![Page 10: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/10.jpg)
Output Devices
• Printer– Dot matrix– Laser– Inkjet
• Monitor• Speakers
![Page 11: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/11.jpg)
MotionActivatedSecurity
QuadProcessorServers
SatelliteUplink
Welcome to Prof. Parente’s Enterprise Servers
![Page 12: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/12.jpg)
Secondary StorageDual Mainframe Tape Drives
![Page 13: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/13.jpg)
Secondary Storage: Mainframe Tape Drive
![Page 14: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/14.jpg)
One of Eight Server Fans
![Page 15: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/15.jpg)
I/O Peripheral Slots
![Page 16: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/16.jpg)
Dual Processors & Heat Sinks
![Page 17: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/17.jpg)
Basic PC Entrails
![Page 18: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/18.jpg)
CPU
![Page 19: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/19.jpg)
Connecting the Computer to Input & Output Devices
Keyboard
Serial Ports
SCSI Port
Speaker & MIC
Video Port
Network Port
![Page 20: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/20.jpg)
Secondary Storage II
Floppy Drive
Hard Drive
![Page 21: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/21.jpg)
Secondary Storage III
SCSI/SATAHard Drive
DVD
![Page 22: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/22.jpg)
Primary Storage
RAM
PeripheralSlots
![Page 23: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/23.jpg)
Power Supply Backup & Modem
Modem
UninterruptablePower Supply(UPS)
![Page 24: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/24.jpg)
Central Mainframe
![Page 25: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/25.jpg)
1970s - Setting the Stage for Bigger Things
• Hardware innovations opened up new opportunities:– On-line computer systems– Still used batch for big jobs (payroll)
• Minicomputers • Packaged systems
![Page 26: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/26.jpg)
1970s - continued• Packages developed:
– accounts receivable– admissions– bed census– inventory control– medical records
• Turn-key packages: Vendor supplies hardware, software, installation support and training.
• Shared systems– use a ‘hub’– use terminals– forerunner of networks
![Page 27: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/27.jpg)
1980s• Microcomputers make rapid advances• Institutions faced with more managers wanting
systems tailored to their needs.• Led to Balkanization of HMIS. Why?– Technology is cheap– Hospital departments start buying their own stuff– Although stuff was cheap, the new product cycle
rapidly accelerated.
![Page 28: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/28.jpg)
1990s-Realizing integrated IS• Radical market change in health markets has
completed radical in IT change.– mergers– integrated delivery systems – Health reform’s promise, threat and debris– Health data standards– Internet/intranet capability– Privacy & security issues– Consumers enter the health care market informed with
MEDLINE data and clinical data from the web.
![Page 29: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/29.jpg)
Intel processor mainstream purchase timeline: 1981-2000
• 1981: 8 bit XT 8086• 1987: 16 bit AT 80286• 1990: 16 bit 80386• 1993: 32 bit 80486• 1995: Pentium (80586)• 1997: Pentium MMX/Pentium Pro (80686)• 1998: Pentium II (80686 w/MMX)• 1999: Pentium III (80686 Slot 2)• 2000: Pentium IV above 1 Ghz.
![Page 30: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/30.jpg)
Overview of Networks
• Central Mainframe Configuration• Client/Server Computing• File/Server Architecture• Distributed Data Processing
![Page 31: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/31.jpg)
Central Mainframe
![Page 32: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/32.jpg)
Client/Server
![Page 33: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/33.jpg)
HSI Client-Server Platform
Cooling Fans
RAID Disk Array,6 Drive Bays
RAID Defined:
Redundant Array of
Inexpensive Disks
![Page 34: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/34.jpg)
File Server
![Page 35: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/35.jpg)
Distributed Data Processing
![Page 36: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/36.jpg)
Network Topologies
• Bus topology
• Ring Topology
• Star Topology
![Page 37: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/37.jpg)
Software Fundamentals
• Programming Languages• System Management Software– Operating systems– Utility programs
• Application Software– General office suite– Statistical analysis– Custom, visual programming design tools
![Page 38: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/38.jpg)
Programming Language Evolution
Generation Characteristics
1 Machine Language (0,1)
2 Assembly Language
3 Procedural Language
4 Application Language
5 Natural Language
![Page 39: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/39.jpg)
System Management Software
• Operating Systems– UNIX– LINUX–Microsoft (Windows XP, Vista, Server 7)
• Utility programs– File management– Anti-virus– Backup and security
![Page 40: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/40.jpg)
Internet Networking 101
• LAN (local area network)• WAN (wide area network)• EDI (electronic data interchange)• TCP/IP (Internet protocol)• TCP (Transmission control protocol)
![Page 41: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/41.jpg)
![Page 42: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/42.jpg)
Circuit switching
![Page 43: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/43.jpg)
The IS-way: Packet Switching
![Page 44: University of Minnesota Information Technology in Healthcare Medical Industry Leadership Institute Course: MILI/PUBH 6562 Fall Semester B, 2013 David](https://reader035.vdocuments.mx/reader035/viewer/2022070306/5517a88b55034645368b5d11/html5/thumbnails/44.jpg)
Multicasting