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How Clinical Informatics is Gaining Traction at Stanford Children's Health

By Alexandra Wilson Pecci  
   August 01, 2017

Clinical informaticists have a deeper understanding of the opportunities and the limitations of information science, says Stanford Children's Health's chief medical information officer.

This is part two of a conversation with Natalie M. Pageler, MD, chief medical information officer at Stanford Children's Health about some of the clinical decision support tools that the hospital is developing. Read part one.

She is also clinical associate professor of pediatric critical care and Stanford University.

This conversation covers development costs, the evolution of clinical informatics as a subspecialty, and what the Stanford Children's team is working on now. The transcript below has been lightly edited.

Related: Stanford Children's CMIO Talks Home-grown Clinical Decision Support

HLM: Can you talk a little bit about cost for developing these tools? Where does it come from?

Pageler: The answer is often that it depends. We have a very active clinical informatics program here. We started one of the first clinical informatics fellowships in the country, where we have physicians from all different backgrounds who then come for a two-year fellowship and are working to develop these types of tools.

Many of the tools that I've been talking about are outputs of some of the scholarly work from our clinical informatics fellows or from partnerships with our biomedical informatics programs. It's part of our academic mission.

Once they are available online and in this web-based format, it is very easy and low cost to integrate with them.

For example, the GluVue tool that I mentioned earlier is available online to anybody who wants to use it, and there have even been individual patients who have accessed that tool. The real development costs are upfront.

Alexandra Wilson Pecci is an editor for HealthLeaders.

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