{"id":"https://openalex.org/W1785104131","doi":"https://doi.org/10.1136/amiajnl-2013-001976","title":"President's column: population health\u2014the ultimate application of informatics!","display_name":"President's column: population health\u2014the ultimate application of informatics!","publication_year":2013,"publication_date":"2013-06-11","ids":{"openalex":"https://openalex.org/W1785104131","doi":"https://doi.org/10.1136/amiajnl-2013-001976","mag":"1785104131","pmid":"https://pubmed.ncbi.nlm.nih.gov/23757440"},"language":"en","primary_location":{"id":"doi:10.1136/amiajnl-2013-001976","is_oa":false,"landing_page_url":"https://doi.org/10.1136/amiajnl-2013-001976","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3721178","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009662779","display_name":"Kevin Fickenscher","orcid":null},"institutions":[{"id":"https://openalex.org/I125532205","display_name":"American Medical Informatics Association","ror":"https://ror.org/02bt45m31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I125532205"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Kevin M Fickenscher","raw_affiliation_strings":["drkevin@amia.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"drkevin@amia.org","institution_ids":["https://openalex.org/I125532205"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5009662779"],"corresponding_institution_ids":["https://openalex.org/I125532205"],"apc_list":{"value":4332,"currency":"USD","value_usd":4332},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.120364,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"20","issue":"4","first_page":"803","last_page":"804"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9002000093460083,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9002000093460083,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6564023494720459},{"id":"https://openalex.org/keywords/payment","display_name":"Payment","score":0.6053288578987122},{"id":"https://openalex.org/keywords/reimbursement","display_name":"Reimbursement","score":0.5568081736564636},{"id":"https://openalex.org/keywords/incentive","display_name":"Incentive","score":0.5387981534004211},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.5082511305809021},{"id":"https://openalex.org/keywords/public-relations","display_name":"Public relations","score":0.4702072739601135},{"id":"https://openalex.org/keywords/service","display_name":"Service (business)","score":0.45530906319618225},{"id":"https://openalex.org/keywords/population-health","display_name":"Population health","score":0.4405971169471741},{"id":"https://openalex.org/keywords/legislation","display_name":"Legislation","score":0.439777672290802},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.36084288358688354},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3573627471923828},{"id":"https://openalex.org/keywords/internet-privacy","display_name":"Internet privacy","score":0.34383881092071533},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3023928999900818},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.27194201946258545},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.22551187872886658},{"id":"https://openalex.org/keywords/law","display_name":"Law","score":0.22290462255477905},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.15128329396247864},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.1418781876564026}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6564023494720459},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.6053288578987122},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5568081736564636},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.5387981534004211},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5082511305809021},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4702072739601135},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.45530906319618225},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.4405971169471741},{"id":"https://openalex.org/C2777351106","wikidata":"https://www.wikidata.org/wiki/Q49371","display_name":"Legislation","level":2,"score":0.439777672290802},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.36084288358688354},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3573627471923828},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.34383881092071533},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3023928999900818},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.27194201946258545},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.22551187872886658},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.22290462255477905},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.15128329396247864},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.1418781876564026},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015980","descriptor_name":"Public Health Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015980","descriptor_name":"Public Health Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015980","descriptor_name":"Public Health Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1136/amiajnl-2013-001976","is_oa":false,"landing_page_url":"https://doi.org/10.1136/amiajnl-2013-001976","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:23757440","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23757440","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:3721178","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3721178","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:3721178","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3721178","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9","score":0.49000000953674316}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W592698288","https://openalex.org/W888193992","https://openalex.org/W1540545499","https://openalex.org/W2066108104","https://openalex.org/W2128211190","https://openalex.org/W2129620298","https://openalex.org/W2133128500","https://openalex.org/W2211162980","https://openalex.org/W2314148898","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W2380896940","https://openalex.org/W2381272187","https://openalex.org/W2372275786","https://openalex.org/W2360757248","https://openalex.org/W1562618899","https://openalex.org/W3025458114","https://openalex.org/W2166874624","https://openalex.org/W2108936692","https://openalex.org/W4317927411","https://openalex.org/W2414882382"],"abstract_inverted_index":{"The":[0,499,598,626,643,713,801],"purpose":[1],"of":[2,30,41,97,130,143,172,194,235,268,278,292,337,419,429,440,446,483,505,561,591,636,661,678,688,696,763,857,863,866,922,940,957,977,991,1003,1077,1118,1131,1160,1195,1214,1229,1245,1282,1290,1443],"the":[3,25,28,31,37,55,72,79,116,128,140,144,169,184,191,198,217,266,297,327,334,343,352,375,380,417,438,444,447,451,464,469,480,503,506,542,594,612,647,656,662,689,693,697,711,719,729,733,745,764,811,829,864,885,892,937,949,955,975,988,1012,1017,1025,1049,1063,1066,1068,1070,1072,1075,1132,1158,1193,1217,1264,1271,1280,1319,1358,1393,1419,1427,1440],"Messages":[4],"from":[5,68,168,265,852],"AMIA":[6,14,42,1107,1176],"section":[7],"is":[8,75,113,122,154,164,210,231,351,377,382,388,675,835,871,912,933,959,1143,1154,1165,1192,1198,1318,1325,1353,1391,1439],"to":[9,15,47,52,78,83,158,212,222,224,244,282,354,400,492,502,514,526,547,565,570,575,581,655,686,738,828,840,850,884,945,964,973,983,1021,1024,1039,1047,1061,1092,1101,1109,1126,1149,1157,1173,1178,1208,1256,1295,1339,1376,1383,1398],"provide":[10,728],"a":[11,86,88,91,93,131,165,175,232,276,288,338,369,397,516,549,634,676,706,741,758,776,796,823,854,861,877,903,919,927,966,1103,1287,1389],"forum":[12],"for":[13,104,120,183,280,593,639,722,798,1052,1135,1147,1421,1426],"inform":[16],"and":[17,21,27,39,50,60,181,299,316,384,463,588,623,659,817,869,953,980,1027,1035,1074,1086,1111,1181,1204,1210,1261,1308,1348,1362,1413,1429],"involve":[18],"its":[19],"current":[20,117,344,507,886],"potential":[22],"members":[23,49],"about":[24,1227,1333,1381],"goals":[26,336],"directions":[29,38],"association.":[32],"These":[33],"messages,":[34],"which":[35,112,153,466],"reflect":[36],"opinions":[40],"leaders":[43,1046,1081],"only,":[44],"are":[45,126,188,216,243,367,479,718,768,820,986,1114,1240,1274,1285,1293,1343,1357],"intended":[46],"inspire":[48],"readers":[51],"connect":[53],"with":[54,256,740,925,1279,1311],"association":[56,1121],"on":[57,127,555,611,630,736,906,987,1033,1065,1094,1275,1402],"strategic":[58],"objectives":[59],"activities.":[61],"See":[62,95],"also":[63],"www.amia.org/presidents-page.":[64],"I":[65,251,322,346,783,880,888,896,915,1424,1430],"have":[66,491,1000,1236],"felt":[67],"some":[69],"time":[70],"that":[71,178,219,237,274,303,320,349,424,709,772,879,900,1044,1080,1200,1276,1342,1364],"healthcare":[73,121,145,362,766,870,1057,1137,1219,1248,1265,1411],"system":[74,1266],"responding":[76],"perfectly":[77],"incentives":[80,504,511,523],"being":[81,853,860],"applied":[82,652],"it.":[84],"Pass":[85],"tube\u2014get":[87],"payment!":[89,94],"Perform":[90],"procedure\u2014get":[92],"lots":[96],"patients\u2014get":[98],"multiple":[99],"payments!":[100],"If":[101,510,522,650,1250],"society":[102,107],"pays":[103],"piece":[105,110],"work,":[106,111],"will":[108,426,449,455,467,519,534,553,1267],"get":[109,685],"exactly":[114],"what":[115,834,867,1106,1112],"reimbursement":[118,146,746],"model":[119,171,177,291,747],"fostering.":[123],"However,":[124,1278],"we":[125,203,220,242,253,285,304,332,366,425,431,471,478,490,651,683,700,756,901,1007,1015,1096,1113,1124,1201,1251,1284,1298,1374,1405],"cusp":[129],"very":[132,938],"significant":[133],"change\u2014a":[134],"change":[135,826,1054],"toward":[136,174,287,473,778,805,859],"population":[137,195,249,289,339,357,550,658,691,742,759,967,1174,1422,1444],"health":[138,290,340,358,760,868,968,1322],"as":[139,284,403,528,531,536,539,795,918,1116,1129,1388,1418,1434],"underlying":[141],"philosophy":[142],"model.":[147,509],"Under":[148],"Accountable":[149,780],"Care":[150,781],"Act":[151],"legislation,":[152],"only":[155,684,926],"now":[156,821,1155],"beginning":[157],"be":[159,239,245,450,1150,1179,1331,1366,1377,1399],"more":[160,1029,1084,1247,1259,1262,1303,1379],"fully":[161],"implemented,":[162],"there":[163,230,911],"palpable":[166],"shift":[167,802],"old":[170],"fee-for-service":[173],"new":[176,192,843],"moves":[179],"upstream":[180,751],"cares":[182],"whole":[185,233,734],"person.":[186],"We":[187,749,819,943,1037,1059,1090,1235,1273,1328,1337,1370,1395],"moving":[189,770,1241],"into":[190,936,1242],"era":[193],"health.":[196,250,1175,1423,1445],"And,":[197],"question":[199,328,715],"is:":[200,329,716],"How":[201,330,1005],"do":[202,331,489,1006,1110,1309,1433],"best":[204,457,720,1207],"accomplish":[205,333,1008],"this":[206,607,842,1185,1335],"objective?":[207],"What":[208,215,717,1356],"infrastructure":[209],"required":[211],"support":[213],"it?":[214],"processes":[218],"need":[221,944,972,1020,1038,1060,1091,1125,1338,1375],"implement":[223],"make":[225,1102],"it":[226,385,496,1142,1203],"feasible?":[227],"In":[228,295,414,476,731,908,1436],"fact,":[229,415,477,732,1437],"host":[234],"questions":[236],"must":[238],"addressed":[240],"if":[241,682,755,961],"successful":[246],"at":[247,271,1392],"delivering":[248],"think":[252],"should":[254,305,1329],"start":[255],"the\u2014now":[257],"decade":[258,1194],"old\u2014article":[259],"by":[260,360,609,774,1216],"Michael":[261],"Ibrahim":[262],"et":[263],"al":[264],"University":[267],"North":[269],"Carolina":[270],"Chapel":[272],"Hill":[273],"outlined":[275],"set":[277,1417],"principles1":[279],"us":[281],"consider":[283,946],"move":[286,750,851],"care":[293,474,596,807,813,831,1078,1088,1258,1301],"delivery.":[294,475,1089],"essence,":[296],"author":[298],"his":[300],"colleagues":[301],"suggested":[302],"focus":[306,554,592,1093],"on:":[307],"(1)":[308],"community,":[309],"(2)":[310],"epidemiology,":[311,1067],"(3)":[312],"evidence,":[313,1069],"(4)":[314],"outcomes,":[315,460,1071],"(5)":[317],"prevention.":[318],"To":[319],"list,":[321],"would":[323,347,702],"add:":[324],"safety.":[325],"So,":[326,487,680,833,1386],"lofty":[335],"strategy":[341,777],"in":[342,368,393,485,606,752,771,793,803,810,838,891,930,948,1011,1016,1167,1183,1302,1314],"environment?":[345],"argue":[348],"informatics":[350,365,848,947,958,1018,1042,1128,1148,1215,1324,1387,1438],"key":[353,452],"accomplishing":[355,723],"any":[356,361,1161],"objective":[359],"organization.":[363],"Without":[364],"\u2018Ne":[370],"vozmozhna!\u2019":[371],"situation":[372],"(note:":[373],"while":[374],"spelling":[376],"not":[378,389,433,1330,1344,1449],"correct,":[379],"pronunciation":[381],"correct":[383],"means,":[386],"\u2018It":[387],"possible\u2019\u2014a":[390],"phrase":[391],"emblazoned":[392],"my":[394,846,1140],"mind":[395],"after":[396],"4-week":[398],"trip":[399],"Russia":[401],"just":[402],"Yeltsin":[404],"was":[405,808,815],"assuming":[406],"power,":[407],"when":[408,744,785,895],"many":[409,529,537,1237],"things":[410],"were":[411,790],"\u2018not":[412],"possible\u2019).":[413],"through":[416],"application":[418,883,1442],"informatics,":[420,1283],"I'm":[421],"absolutely":[422],"convinced":[423],"discover":[427],"patterns":[428],"care\u2014patterns":[430],"did":[432],"even":[434,681],"know":[435,1371],"existed.":[436],"Through":[437],"analysis":[439],"large,":[441],"disparate":[442],"datasets,":[443],"informaticians":[445],"world":[448],"professionals":[453,1291,1412],"who":[454,985,1164,1239,1292],"uncover":[456],"practices,":[458,462],"better":[459,1312],"safety":[461,1076],"like":[465],"alter":[468],"approach":[470,804],"take":[472],"future":[481],"arbiters":[482],"data":[484,1064],"healthcare!":[486],"why":[488],"wait?":[493],"Why":[494],"can't":[495],"happen":[497],"now?":[498],"reason":[500],"relates":[501],"payment":[508],"encourage":[512,524,545],"you":[513,518,525,533,546,552,1432],"pass":[515,520],"tube,":[517],"tubes.":[521],"see":[527,535],"patients":[530,538],"possible,":[532],"possible.":[540],"If\u2014on":[541],"other":[543],"hand\u2014incentives":[544],"keep":[548],"healthy,":[551],"much":[556,1378],"longer":[557,1145],"term":[558],"initiatives.":[559],"All":[560],"sudden,":[562],"getting":[563,568,573,579],"people":[564,569,574,580],"quit":[566],"smoking,":[567,622],"lose":[571],"weight,":[572,620],"control":[576],"their":[577,584,640,653,1056],"diabetes,":[578],"proactively":[582],"manage":[583,1257],"hypertension\u2014all":[585],"become":[586,965],"vital":[587],"important":[589],"areas":[590],"primary":[595],"provider.":[597],"Cleveland":[599],"Clinic":[600],"Foundation":[601],"has":[602,882],"done":[603],"admirable":[604],"work":[605,739,1159],"area":[608,856],"focusing":[610,629],"\u2018five":[613],"normals\u2019:":[614],"normal":[615,617,619],"glucose,":[616],"cholesterol,":[618],"no":[621,913,1144],"vaccinations":[624],"up-to-date.":[625],"clinic":[627],"began":[628],"these":[631,665,724],"five":[632,698],"normals":[633],"number":[635],"years":[637],"ago":[638],"own":[641],"employees.":[642],"result?":[644],"They've":[645],"bent":[646],"cost":[648],"curve.":[649],"methods":[654],"Medicare":[657,690],"75%":[660],"populace":[663],"reached":[664],"goals,":[666],"we'd":[667],"save":[668,703],"$1":[669,704],"trillion":[670],"over":[671],"10":[672],"years.":[673],"That":[674,1352],"chunk":[677],"change.":[679],"10%":[687],"reaching":[692],"laudable":[694],"goal":[695],"normals,":[699],"still":[701],"billion":[705],"year.":[707],"Isn't":[708],"worth":[710],"effort?":[712],"next":[714],"practices":[721],"objectives?":[725],"Informatics":[726,1317],"can":[727,1082,1097,1299,1365,1396,1406],"data.":[730],"perspective":[735],"how":[737,806,1095,1206,1255,1297,1382],"shifts":[743],"changes.":[748],"our":[753,836,978,1031,1099,1119,1354,1408,1415],"thinking":[754],"adopt":[757],"perspective.":[761],"Many":[762],"larger":[765],"systems":[767],"clearly":[769],"direction":[773],"adopting":[775],"becoming":[779],"Organizations.":[782],"remember":[784,889],"Diagnosis":[786],"Related":[787],"Groups":[788],"(DRGs)":[789],"first":[791],"introduced":[792],"1983":[794],"method":[797],"paying":[799],"hospitals.":[800],"delivered":[809],"acute":[812],"setting":[814],"swift":[816],"dramatic.":[818],"facing":[822],"similar":[824],"sea":[825],"related":[827,1172],"accountable":[830],"movement.":[832,1186],"role":[837],"helping":[839],"foster":[841,1211],"movement?":[844],"From":[845,1139],"perspective,":[847,1141],"needs":[849,1177,1222],"\u2018special":[855],"study\u2019":[858],"part":[862,1117,1130],"mainstream":[865,1407],"all":[872,996,1136],"about.":[873],"Let":[874],"me":[875],"use":[876,1384],"metaphor":[878],"believe":[881],"environment.":[887],"back":[890],"early":[893],"1970s":[894],"started":[897],"medical":[898],"school":[899],"had":[902],"2-day":[904,928],"course":[905,929],"genetics.":[907,931],"today's":[909],"world,":[910],"way":[914],"could":[916],"survive":[917],"contemporary":[920],"provider":[921],"quality":[923],"services":[924],"Genetics":[932],"increasingly":[934],"interwoven":[935],"fabric":[939],"clinical":[941,992,997],"practice.":[942,993],"same":[950],"light.":[951],"Understanding":[952],"appreciating":[954],"capabilities":[956,982],"crucial":[960],"one":[962],"aspires":[963],"manager.":[969],"We,":[970],"therefore,":[971],"extend":[974],"tradition":[976],"research":[979,1032,1403],"academic":[981],"those":[984],"front":[989,1180],"line":[990],"By":[994],"2030":[995],"providers":[998],"MUST":[999],"an":[1001,1151,1212,1243,1326],"understanding":[1002,1213],"informatics!":[1004],"that?":[1009],"First,":[1010],"short":[1013],"term,":[1014],"community":[1019],"step":[1022],"up":[1023],"plate":[1026],"offer":[1028,1040,1062,1340],"than":[1030],"tools":[1034],"methodologies.":[1036],"operational":[1041],"skills":[1043],"allow":[1045],"obtain":[1048],"right":[1050],"information":[1051],"managing":[1053],"within":[1055],"community.":[1058,1220],"prevention,":[1073],"so":[1079,1310],"drive":[1083],"effective":[1085],"efficient":[1087],"operationalize":[1098],"theory":[1100],"difference.":[1104],"That's":[1105],"intends":[1108],"pursuing":[1115],"overall":[1120],"strategy.":[1122],"Second,":[1123],"institutionalize":[1127],"core":[1133],"curriculum":[1134],"professionals.":[1138],"acceptable":[1146],"add-on.":[1152],"It":[1153,1197],"fundamental":[1156],"good":[1162],"clinician":[1163],"involved":[1166],"supporting":[1168,1184],"or":[1169,1404],"developing":[1170],"programs":[1171],"center":[1182],"As":[1187],"I've":[1188],"said":[1189],"before,":[1190],"\u2018This":[1191],"informatics.\u2019":[1196],"imperative":[1199],"embrace":[1202],"determine":[1205],"facilitate":[1209],"wider":[1218],"Society":[1221],"informatics.":[1223],"Healthcare":[1224],"currently":[1225],"consumes":[1226],"one-fifth":[1228],"American":[1230],"gross":[1231],"domestic":[1232],"product":[1233],"(GDP).":[1234],"\u2018boomers\u2019":[1238],"age":[1244],"consuming":[1246],"resources.":[1249],"don't":[1252],"figure":[1253],"out":[1254],"efficiently":[1260],"effectively,":[1263],"single":[1268],"handedly":[1269],"bankrupt":[1270],"nation.":[1272],"course.":[1277],"intervention":[1281],"offering":[1286],"multi-dimensional":[1288],"group":[1289],"able":[1294],"define":[1296],"deliver":[1300],"efficient,":[1304],"effective,":[1305],"cost-beneficial":[1306],"ways":[1307],"outcomes":[1313],"safer":[1315],"modalities.":[1316],"key!":[1320],"Population":[1321],"without":[1323],"oxymoron.":[1327],"bashful":[1332],"articulating":[1334],"position.":[1336],"solutions":[1341],"theoretical,":[1345],"but":[1346,1373],"practical":[1347],"implementable":[1349],"tomorrow":[1350,1368],"morning.":[1351],"challenge.":[1355],"tools,":[1359],"ideas,":[1360],"methodologies,":[1361],"models":[1363],"deployed":[1367],"morning?":[1369],"them,":[1372],"articulate":[1380],"them.":[1385],"profession":[1390,1409],"crossroads.":[1394],"continue":[1397],"focused":[1400],"primarily":[1401],"among":[1410],"integrate":[1414],"skill":[1416],"foundation":[1420],"vote":[1425],"latter,":[1428],"hope":[1431],"well.":[1435],"ultimate":[1441],"None.":[1446],"Not":[1447],"commissioned;":[1448],"internally":[1450],"per":[1451],"reviewed.":[1452]},"counts_by_year":[{"year":2017,"cited_by_count":7}],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}