Medicine and Health Sciences Commons^™

Revisiting An Integrated Health Informatics And Technology Curriculum Model, Bernard T. Han, Tracy L. Johnson, Kenneth D. Bobo

Transactions of the International Conference on Health Information Technology Advancement

The shortage of health information technology workforce is quite significant in the health industry. The traditional education approach may not be effective enough to train college students to be an HIT workforce that requires both academic knowledge and extensive hands-on experiences in both healthcare and information technology. This paper presents an Integrated Health Informatics and Technology Curriculum Model to collapse the campus boundaries between regional Intermediate School Districts, Community Colleges, and a Four-Year health informatics and information management program to support expedited education with sufficient hands-on experiences in health informatics and technology. This model has been pilot tested by the …

The Expert Survey-Based Global Ranking Of Management- And Clinical-Centered Health Informatics And It Journals, Michael S. Dohan, Alexander Serenko, Joseph Tan Phd

Transactions of the International Conference on Health Information Technology Advancement

The goal of this study is to develop an expert survey-based journal ranking for the Health Informatics & Information Technology (HIIT) field. Journal of the American Medical Informatics Association and Journal of Medical Internet Research were ranked as top HIIT management-focused journals, and BMC Medical Informatics & Decision Making and IEEE Journal of Biomedical & Health Informatics were ranked as top HIIT clinical-focused journals. This ranking benefits academics who conduct research in this field because it allows them to direct their research to appropriate journals, convey their accomplishments to tenure and promotion committees, and experience other benefits.

Transactions Of 2015 International Conference On Health Information Technology Advancement Vol.3, No. 1, Center For Health Information Technology Advancement

Transactions of the International Conference on Health Information Technology Advancement

The Third International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 30-31, 2015

Conference Chair Bernard Han, Ph.D., HIT Pro Department of Business Information Systems Haworth College of Business Western Michigan University Kalamazoo, MI 49008

Transactions Editor Dr. Huei Lee, Professor Department of Computer Information Systems Eastern Michigan University Ypsilanti, MI 48197

Volume 3, No. 1

Hosted by The Center for Health Information Technology Advancement, WMU

First Generation College Students And Mobile Device Acceptance In Nursing Education, Deanna Gapp, Tsu-Yin Wu

Transactions of the International Conference on Health Information Technology Advancement

The National League for Nursing (2009) states that nurse educators must commit to diversity in education by reviewing practices that favor and exclude students. First generation college students (FGCS) have a background that may hinder success and require support to overcome barriers in a nursing program- including mobile device acceptance. A cross-sectional survey of 37 students showed significant differences; FGCS have higher results than non-FGCS in six of the eight key constructs of mobile device acceptance. Mobile devices may help bridge the digital divide. By increasing emphasis on mobile device functioning in the nursing curriculum, nurse educators can continue to …

Patient Handoffs: A Review Of Current Status In The Usa, Farzad Rafi Razi

Transactions of the International Conference on Health Information Technology Advancement

The goal of this paper is to highlight the status of patient handoffs in the United States. A summary of what patient handoffs are, and the current processes through which handoffs are carried out will be described, as well as the benefits and limitations of each approach. In addition, this project will describe some major flaws in the handoff system, and suggestions to how they may be remedied. This paper will conclude by mentioning a new system which has reduced handoff errors, and propose an extension to this research in order to instigate further developments.

Smart Home Healthcare Settings: A Qualitative Study Of The Domain Boundary, Ahmad Alaiad, Dorsa Ziaei, Muhammad Al-Ayyad

Transactions of the International Conference on Health Information Technology Advancement

Addressing the health problems of the 21st century will require individuals to use a new set of medical and public health resources that extend beyond historic and traditional medical devices and are built on current and smart information technologies. Much of these new medical tools was originally designed by device manufacturers to be used only in clinical settings and by trained healthcare professionals but recently are finding their way into the home nevertheless. Their migration to the home poses many challenges to both caregivers and care recipients. In order to facilitate their migration to the home, it is very important …

Forecasting The Potential For Emergency Department Overcrowding, Jeff Skinner, Raymond J. Higbea

Transactions of the International Conference on Health Information Technology Advancement

This research study used the Dixon Forecasting Model (DFM), a Bed Ratio (BR), and the National Emergency Department Overcrowding Scale (NEDOCS) to establish a reliable two-hour overcrowding forecasting tool within the Emergency Department. The DFM and BR were used together to predict severe overcrowding based on current census data. This two hour prediction was then be validated by the real-time NEDOCS and real-time Bed Ratio scores. Data analysis indicates that the two-hour predicted BR is moderately correlated with a real-time NEDOCS (correlation coefficient 0.508) and real-time BR (correlation coefficient 0.492) at the forecasted time. Further data analysis revealed a strong …

Examining The Performance Of Older And Younger Adults When Interacting With A Mobile Solution Supporting Levels Of Dexterity, Ayidh Alqahtani, Abdulwhab Alsalmah, Ahmad Alaiad

Transactions of the International Conference on Health Information Technology Advancement

The purpose of this research is to develop and evaluate a mobile game to support the needs of adults aiming to strengthen their perceptual and dexterity skills. The game itself is an advanced version of a Whack-A-Mole style game, in which the user is required to select visual targets, as quickly and accurately as possible. In this version of the game, the user is able to modify the speed, target size, and availability of distracters. In this paper, the performance between older and younger users has been compared. Older adults had spent more time and missed more compared to the …

A Case Study Perspective Toward Data-Driven Process Improvement For Balanced Perioperative Workflow, Jim Ryan, Barbara Doster, Sandra Daily, Carmen Lewis

Transactions of the International Conference on Health Information Technology Advancement

Based on a 143-month longitudinal study of an academic medical center, this paper examines operations management practices of continuous improvement, workflow balancing, benchmarking, and process reengineering within a hospital’s perioperative operations. Specifically, this paper highlights data-driven efforts within perioperative sub-processes to balance overall patient workflow by eliminating bottlenecks, delays, and inefficiencies. This paper illustrates how dynamic technological activities of analysis, evaluation, and synthesis applied to internal and external organizational data can highlight complex relationships within integrated processes to identify process limitations and potential process capabilities, ultimately yielding balanced workflow and improvement. Study implications and/or limitations are also included.

3rd Ichita Program, Western Michigan University

International Conference on Health Information Technology Advancement Brochures

The Third International Conference on Health Information Technology Advancement was held October 30-31 at Western Michigan University with the theme: "Transforming Healthcare Through Information Technology." This includes the program and information about the keynote speakers and other presenters.

Gpu-Accelerated Influenza Simulations For Operational Modeling, Peter Holvenstot

Masters Theses

Simulations of influenza spread are useful for decision-making during public-health emergencies. Policy-makers use models to predict disease spread and estimate the effects of various intervention strategies. Effective modeling of targeted intervention strategies requires accurate modeling of individual-level behavior and transmission. However, this greatly increases the computational costs of these agent-based models. In addition, if the models are used as an outbreak progresses, some operational decisions must occur rapidly in order to contain the spread of the disease.

Graphics Processing Units (GPUs) are a type of specialized processor used to drive graphical displays. Many recent devices also allow users to write …

Health Information Technology In American Medicine: A Historical Perspective, Kenneth A. Fisher

Transactions of the International Conference on Health Information Technology Advancement

Medical care has had great advances during and especially after the 19th century. With these advances has come the moral imperative to provide care to all in a nation regardless of the ability to pay. One of the great dilemmas of our time is how to provide this care without consuming other national priorities. There exists a debate between government-centered or patient-centered models of care and how electronic medical records could facilitate this process.

Monitoring And Assisting Maternity-Infant Care In Rural Areas (Mamicare), Juan C. Lavariega Dr., Gustavo Córdova, Lorena G. Gómez, Alfonso Avila Dr.

Transactions of the International Conference on Health Information Technology Advancement

We present our project called MAMICare that is motivated by the alarming number of maternity and infant deaths in rural areas due mainly to a poor monitoring of pregnancy progress and lack of appropriate alerting mechanism in case of abnormal gestation evolution. We are proposing an information technology solution based on mobile devices, and health sensors such as ECG (electrocardiogram), stethoscope, pulse-oximeter, and blood-glucose meter to automatically collect relevant health data for a better monitoring of pregnant women. In this paper we address the current status of the maternity infant death problem especially in rural areas of Mexico. We review …

The Role Of Mobile Technology In Enhancing The Use Of Personal Health, Mohamed Abouzahra, Joseph Tan

Transactions of the International Conference on Health Information Technology Advancement

Healthcare industry is essential for the wellbeing of society members, however this industry is characterized by high cost and by plagued by serious medical errors. Personal health records (PHR) can play an important role in solving healthcare problems by enhancing patients’ involvement in their treatment, and improving patient-provider communication. Despite the potential importance of PHR systems, they suffer from low adoption rate because of several factors such as digital divide and lack of training. In this paper we propose that mobile PHR systems (MPHR) can aid in overcoming barriers to adopt PHR. We present a theoretical model based on theory …

Message From The Transactions Editor, Huei Lee

Transactions of the International Conference on Health Information Technology Advancement

No abstract provided.

Predictive Modeling In Post-Reform Marketplace, Wu-Chyuan Gau, Andrew France, Maria E. Moutinho, Carl D. Smith, Morgan C. Wang

Transactions of the International Conference on Health Information Technology Advancement

Healthcare reform changes everything. Annual and lifetime dollar limits, underwriting, and preexisting condition exclusion will all be eliminated by 2014. Insurers must offer coverage to any individual regardless of their health status. An overwhelming majority of those who will be mandated to purchase individual insurance is currently uninsured or under-insured. Insurers have insufficient internal data to estimate costs for this new population. A study on how to apply predictive modeling to deal with risks and uncertainties facing healthcare industry in the post-reform marketplace is presented in this article.

A Study On Generic Prescription Substitution Policy As A Cost Containment Approach For Michigan’S Medicaid System, Khandaker Nayeemul Islam

Transactions of the International Conference on Health Information Technology Advancement

High health care costs have left millions of people unable to buy health insurance and has broadened the state’s responsibility to protect low-income families through Medicaid programs. Increasing health care costs have created severe toll on fiscal management of federal and state governments. Prescription drugs are a significant part of Michigan’s Medicaid costs. Due to the economic recession and the downsizing of auto sector the number of Medicaid beneficiaries in Michigan has increased over the years. Thus it has increased Medicaid prescription drugs program costs at a fast pace, which creates fiscal burden on Michigan in administering the program and …

Standardization Needs For Effective Interoperability, Marilyn Skrocki

Transactions of the International Conference on Health Information Technology Advancement

The Electronic Health Record (EHR) has brought unique challenges in the effort to share information. How data is captured varies from institution to institution. In order for data to be well understood, data should have a definition that is consistent and comprehensively understood by all users of the data. Standardization of how data is captured is critical to allow the production and export of data needed to support quality assessment, decision support, exchange of data for patients with multiple health care providers and public health surveillance. Patient safety and quality improvement are dependent upon embedded clinical guidelines that promote standardized, …

Challenges Of Mobile Healthcare Application Security, Alan Rea

Transactions of the International Conference on Health Information Technology Advancement

Healthcare information technology has overcome many of the Web application security challenges in the past decade. We can now access information more securely and incidents of unintentional data loss are on the decline. However, more must be done to ensure the confidentiality, integrity, and availability of mobile applications in the healthcare field. Whether it is physicians using iPads to access treatment histories or patients managing healthcare options via smart phones, the proposed CAP framework (checks, assurances, protection) adds additional security and privacy layers to our modern mobile medical needs.

A Balanced Perspective To Perioperative Process Management Aligned To Hospital Strategy, Jim Ryan, Barbara Doster, Sandra Daily, Carmen Lewis

Transactions of the International Conference on Health Information Technology Advancement

Dynamic technological activities of analysis, evaluation, and synthesis can highlight complex relationships within integrated processes to target improvement and ultimately yield improved processes. Likewise, the identification of existing process limitations, potential capabilities, and subsequent contextual understanding are contributing factors that yield measured improvement. This case study examines process management practices of balanced scorecard and dashboards to monitor and improve the perioperative process, aligned to overall hospital goals at strategic, tactical, and operational levels. Based on a 120-month longitudinal study of an academic medical center, this study investigates how integrated information systems and business analytics can improve perioperative efficiency and effectiveness …

The Impact Of Big Data On The Healthcare Information Systems, Kuo Lane Chen, Huei Lee

Transactions of the International Conference on Health Information Technology Advancement

This article explores the possible impact of big data on healthcare information systems. Possible research issues include: 1). What applications in healthcare information systems are impacted most? 2). What algorithm/programs will be used for big data? 3). What privacy, security, and ethical issues are there for big data? In the biology area, big data becomes the newest technology for genomics. Other possible areas include pharmacovigilance, patient care, and medical supply chain management.

An Empirical Study Of Home Healthcare Robots Adoption Using The Utuat Model, Ahmad Alaiad, Lina Zhou, Gunes Koru

Transactions of the International Conference on Health Information Technology Advancement

Home healthcare initiatives are aimed to reduce readmission costs, transportation costs, and hospital medical errors, and to improve post hospitalization healthcare quality, and enhance patient home independency. Today, it is almost unimaginable to consider this initiative without information technology. Home healthcare robots are one type of the emerging technologies that hold promise for making clinical information available at the right place and right time. Several robots have been developed to facilitate home healthcare such as remote presence robots (e.g., RP2) and Paro. Most previous research focus on technical and implementation issues of home healthcare robots, there is a need to …

The Principles Of Good Health Care In The U.S. In The 2010s, Andrew S. Targowski

Transactions of the International Conference on Health Information Technology Advancement

The purpose of this investigation is to define the principles of good health in the U.S. in the 21st century. The interdisciplinary, civilizational methodology is applied to establish roots of this health care at the national level. Among findings are; well-being of Americans” is the constitutional opportunity of an American, good health of Americans is a constituent of their well-being, basic health care should be perceived as the controlled right of a citizen. Human and societal wisdom requires mentally healthy people. Human and societal wisdom requires well educated citizens. The state of health care of the Americans is in a …

What Is Your Informatics Skills Level? --The Reliability Of An Informatics Competency Measurement Tool, Xiaomeng Sun, Sharie Falan

Transactions of the International Conference on Health Information Technology Advancement

To determine the reliability of the nursing informatics self- assessment tool which was developed and extended from Kaminski’s assessment tool among health care students. It was hypothesized that there would be no significant difference in participant responses for a test/retest survey completed by nursing students.

Managing Government Regulatory Requirements For Security And Privacy Using Existing Standard Models, Gregory Schymik, Dan Shoemaker

Transactions of the International Conference on Health Information Technology Advancement

This paper posits the use of a well-established standard approach to Federal compliance, which can be easily adapted to satisfy all legal and regulatory requirements for protection of patient personally identifiable information (PII) in health organizations. This approach is embodied in the three standards that dictate how to comply with the Federal Information Security Management Act (FISMA). These standards also provide an excellent foundation for organizing a secure operation anywhere. The discussion revolves around the application of the FIPS 199 and FIPS 200/NIST 800-53(4) standard approach to the satisfaction of the present and upcoming legal and regulatory requirements for health …

Mobile Health Information Technology And Patient Care: Methods, Themes, And Research Gaps, Bahae Samhan, Majid Dadgar, K. D. Joshi

Transactions of the International Conference on Health Information Technology Advancement

The focus of the healthcare industry on delivering Patient-Centered Care (PCC) using Mobile Health Information Technologies (MHIT) is rapidly increasing, yet this critical area is still under-researched in the IS/IT literature despite the fact that mobile devices and their applications are widely spread and are likely to change the way of using and applying healthcare services. In this study we further analyze the literature reviewed in Dadgar et al (2013) to uncover research gaps in the area of MHIT which needs further attention. This work posits a preliminary research agenda, in forms of gaps, which can help propel future work …

Digital Illness Narratives: A New Form Of Health Communication, Jofen Han, Jo Wiley

Transactions of the International Conference on Health Information Technology Advancement

Social media has dramatically affected the way information is accessed and circulated. Social networking sites continue to create on-line communities where every participant plays an active role in seeking and sharing information. While social networks have profoundly impacted different industries in terms of communication between business-to-business and business-to-consumer interaction, they also have had significant impact on many stakeholders in the healthcare communication system. This report describes how a non-profit social networking site called CaringBridge can help patients communicate about their health challenges and gain support though their writings. When traditional “Illness Narratives” (a patient’s reflective writing about his/her illness) become …

Relationships, Caring, And Near Misses: Michael’S Story, Sharie Falan, Bernard Han

Transactions of the International Conference on Health Information Technology Advancement

Health care errors are costly to both patients, insurance companies, and put additional strain on existing resources. This research paper is a case study about a patient’s experience in health care with the electronic health care record and the information used to deliver care. This case study will demonstrate that although the electronic health care record does provided information, the information contained within it can be confusing, contribute to health care errors, near misses, and may have an impact on health provider relationships with patients. Information and systems issues are identified with recommendations to help avert health care errors and …

Analytical Methods For Planning And Scheduling Daily Work In Inpatient Care Settings: Opportunities For Research And Practice, Laila Cure Ph.D.

Transactions of the International Conference on Health Information Technology Advancement

This article identifies current challenges in the planning and execution of daily work in inpatient care settings. Inadequate planning of the processes and resources associated with inpatient care services may negatively affect their effectiveness. It may also lead to burnout of healthcare workers when the resulting work plan is unknowingly infeasible or does not incorporate the necessary human factors considerations. This paper provides with an overview of current research on inpatient care workflow planning, as well as with directions for researchers and practitioners to advance this problem using a combination of human factors engineering and analytical methods.

Data Interoperability And Information Security In Healthcare, Reid Berryman, Nathan Yost, Nicholas Dunn, Christopher Edwards

Transactions of the International Conference on Health Information Technology Advancement

Interoperability represents the accurate exchange of information and the use of the information for effective decision making. For information exchange to be interoperable, it must be widely interpretable between multiple information systems. At a more granular level, it focuses on the accuracy, consistency and reliability of information exchanged between systems. The healthcare industry has defined many problems when it comes to the best practice of interoperability. Technical, financial, and managerial barriers are present that produce large scale complex problems for the whole industry. Although, a variety of potential solutions have been developed. Some have even been implemented already focusing on …