Health Information Technology Commons^™

Framework To Secure Cloud-Based Medical Image Storage And Management System Communications, Timothy James Rostrom

Theses and Dissertations

Picture Archiving and Communication Systems (PACS) have been traditionally constrained to the premises of the healthcare provider. This has limited the availability of these systems in many parts of the world and mandated major costs in infrastructure for those who employ them. Public cloud services could be a solution that eases the cost of ownership and provides greater flexibility for PACS implementations. This could make it possible to bring medical imaging services to places where it was previously unavailable and reduce the costs associated with these services for those who utilize them. Moving these systems to public cloud infrastructure requires …

Discussion Of "Biomedical Ontologies: Toward Scientific Debate", Brochhausen M., Burgun A., Ceusters W., Hasman A., Tze-Yun Leong, Musen M., Oliveira J., Peleg M., Rector A., Schulz S.

Research Collection School Of Computing and Information Systems

With these comments on the paper “Biomedical Ontologies: Toward scientific debate”, written by Victor Maojo et al., Methods of Information in Medicine wants to stimulate a discussion on advantages and challenges of biomedical ontologies. An international group of experts have been invited by the editor of Methods to comment on this paper. Each of the invited commentaries forms one section of this paper.

Professionalism And Social Networking: Can Patients, Physicians, Nurses, And Supervisors All Be ‘Friends’?, Joy Peluchette, Katherine Karl, Alberto Coustasse, Philip Rutsohn, Dennis Emmett

Management Faculty Research

This study examines the use of Facebook by certified nurse anesthetist students. Our results showed that, contrary to expectations, most were neutral about faculty, physicians, and supervisors viewing their Facebook profiles but expressed concerns about patients seeing such information. Many (30%) of our respondents had observed unprofessional content posted on the social network sites of their classmates including: intoxication or substance abuse, profanity, sexually suggestive photos or comments, and negative work-related comments. A vast majority indicated they would accept a ‘friend’ request from their supervisor and a physician but not a patient. Surprisingly, about 40% had initiated a ‘friend’ request …

Advances In Information And Communication Technology (Ict): Issues, Challenges And Opportunities For Health Care Professionals, Waris Qidwai

Department of Family Medicine

No abstract provided.

Toward Collaborative Print Retention, Sue Woodson, Steven Douglas, Todd J. Puccio, Karen Grigg, Sylvia Mcaphee, Jan Orick, Martha Whaley, Mary Willams, Sheila Snow-Croft

HPD Library Presentations, Speeches, Lectures, Posters, Events, etc.

Background: :In order to serve the many member libraries who were faced with the loss of space and the subsequent need to downsize and discard print collections in a very short time, the NN/LM SE/A formed a task force on print retention in the spring of 2010. This group carried on online discussions and met twice between the Spring of 2010 and The Spring of 2011. The task force recommended, among other things, that a committee be formed to identify the potential for a collaborative print retention project in the region, develop educational resources on the topic of print retention, …

Applying Inventory Control Practices Within The Sisters Of Mercy Health Care Supply Chain, Server Apras

Graduate Theses and Dissertations

This research lays a foundation for the better understanding of the application and acceptance of more advanced inventory control practices within the health care supply chain. The demand characteristics and optimal control policies for pharmaceutical items within a multi-echelon provider network are examined within the framework of a case study. Demand forecasting algorithms were applied to forecast demand for inventory control procedures. A spreadsheet-based inventory planning tool was used to minimize the inventory holding and ordering costs subject to fill rate constraints. The costs of inventory control models are compared to the current ordering and inventory control strategies to document …

Image Processing – I: Hd Tele-Medical Image Compression For On-Line Decision, Adnan Alam Khan, Saghir Muhammad

International Conference on Information and Communication Technologies

Telemedicine is a rising technology of applied medical sciences through which patients medical reports can be transmitted and stored for references and consultations. Medical treatment in Pakistan still requires immense improvement as incorrect diagnosis and treatment, has resulted in the distorting the patient for life or death. First aid system in our country is unbelievably bad, and many lives could be saved if proper first aid diagnosis and treatment is provided in the first two hours. In this paper we are trying to bridge the three main constituents i.e. Physician, First Aid workers and Patient, this would especially enable remote …

Network Security: Privacy-Preserving Data Publication: A Review On “Updates” In Continuous Data Publication, Adeel Anjum, Guillaume Raschia

International Conference on Information and Communication Technologies

Preserving the privacy of individuals while publishing their relevant data has been an important problem. Most of previous works in privacy preserving data publication focus on one time, static release of datasets. In multiple publications however, where data is published multiple times, these techniques are unable to ensure privacy of the concerned individuals as just joining either of the releases could result in identity disclosure. In this work, we tried to investigate the major findings in the scenario of continuous data publication, in which the data is not only published multiple times but also modified with INSERTS, UPDATES and DELETE …

Image Processing – I: Automated System For Macula Detection In Digital Retinal Images, Maryam Mubbashar, Anam Usman, M. Usman Akram

International Conference on Information and Communication Technologies

In the field of medicines, medical image processing plays a vital role to detect the abnormalities of eye or eye diseases like glaucoma and diabetic retinopathy. Macular degeneration is one of the medical conditions that affect the vision of elder people. If not detected in early stages it causes loss of eye sight. This paper presents an automated system for the localization and detection of macula in digital retinal images. In this paper, macula is first localized by making use of localized optic disc centre and enhanced blood vessels. Finally macula is detected by taking the distance from center of …

Addressing The Challenges Of Reporting On Childhood Asthma In A Changing Health Care System: Building Better Evidence For High Performance, Meagan Lyon, Anne Rossier Markus, Maya Tuchman Gerstein, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Childhood asthma is a serious and costly chronic disease that burdens children and families as well as the health care systems that serve them. A key element to improving asthma outcomes is access to timely and useful data that can improve the quality of care and inform programs and policies to best serve those communities most burdened by asthma. This Policy Brief examines the nation’s data collection framework for childhood asthma and considers steps that might be taken to strengthen it, including the development, collection and refinement of community-level data to inform local health care systems. Through a review of …

Baseline Data For Maine Pediatric And Family Practices From Arra-Funded Hit Ambulatory Practice Survey Data, Kimberley S. Fox Mpa

Population Health & Health Policy

No abstract provided.

Rfid And Its Impacts To The Hospital Supply Chain, Dan Feng Lu, Hai Do, Anna Jones, Alberto Coustasse

Management Faculty Research

A radio frequency identification device (RFID) is a type of information technology used to improve supply chain management through an enhanced visualization of products. The RFID market in the U.S healthcare industry has been projected to be approximately $297 million and has been expected to grow at a rapid speed. RFID had a great impact on the hospital supply chain. It has been demonstrated that 30% of large healthcare organization that had IT budgets over $100 million had already deployed RFID technology. RFID is the latest technology to reduce costs by tracking both equipment and employees. This technology can also …

Providing Better Care At Lower Cost: Building Maine's Health Data Infrastructure To Support Financing And Delivery System Reform, Andrew F. Coburn Phd

Health System Reform

Maine needs a robust and functional health data infrastructure to support efforts by health care providers and purchasers to improve quality, address Maine’s health care cost problems, and improve the health of individuals and populations through payment and delivery system reform. Although Maine has been a leader in building and using health data systems such as the hospital discharge data set and the all-payer claims database, new performance-based financing and delivery system arrangements are highlighting shortcomings in these systems and the need for a renewed vision of Maine’s future health data infrastructure.

The Health Data Workgroup was created by The …

Integrating An Internet-Mediated Walking Program Into Family Medicine Clinical Practice: A Pilot Feasibility Study, David E. Goodrich, Lorraine R. Buis, Adrienne W. Janney, Megan D. Ditty, Christine W. Krause, Kai Zheng, Ananda Sen, Victor J. Strecher, Michael L. Hess, John D. Piette, Caroline R. Richardson

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Regular participation in physical activity can prevent many chronic health conditions. Computerized self-management programs are effective clinical tools to support patient participation in physical activity. This pilot study sought to develop and evaluate an online interface for primary care providers to refer patients to an Internet-mediated walking program called Stepping Up to Health (SUH) and to monitor participant progress in the program.

Methods

In Phase I of the study, we recruited six pairs of physicians and medical assistants from two family practice clinics to assist with the design of a clinical interface. During Phase II, providers used the …

Towards Critical Medical Practice: Nursing Practice And An Emr System, Dirk Postma

Dirk Postma

A focus on critique as a form of theory within critical management studies (CMS) and critical information systems research (CISR) leads to concerns about the impact of critique on the transformation of practice and about the active role of practitioners. The emphasis on theory also prevents insight into the heterogeneous nature of critical practices. This paper develops a posthumanist approach to critique. A case is analysed where an electronic medical record (EMR) information system is introduced in a hospital. The focus is on tracing the effect of this system on the work of nurses. It is shown how the system …

An Evaluation Of The Usability Of A Computerized Decision Support System For Nursing Homes, M. Fossum, M. Ehnfors, Ann L. Fruhling, A. Ehrenberg

Interdisciplinary Informatics Faculty Publications

Background: Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices.

Objective: This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents.

Methods: We employed a qualitative descriptive design using varied …

Effect Of Remote Fetal Monitoring In An Inpatient Obstetrical Unit: A Retrospective Review, Lauren Reavis

Nursing Theses and Capstone Projects

Electronic Fetal Monitoring (EFM) has been used as a tool for inpatient obstetrical care in the United States since the 1980's. The litigious nature of our society has caused much emphasis to be placed upon EFM use and interpretation; however, little evolution has occurred in monitoring techniques. The review of relevant literature found a significant gap in knowledge in regards to research of the current monitoring practice. Therefore, this study was aimed to look at the effect of remote monitoring, like the practice currently used in telemetry, on inpatient obstetrical care. The study used a retrospective review to look at …

The Effect Of Curricular Sequencing Of Human Patient Simulation Learning Experiences On Students’ Self-Perceptions Of Clinical Reasoning Abilities, Rebecca Jensen Phd, Rn

Nursing Publications

It is unknown whether timing of human patient simulation (HPS) in a semester, demographic (age, gender, and ethnicity), and situational (type of program and previous baccalaureate degree and experience in healthcare) variables affects students‘ perceptions of their clinical reasoning abilities. Nursing students were divided into two groups, mid and end of semester HPS experiences. Students‘ perceptions of clinical reasoning abilities were measured at Baseline (beginning of semester) and Time 2 (end of semester), along with demographic and situational variables. Dependent variable was Difference scores where Baseline scores were subtracted from Time 2 scores to reveal changes in students‘ perceptions of …

Librarians And Health Workers: Partnering And Collaborating To Support Free Access To Health Information In Nigeria, Ngozi Blessing Ukachi

Collaborative Librarianship

The well-being of individuals and communities depend on accessibility to accurate health information. A recent study shows the many communities in some regions of Nigeria lack accessibility to this information. Building on the success of partnerships between librarians and health care workers in the delivery of health information in other parts of the world, the Nigerian situation could be greatly improved through a number of strategies, as suggested.

Maine Pediatric And Family Practice Survey Chartbook: Improving Health Outcomes For Children, Martha Elbaum Williamson Mpa, Kimberley S. Fox Mpa, Al Leighton Ba, Stuart Bratesman Mpp

Population Health & Health Policy

As part of the IHOC initiative, the Muskie School of Public Service at the University of Southern Maine surveyed pediatric and family practices about how they use data, clinical guidelines and office systems to monitor and improve children’s healthcare quality. The purpose of the survey is to provide baseline information about quality improvement activities in primary care practices serving children in Maine. Survey data will be used to inform IHOC activities and to monitor changes over time. The web-based survey was conducted in the winter of 2011-2012 and sent to practice managers at a sample of 168 practice sites, of …

Approaches To The Spatial Modelling Of Cancer Incidence And Mortality In Metropolitan Perth, Western Australia, 1990 -2005, Changying Shao

Theses: Doctorates and Masters

Cancer is one of potentially preventable and treatable diseases. Cancer analysis from different perspectives is necessary to provide the information for health research and the initiation of prevention and treatment programs. The purpose of this study was to analyse five top cancers in the Perth metropolitan area, including lung, melanoma, breast, prostate and colorectal cancers, using two methodologies: Area-to-Point Poisson (ATP) kriging and fitting an inhomogeneous Poisson process model using the Berman-Turner algorithm. ATP Poisson kriging was used to undertake the analysis on the spatial distribution of cancer rates per 100,000 person-years for Perth Statistical Local Areas during the period …

Development Of Fetal Movement Between 26 And 36 Weeks’ Gestation In Response To Vibroacoustic Stimulation, Marybeth Grant-Beuttler, Laura M. Glynn, Amy L. Salisbury, Elyssia Poggi Davis, Carol Holliday, Curt A. Sandman

Psychology Faculty Articles and Research

BACKGROUND: Ultrasound observation of fetal movement has documented general trends in motor development and fetal age when motor response to stimulation is observed. Evaluation of fetal movement quality, in addition to specific motor activity, may improve documentation of motor development and highlight specific motor responses to stimulation.

AIM: The aim of this investigation was to assess fetal movement at 26 and 36-weeks gestation during three conditions (baseline, immediate response to vibro-acoustic stimulation (VAS), and post-response).

DESIGN: A prospective, longitudinal design was utilized.

SUBJECTS: Twelve normally developing fetuses, eight females and four males, were examined with continuous ultrasound imaging.

OUTCOME MEASURES: …

Review Of The Health Information Technology Initiatives In Maryland And Georgia, Maurice Dawson, James Truesdale, Joshua Robinson

Maurice Dawson

Health Information Technology (IT) is an important topic within the health community currently. Many states must update their status in relation to the Strategic and Operation Plan under the State Cooperative Agreement. In this literature review the findings have been summarized in reference to what is proposed in three states. Key items reviewed are the following; governance, policy/legal, technical infrastructure, business and technical operations,communications/marketing, and relationships to Medicaid/Medicare. With regards to the States of Maryland and Georgia, the State Health Information Exchange (HIE) Cooperative Agreement Program will allow both states to enhance its existing strategic plan and to build an …