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Examining Success In Health Information Technology Implementation Research, Madison Ngafeeson 2014 Northern Michigan University

Examining Success In Health Information Technology Implementation Research, Madison Ngafeeson

Conference Presentations

The implementation of health information systems (IS) is rapidly increasing. In the United States, $70 billion will be invested by the government to facilitate the adoption of the electronic health record over a ten-year period. However, IS acceptance is not success. We use content analysis to investigate the success component.


Sustainability Considerations For Health Research And Analytic Data Infrastructures, Adam Wilcox, Gurvaneet Randhawa, Peter Embi, Hui Cao, Gil Kuperman 2014 EDM Forum

Sustainability Considerations For Health Research And Analytic Data Infrastructures, Adam Wilcox, Gurvaneet Randhawa, Peter Embi, Hui Cao, Gil Kuperman

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: The United States has made recent large investments in creating data infrastructures to support the important goals of patient-centered outcomes research (PCOR) and comparative effectiveness research (CER), with still more investment planned. These initial investments, while critical to the creation of the infrastructures, are not expected to sustain them much beyond the initial development. To provide the maximum benefit, the infrastructures need to be sustained through innovative financing models while providing value to PCOR and CER researchers.

Sustainability Factors: Based on our experience with creating flexible sustainability strategies (i.e., strategies that are adaptive to the different characteristics and ...


Mission And Sustainability Of Informatics For Integrating Biology And The Bedside (I2b2), Shawn N. Murphy, Adam Wilcox 2014 EDM Forum

Mission And Sustainability Of Informatics For Integrating Biology And The Bedside (I2b2), Shawn N. Murphy, Adam Wilcox

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: A visible example of a successfully disseminated research project in the healthcare space is Informatics for Integrating Biology and the Bedside, or i2b2. The project serves to provide the software that can allow a researcher to do direct, self-serve queries against the electronic healthcare data form a hospital. The goals of these queries are to find cohorts of patients that fit specific profiles, while providing for patient privacy and discretion. Sustaining this resource and keeping its direction has always been a challenge, but ever more so as the ten year National Centers for Biomedical Computing (NCBCs) sunset their funding ...


The Dartnet Institute: Seeking A Sustainable Support Mechanism For Electronic Data Enabled Research Networks, Wilson D. Pace, Chet Fox, Turner White, Deborah Graham, Lisa M. Schilling, David R. West PhD 2014 EDM Forum

The Dartnet Institute: Seeking A Sustainable Support Mechanism For Electronic Data Enabled Research Networks, Wilson D. Pace, Chet Fox, Turner White, Deborah Graham, Lisa M. Schilling, David R. West Phd

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Context: Clinical data research networks require large investments in infrastructure support to maintain their abilities to extract, transform, and load data from varied data sources, expand electronic data sources and develop learning communities.

Case Description: This paper outlines a sustainable business model of ongoing infrastructure support for clinical data research activities. The DARTNet Institute is a not-for-profit 501(c)(3) organization that serves as a support entity for multiple practice-based research networks. Several clinical data research networks working closely with a professional society began collaborating to support shared goals in 2008. This loose affiliation called itself the “DARTNet Collaborative.” In ...


An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha 2014 Northern Michigan University

An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha

Journal Articles

The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper ...


An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha 2014 SelectedWorks

An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha

Madison Ngafeeson

The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper ...


Enhancing A Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications, David L. Gutteridge MD, MPH, Nicholas Genes MD, PhD, Ula Hwang MD, MPH, Benjamin Kaplan, The GEDI WISE Investigators, Jason Shapiro MD, MA 2014 EDM Forum

Enhancing A Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications, David L. Gutteridge Md, Mph, Nicholas Genes Md, Phd, Ula Hwang Md, Mph, Benjamin Kaplan, The Gedi Wise Investigators, Jason Shapiro Md, Ma

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: In a health care system where patients often have numerous providers and multiple chronic medical conditions, interoperability of health information technology (HIT) is of paramount importance. Regional health information organizations (RHIO) often provide a health information exchange (HIE) as a solution, which gives stakeholders access to clinical data that they otherwise would not otherwise have. A secondary use of preexisting HIE infrastructure is clinical event notification (CEN) services, which send automated notifications to stakeholders. This paper describes the development and implementation of a CEN service enabled by a RHIO in the New York metropolitan area to improve care coordination ...


The Utah Beacon Experience: Integrating Quality Improvement, Health Information Technology, And Practice Facilitation To Improve Diabetes Outcomes In Small Healthcare Facilities, Janet Tennison, Deepthi Rajeev, Sarah Woolsey, Jeff Black, Steven J. Oostema, Christie North 2014 EDM Forum

The Utah Beacon Experience: Integrating Quality Improvement, Health Information Technology, And Practice Facilitation To Improve Diabetes Outcomes In Small Healthcare Facilities, Janet Tennison, Deepthi Rajeev, Sarah Woolsey, Jeff Black, Steven J. Oostema, Christie North

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: The Utah Improving Care through Connectivity and Collaboration (IC3) Beacon community (2010–2013) was spearheaded by HealthInsight, a nonprofit, community-based organization. One of the main objectives of IC3 was to improve health care provided to patients with diabetes in three Utah counties, collaborating with 21 independent smaller clinics and two large health care enterprises. This paper will focus on the use of health information technology (HIT) and practice facilitation to develop and implement new care processes to improve clinic workflow and ultimately improve patients’ diabetes outcomes at 21 participating smaller, independent clinics.

Innovation: Early in the project ...


State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards 2014 EDM Forum

State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: This case study describes the collaboration between a state public health department, a major research university, and a health extension service funded as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act to establish an interoperable health information system for disease surveillance through electronic reporting of systemic therapy data from numerous oncology practices in Kentucky. The experience of the Kentucky cancer surveillance system can help local and state entities achieve greater effectiveness in designing communication efforts to increase usage of electronic health records (EHRs) and health information exchanges (HIEs), help eligible clinicians meet these new ...


Supporting Primary Care Practices In Building Capacity To Use Health Information Data, Douglas Fernald, Robyn Wearner, W. Perry Dickinson 2014 EDM Forum

Supporting Primary Care Practices In Building Capacity To Use Health Information Data, Douglas Fernald, Robyn Wearner, W. Perry Dickinson

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Our objective was to describe essential support resources and strategies in order to advance the pace and scope of the use of health information technology (HIT) data.

Background and Context: Primary data were collected between January 2011 and October 2012. The primary study population comprised 51 primary care practices enrolled in the Colorado Beacon Consortium in western Colorado.

Methods: We used qualitative methods embedded in a mixed-method evaluation: monthly narrative reports from practices; interviews with providers and staff; and focused, group discussions with quality improvement (QI) advisors and staff from the Health Information Technology Regional Extension Center.

Findings: Practices ...


How A Beacon Community Program In New Orleans Helped Create A Better Health Care System By Building Relationships Before Technology, Anjum Khurshid, Lisanne Brown 2014 EDM Forum

How A Beacon Community Program In New Orleans Helped Create A Better Health Care System By Building Relationships Before Technology, Anjum Khurshid, Lisanne Brown

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: In the aftermath of Hurricane Katrina, much of New Orleans’ healthcare infrastructure was destroyed. Initial federal funding after the storm expanded primary care services and helped set up medical homes for New Orleans’ large uninsured and underinsured population. Following that, the Beacon Community in New Orleans, charged with improving health care through the use of technology, decided the best way to accomplish those goals was to build community partnerships and introduce technology improvements based on their input and on their terms. The purpose of this paper is to describe how those partnerships were wrought, including the innovative use of ...


Achieving And Sustaining Automated Health Data Linkages For Learning Systems: Barriers And Solutions, Erik G. Van Eaton, Allison B. Devlin, Emily Beth Devine, David R. Flum, Peter Tarczy-Hornoch 2014 EDM Forum

Achieving And Sustaining Automated Health Data Linkages For Learning Systems: Barriers And Solutions, Erik G. Van Eaton, Allison B. Devlin, Emily Beth Devine, David R. Flum, Peter Tarczy-Hornoch

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Delivering more appropriate, safer, and highly effective health care is the goal of a learning health care system. The Agency for Healthcare Research and Quality (AHRQ) funded enhanced registry projects: (1) to create and analyze valid data for comparative effectiveness research (CER); and (2) to enhance the ability to monitor and advance clinical quality improvement (QI). This case report describes barriers and solutions from one state-wide enhanced registry project.

Methods: The Comparative Effectiveness Research and Translation Network (CERTAIN) deployed the commercially available Amalga Unified Intelligence System™ (Amalga) as a central data repository to enhance an existing QI registry (the ...


Sustainability Through Technology Licensing And Commercialization: Lessons Learned From The Triad Project, Philip R.O. Payne 2014 EDM Forum

Sustainability Through Technology Licensing And Commercialization: Lessons Learned From The Triad Project, Philip R.O. Payne

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Ongoing transformation relative to the funding climate for healthcare research programs housed in academic and non-profit research organizations has led to a new (or renewed) emphasis on the pursuit of non-traditional sustainability models. This need is often particularly acute in the context of data management and sharing infrastructure that is developed under the auspices of such research initiatives. One option for achieving sustainability of such data management and sharing infrastructure is the pursuit of technology licensing and commercialization, in an effort to establish public-private or equivalent partnerships that sustain and even expand upon the development and dissemination of research-oriented data ...


Availability Of Structured And Unstructured Clinical Data For Comparative Effectiveness Research And Quality Improvement: A Multi-Site Assessment., Daniel Capurro MD, PhD, Meliha Yetisgen PhD, Erik van Eaton MD, Robert Black, Peter Tarczy-Hornoch MD 2014 EDM Forum

Availability Of Structured And Unstructured Clinical Data For Comparative Effectiveness Research And Quality Improvement: A Multi-Site Assessment., Daniel Capurro Md, Phd, Meliha Yetisgen Phd, Erik Van Eaton Md, Robert Black, Peter Tarczy-Hornoch Md

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: A key attribute of a learning health care system is the ability to collect and analyze routinely collected clinical data in order to quickly generate new clinical evidence, and to monitor the quality of the care provided. To achieve this vision, clinical data must be easy to extract and stored in computer readable formats. We conducted this study across multiple organizations to assess the availability of such data specifically for comparative effectiveness research (CER) and quality improvement (QI) on surgical procedures.

Setting: This study was conducted in the context of the data needed for the already established Surgical Care ...


Web-Based Objective Structured Clinical Examination With Remote Standardized Patients And Skype: Resident Experience, Erik E. Langenau, Elizabeth Kachur, Dot Horber 2014 Philadelphia College of Osteopathic Medicine

Web-Based Objective Structured Clinical Examination With Remote Standardized Patients And Skype: Resident Experience, Erik E. Langenau, Elizabeth Kachur, Dot Horber

PCOM Scholarly Papers

OBJECTIVE: Using Skype and remote standardized patients (RSPs), investigators sought to evaluate user acceptance of a web-based objective structured clinical examination (OSCE) among resident physicians.

METHODS: After participating in four web-based clinical encounters addressing pain with RSPs, 59 residents from different training programs, disciplines and geographic locations completed a 52-item questionnaire regarding their experience with Skype and RSPs. Open-ended responses were solicited as well.

RESULTS: The majority of participants (97%) agreed or strongly agreed the web-based format was convenient and a practical learning exercise, and 90% agreed or strongly agreed the format was effective in teaching communication skills. Although 93 ...


Women's Stories Of Breast Cancer: Sharing Information Through Youtube Video Blogs, Jenna Kressler 2014 Western University

Women's Stories Of Breast Cancer: Sharing Information Through Youtube Video Blogs, Jenna Kressler

University of Western Ontario - Electronic Thesis and Dissertation Repository

Breast cancer is one of the most prevalent chronic diseases among North American women. Individuals need accessible and reliable health information for self-care and self-health promotion. Increasingly, individuals are contributing to and accessing information about cancer, using interactive online resources such as YouTube. The purpose of this research was to investigate the personal YouTube video blogs of women with breast cancer and their portrayed messages. This study used a narrative inquiry to examine the video blogs of four women with breast cancer. The women talked about having cancer as a transformative experience. Information about breast cancer from healthcare providers was ...


Libraries Respond To Mobile Ubiquity: Research And Assessment Of Mobile Device Usage Trends For Academic And Medical Libraries, Megan M. Hurst, Eleanor I. Cook, J. Michael Lindsay, Martha F. Earl 2014 Purdue University

Libraries Respond To Mobile Ubiquity: Research And Assessment Of Mobile Device Usage Trends For Academic And Medical Libraries, Megan M. Hurst, Eleanor I. Cook, J. Michael Lindsay, Martha F. Earl

Charleston Library Conference

The authors consider trends in mobile device usage for the Internet as a whole, for EBSCO Discovery Service across all client libraries, and at two specific libraries: Preston Medical Library, serving the University of Tennessee (UT) Graduate School of Medicine and UT Medical Center, and the Joyner Library at East Carolina University, serving students and faculty on the main campus. Librarians at Preston Medical Library conducted a survey to determine which mobile devices, platforms, and apps were used by their patrons in 2012. East Carolina University piloted an iPad and e-reader lending program in 2010–2011. The results of each ...


Data Acquisition, Management And Tracking, Bruce A. Barton, Mary E. Costanza 2014 University of Massachusetts Medical School

Data Acquisition, Management And Tracking, Bruce A. Barton, Mary E. Costanza

UMass Center for Clinical and Translational Science Research Retreat

As part of the mini-symposium entitled "Data Acquisition, Data Management, and Subject Tracking in Clinical and Translational Research: Seeking Solutions to Persistent Challenges," Drs. Barton and Costanza introduce the symposium with a presentation explaining the importance of data acquisition, management, and tracking of clinical research data.


Data Acquisition, Data Management And Subject Tracking In An Rct: Promoting Breast Cancer Screening In Non-Adherent Women, Roger S. Luckmann 2014 University of Massachusetts Medical School

Data Acquisition, Data Management And Subject Tracking In An Rct: Promoting Breast Cancer Screening In Non-Adherent Women, Roger S. Luckmann

UMass Center for Clinical and Translational Science Research Retreat

As part of the mini-symposium entitled "Data Acquisition, Data Management, and Subject Tracking in Clinical and Translational Research: Seeking Solutions to Persistent Challenges," Dr. Luckmann's presentation focuses on common challenges arising from his clinical research experience in the development and implementation of complex data systems for clinical studies.


Providing An Adaptive Research Data Infrastructure For Clinical And Translational Investigators, Bill Amsbaugh, Steven Ellis, Yurima Guilarte-Murphy, Tyrone Jones, Robert Leonard, Paul J. Ranauro 2014 University of Massachusetts Medical School

Providing An Adaptive Research Data Infrastructure For Clinical And Translational Investigators, Bill Amsbaugh, Steven Ellis, Yurima Guilarte-Murphy, Tyrone Jones, Robert Leonard, Paul J. Ranauro

UMass Center for Clinical and Translational Science Research Retreat

Data in its many forms is a critical component of effective and productive research. As technology continues to evolve, and the volume and variety of sources of data continue to grow, accessing and leveraging all of this information is an ever increasing challenge. Concurrently, technology and information science is also driving novel ways to analyze, visualize, process and store this increasing amount of data. The ability to take advantage of these growth areas in order to aid the research efforts of the university is a critical need. The challenge to bring all of these various components into a unified resource ...


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