Health Information Technology Commons^™

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

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

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 ...

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

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 Analytics In Population Health, Harm Scherpbier Md, Ms

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Health Care Information Technology: Securing The Electronic Health Record With Biometric Technology, Alyssa Iacona

Undergraduate Review: a Journal of Undergraduate Student Research

The principal focus of this paper is to examine the integration of biometric technology into healthcare’s information technology systems. Biometric technology, a rapidly evolving mechanism, analyzes specific anatomical and physiological features of an individual for identity verification (Perrin, 2002). Moreover, as the federal government has mandated all health records to be electronic in 2014, the implementation of biometrics has become a prevalent means of security. In an effort to adhere to the patient privacy laws authorized by the Health Insurance Portability and Accountability Act (HIPAA), biometric recognition is currently used to restrict access to verified health care providers and ...

Learning From Health Information Exchange Technical Architecture And Implementation In Seven Beacon Communities, Douglas B. Mccarthy, Karen Propp, Alexander Cohen, Raj Sabharwal, Abigail A. Schachter, Alison L. Rein

eGEMs (Generating Evidence & Methods to improve patient outcomes)

As health care providers adopt and make “meaningful use” of health information technology (health IT), communities and delivery systems must set up the infrastructure to facilitate health information exchange (HIE) between providers and numerous other stakeholders who have a role in supporting health and care. By facilitating better communication and coordination between providers, HIE has the potential to improve clinical decision-making and continuity of care, while reducing unnecessary use of services. When implemented as part of a broader strategy for health care delivery system and payment reform, HIE capability also can enable the use of analytic tools needed for population ...

Wirelesseeg: Data Aquisition + Handheld Device, Michael Dylan Snowden, Madeline Threatt, Brent Mcferrin, David Platillero, Karsten Solies, Lindsey Hopf

University of Tennessee Honors Thesis Projects

No abstract provided.

Electronic Health Records: Cure-All Or Chronic Condition?, Chris Kimble

Chris Kimble

Computer-based information systems feature in almost every aspect of our lives, and yet most of us receive handwritten prescriptions when we visit our doctors and rely on paper-based medical records in our healthcare. Although electronic health record (EHR) systems have long been promoted as a cost-effective and efficient alternative to this situation, clear-cut evidence of their success has not been forthcoming. An examination of some of the underlying problems that prevent EHR systems from delivering the benefits that their proponents tout identifies four broad objectives - reducing cost, reducing errors, improving coordination and improving adherence to standards - and shows that they ...

Data Governance And Data Sharing Agreements For Community-Wide Health Information Exchange: Lessons From The Beacon Communities, Claudia Allen, Terrisca R. Des Jardins, Arvela Heider, Kristin A. Lyman, Lee Mcwilliams, Alison L. Rein, Abigail A. Schachter, Ranjit Singh, Barbara Sorondo, Joan Topper, Scott A. Turske

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: Unprecedented efforts are underway across the United States to electronically capture and exchange health information to improve health care and population health, and reduce costs. This increased collection and sharing of electronic patient data raises several governance issues, including privacy, security, liability, and market competition. Those engaged in such efforts have had to develop data sharing agreements (DSAs) among entities involved in information exchange, many of whom are “nontraditional” health care entities and/or new partners. This paper shares lessons learned based on the experiences of six federally funded communities participating in the Beacon Community Cooperative Agreement Program, and ...

Telehealth System To Improve Medication Management Of Autism Spectrum Disorder Remotely, Tiffany Worthington

College of Health Sciences Presentations

Approximately 1 in 88 children in the United States are being diagnosed with the Autism Spectrum Disorder (ASD). Autism is a neurodevelopmental disorder that carries with it lifelong physical, emotional, and behavioral consequences. Early diagnosis and treatment can help reduce the severity of the symptoms. To assist healthcare providers in the management of the autism symptoms, a new smartphone application was developed that allows physicians to observe patient behaviors between office visits, and to manage the patient’s medication based on the information observed. An evaluation was conducted to determine ease of use of the smartphone application by two physicians ...

Peru Telemedicine Website Development Project, Jose Garcia, Tanveer Morshed, Sean Wakeley, Christopher Llyod

College of Business and Economics Presentations

Physicians working in rural communities of Peru find themselves removed from many of the resources commonly available to physicians in urban environments. The rural physicians are often limited in their ability to communicate with colleagues and other healthcare providers regarding professional matters. To improve patient care, a new user-friendly, Internet-based communication platform is needed to allow these doctors to better communicate with other rural physicians and with specialists located in urban medical centers. Our project focused on the design, development, testing of a website that will allow rural doctors in Peru to post diagnostic questions and related information on a ...

Electronic Health Records And Rural Hospitals, Kaitlin Bischoff

Annual Undergraduate Conference on Health and Society

Nearly 20% of the U.S. population lives in rural areas and are not resistant to many of the U.S. healthcare challenges such as cost, quality, and access. In fact, the distinguishing cultural, social, economic, and geographic traits which characterize rural America place rural populations at greater risk for many diseases and health disorders. Like those in urban settings, people from rural areas have been affected by the use of health information technology, where treatment is now data-intensive, and there are more options and greater expectations of quality and accountability. Due to cost, geographic and social traits, and the ...

Optimal Screening Approaches - Coordinating Optimal Screening Programs In Canada: A Multifacted Approach, Eric Chen, Hamza Qamar

The Meducator

Disease screening is the process of testing asymptomatic individuals for the risk or presence of disease. However, the advent of advanced screening technologies in recent decades poses a challenge to the Canadian health system. The lack of a consistent screening policy among Canadian provinces and poor adherence to screening guidelines have compounded the challenge. The McMaster Health Forum convened a stakeholder dialogue on October 17, 2013 with regards to supporting optimal screening practices in Canada. In consultation with stakeholders, the Forum created an issue brief describing the problem, three elements of a comprehensive approach to address this problem, and key ...

A Personal Health Record Module For Pregnant Women: System Development And User Adoption Study, Kayvan Sayyedi Viand

Open Access Dissertations and Theses

Pregnancy is one of the most important periods of a woman’s life, during which lots of potentially worrying changes occur in her body. Being aware of the nature of these changes can help her to make informed decisions and decrease her level of uncertainty and anxiety. Delivering information to pregnant women to help understand these changes is not a new idea. Brief searches of the web turned up many related resources and information. One important aspect of pregnancy that was found to be widely used was keeping daily records in a paper-based format. However, to the author’s best ...

Cluster-Based Epidemic Control Through Smartphone-Based Body Area Networks, Zhaoyang Zhang, Honggang Wang, Chonggang Wang, Hua (Julia) Fang

Quantitative Health Sciences Publications and Presentations

Increasing population density, closer social contact, and interactions make epidemic control difficult. Traditional offline epidemic control methods (e.g., using medical survey or medical records) or model-based approach are not effective due to its inability to gather health data and social contact information simultaneously or impractical statistical assumption about the dynamics of social contact networks, respectively. In addition, it is challenging to find optimal sets of people to be isolated to contain the spread of epidemics for large populations due to high computational complexity. Unlike these approaches, in this paper, a novel cluster-based epidemic control scheme is proposed based on ...

The Hmo Research Network Virtual Data Warehouse: A Public Data Model To Support Collaboration, Tyler R. Ross Ma, Daniel Ng Mba, Jeffrey S. Brown Phd, Roy Pardee Jd Ma, Mark C. Hornbrook Phd, Gene Hart Ms, John F. Steiner Md Mph

eGEMs (Generating Evidence & Methods to improve patient outcomes)

The HMO Research Network (HMORN) Virtual Data Warehouse (VDW) is a public, non-proprietary, research-focused data model implemented at 17 health care systems across theUnited States. The HMORN has created a governance structure and specified policies concerning the VDW’s content, development, implementation, and quality assurance. Data extracted from the VDW have been used by thousands of studies published in peer-reviewed journal articles. Advances in software supporting care delivery and claims processing and the availability of new data sources have greatly expanded the data available for research, but substantially increased the complexity of data management. The VDW data model incorporates software ...

Introduction Of Evidence-Based Diagnostic Order Sets In An Electronic Medical Record Is Associated With An Increase In Laboratory Orders, Bryan G. Kane Md, Justin Arnold Do, Joshua Morrison Do, Ryan Southworth Do, William Greenhut Do, Will Russell Do, Jeremy Selley Do, Michael Stanley Do

Department of Emergency Medicine

No abstract provided.

A Case Study Of Pediatric Asthma Alerts From The Beacon Community Program In Cincinnati: Technology Is Just The First Step, Tara Trudnak, Mona Monsour, Keith Mandel, Hadley Sauers, Gerry Pandzik, Carl Donisi, Gerry Fairbrother

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: The Beacon Community in Cincinnati, Ohio was an innovative, community-wide initiative to use technology to transform care. One important feature was the development of regional alerts to notify practices when patients were hospitalized or seen in the emergency department. The purpose of this paper is to describe the way in which technology engages the improvement process, and to describe the early stages of learning how to use technology to enhance quality improvement.

Methods: We interviewed key Beacon leaders as well as providers and office staff in selected practices. We also collected preliminary data from practices that reflected handling of ...