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Improving Policies Impacting School Absenteeism Due To Influenza Using Agent-Based Simulation Modeling., Galina V. Miller 2016 Purdue Polytechnic Institute

Improving Policies Impacting School Absenteeism Due To Influenza Using Agent-Based Simulation Modeling., Galina V. Miller

Purdue P-12 Networking Summit & Poster Session

No abstract provided.


Discordant Documentation Of Obesity Body Mass Index And Obesity Diagnosis In Electronic Medical Records, Jennifer T. Fink, George L. Morris III, Maharaj Singh, David A. Nelson, Renee E. Walker, Ron A. Cisler 2016 Aurora Health Care

Discordant Documentation Of Obesity Body Mass Index And Obesity Diagnosis In Electronic Medical Records, Jennifer T. Fink, George L. Morris Iii, Maharaj Singh, David A. Nelson, Renee E. Walker, Ron A. Cisler

Maharaj Singh

Purpose: This study examined concordance between presence of obesity body mass index (BMI), defined as BMI ≥ 30, in the patient’s electronic medical record (EMR) and a documented diagnosis of obesity.

Methods: We conducted a retrospective review of the EMR in a large health care system for a 1-year period (2012). A total of 397,313 patients met the study criteria of having at least one physician visit, being at least 18 years of age, and not being pregnant. Of those, 158,327 (40%) had a recorded BMI ≥ 30. We examined the EMR of these obese patients to determine whether ...


Prognostic Indices For Hospitalized Older Adults: A Meta-Analysis And Systematic Review, Ariba Khan, Ayesha Maria, James Hocker, Maharaj Singh, Michelle Simpson 2016 Department of Geriatrics, Aurora UW Medical Group

Prognostic Indices For Hospitalized Older Adults: A Meta-Analysis And Systematic Review, Ariba Khan, Ayesha Maria, James Hocker, Maharaj Singh, Michelle Simpson

Maharaj Singh

Background: A prognostication predictive model incorporated into the electronic health record (EHR) may be useful in assisting the health care team in accurately predicting mortality and may be used in appropriately allocating palliative care services.

Purpose: To systematically review and summarize current medical literature regarding the factors predictive of mortality in an inpatient population above 65 years of age.

Methods: Nondisease-specific prognostication indices that predict 1-year mortality in an inpatient population of adults over age 65 were included. We excluded studies that estimated intensive care unit, disease-specific or in-hospital mortality. A MEDLINE, CINAHL, Ovid and Cochrane literature search of English-language ...


An Automated Model Using Electronic Health Record Data To Identify Delirium Among Hospitalized Older Adults: A Pilot Project, Ariba Khan, Maharaj Singh, Hina Singh, Ayesha Maria, Michelle Simpson 2016 Department of Geriatrics, Aurora UW Medical Group

An Automated Model Using Electronic Health Record Data To Identify Delirium Among Hospitalized Older Adults: A Pilot Project, Ariba Khan, Maharaj Singh, Hina Singh, Ayesha Maria, Michelle Simpson

Maharaj Singh

Background: Delirium is a serious change in mental status with adverse outcomes, but remains underrecognized. The electronic health record (EHR) may assist in the identification of delirium.

Purpose: This study was performed to generate an automated delirium identification model using data from the EHR among hospitalized older adults.

Methods: Inpatients 65 years and older were included in this cross-sectional study. The researchers used “confusion assessment method” as the gold standard to identify delirium. Four categories of variables were obtained from the EHR on the day of and the day prior to researcher assessment: 1) hypoactive delirium (any one of the ...


"What's App?" Utilizing Evidence Based Medicine Apps In The Clinical Setting, Kathryn C. O'Donovan 2016 Butler University

"What's App?" Utilizing Evidence Based Medicine Apps In The Clinical Setting, Kathryn C. O'Donovan

BU Well

The medical community has utilized evidence-based medicine, or EBM, in practice for decades, and healthcare personnel are used to the idea of utilizing research and statistics to determine the treatment of patients. However, as technology advances, the use of electronics and EBM apps has increased in the clinical setting. While there are advantages to clinicians having resources at their fingertips as they talk with patients, there are also hurdles that could harm or offend patients. So as healthcare inevitably becomes more and more electronic, can providers strike the balance needed to effectively use EBM apps in practice to provide optimum ...


Engaging Patients In Underserved Populations With Health Information Technology (Hit), Treva Strasen, Shannon F. Johnson 2016 Indiana University - Purdue University Fort Wayne

Engaging Patients In Underserved Populations With Health Information Technology (Hit), Treva Strasen, Shannon F. Johnson

Shannon F Johnson

Federally Qualified Health Centers (FQHCs) are working to meet a national mandate to have meaningful use of electronic health records by 2014 which includes engaging patients in their healthcare. By integrating mobile technologic solutions that consider patient preferences towards MT, healthcare providers will be able to develop effective, efficient, and sustainable HIT programs to improve patient outcomes. The goal of this study was to gain a deeper understanding of how best to activate patients in underserved populations to use mobile technology (MT) to improve their health and communication with their healthcare providers. A survey study was performed with a convenience ...


Engaging Patients In Underserved Populations With Health Information Technology (Hit), Treva Strasen, Shannon F. Johnson 2016 Indiana University - Purdue University Fort Wayne

Engaging Patients In Underserved Populations With Health Information Technology (Hit), Treva Strasen, Shannon F. Johnson

Shannon F Johnson

Federally Qualified Health Centers (FQHCs) are working to meet a national mandate to have meaningful use of electronic health records by 2014 which includes engaging patients in their healthcare. By integrating mobile technologic solutions that consider patient preferences towards MT, healthcare providers will be able to develop effective, efficient, and sustainable HIT programs to improve patient outcomes. The goal of this study was to gain a deeper understanding of how best to activate patients in underserved populations to use mobile technology (MT) to improve their health and communication with their healthcare providers. A survey study was performed with a convenience ...


Toward Greater Health Information Interoperability In The United States Health System, David Padgham, Margo Edmunds, Erin Holve 2016 AcademyHealth

Toward Greater Health Information Interoperability In The United States Health System, David Padgham, Margo Edmunds, Erin Holve

Issue Briefs and Reports

Health information interoperability has potential benefits for all stakeholders in the United States health care ecosystem. Despite significant health information infrastructure investments in recent years, however, the flow of information needed to achieve true learning health systems is still early in its development. Notably, there is a critical need to integrate existing technical standards with evolving health care processes in ways that will promote a culture of interoperability.

This brief addresses three specific opportunities to enable greater process interoperability: 1) better integrating EHRs and other new forms of health IT into clinical workflows, 2) creating the right market incentives for ...


A Business Case For Tele-Intensive Care Units, Alberto Coustasse, Stacie Deslich, Deanna Bailey, Alesia Hairston, David Paul 2016 Marshall University

A Business Case For Tele-Intensive Care Units, Alberto Coustasse, Stacie Deslich, Deanna Bailey, Alesia Hairston, David Paul

Alberto Coustasse

Objectives: A tele-intensive care unit (tele-ICU) uses telemedicine in an intensive care unit (ICU) setting, applying technology to provide care to critically ill patients by off-site clinical resources. The purpose of this review was to examine the implementation, adoption, and utilization of tele-ICU systems by hospitals to determine their efficiency and efficacy as identified by cost savings and patient outcomes. Methods: This literature review examined a large number of studies of implementa­tion of tele-ICU systems in hospitals. Results: The evidence supporting cost savings was mixed. Implementation of a tele- ICU system was associated with cost savings, shorter lengths of ...


New Paradigms For Patient-Centered Outcomes Research In Electronic Medical Records: An Example Of Detecting Urinary Incontinence Following Prostatectomy, Tina Hernandez-Boussard, Suzanne Tamang, Douglas Blayney, Jim Brooks, Nigam Shah 2016 Stanford University

New Paradigms For Patient-Centered Outcomes Research In Electronic Medical Records: An Example Of Detecting Urinary Incontinence Following Prostatectomy, Tina Hernandez-Boussard, Suzanne Tamang, Douglas Blayney, Jim Brooks, Nigam Shah

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: National initiatives to develop quality metrics emphasize the need to include patient-centered outcomes. Patient-centered outcomes are complex, require documentation of patient communications, and have not been routinely collected by healthcare providers. The widespread implementation of electronic medical records (EHR) offers opportunities to assess patient-centered outcomes within the routine healthcare delivery system. The objective of this study was to test the feasibility and accuracy of identifying patient centered outcomes within the EHR.

Methods: Data from patients with localized prostate cancer undergoing prostatectomy were used to develop and test algorithms to accurately identify patient-centered outcomes in post-operative EHRs – we used urinary ...


Big Data Management In United States Hospitals: Benefits And Barriers, Chad Schaeffer, Ariful Haque, Lawrence Booton, Jamey Halleck, Alberto Coustasse 2016 Marshall University

Big Data Management In United States Hospitals: Benefits And Barriers, Chad Schaeffer, Ariful Haque, Lawrence Booton, Jamey Halleck, Alberto Coustasse

Jamey Halleck

Big Data has been considered as an effective tool to reduce healthcare costs by eliminating adverse events and reducing readmissions in hospitals. The purpose of this study was to examine the emergence of Big Data in the United Sates healthcare industry, to evaluate hospital’s ability to effectively make use of complex information, and to predict the potential benefits hospitals might realize if they are successful. The findings of the research suggest that there were a number of benefits expected by hospitals when using Big Data analytics, including cost savings and business intelligence. In addition, hospitals have recognized that there ...


The Development Of A Standardized Tool To Evaluate Physical Health Websites Through The Lens Of Persons With Serious Mental Illness, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Elaine R. Martin, Kathleen Biebel 2016 University of Massachusetts Medical School

The Development Of A Standardized Tool To Evaluate Physical Health Websites Through The Lens Of Persons With Serious Mental Illness, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Elaine R. Martin, Kathleen Biebel

Elaine R. Martin

In 2015, the Lamar Soutter Library and the Department of Psychiatry at the University of Massachusetts Medical School received a grant from the National Library of Medicine to design an online tool that will provide persons with serious mental illness a means to acquire resources that will assist them in learning about co-morbidities often faced by this population. One of the first steps in creating this tool is to identify health-related websites that will meet strict quality measures applicable for use by our target audience. To facilitate this process, subject experts with skills in both mental health and physical health ...


The Development Of A Standardized Tool To Evaluate Physical Health Websites Through The Lens Of Persons With Serious Mental Illness, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Elaine R. Martin, Kathleen Biebel 2016 University of Massachusetts Medical School

The Development Of A Standardized Tool To Evaluate Physical Health Websites Through The Lens Of Persons With Serious Mental Illness, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Elaine R. Martin, Kathleen Biebel

Kathleen Biebel

In 2015, the Lamar Soutter Library and the Department of Psychiatry at the University of Massachusetts Medical School received a grant from the National Library of Medicine to design an online tool that will provide persons with serious mental illness a means to acquire resources that will assist them in learning about co-morbidities often faced by this population. One of the first steps in creating this tool is to identify health-related websites that will meet strict quality measures applicable for use by our target audience. To facilitate this process, subject experts with skills in both mental health and physical health ...


The Development Of A Standardized Tool To Evaluate Physical Health Websites Through The Lens Of Persons With Serious Mental Illness, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Elaine R. Martin, Kathleen Biebel 2016 University of Massachusetts Medical School

The Development Of A Standardized Tool To Evaluate Physical Health Websites Through The Lens Of Persons With Serious Mental Illness, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Elaine R. Martin, Kathleen Biebel

Library Publications and Presentations

In 2015, the Lamar Soutter Library and the Department of Psychiatry at the University of Massachusetts Medical School received a grant from the National Library of Medicine to design an online tool that will provide persons with serious mental illness a means to acquire resources that will assist them in learning about co-morbidities often faced by this population. One of the first steps in creating this tool is to identify health-related websites that will meet strict quality measures applicable for use by our target audience. To facilitate this process, subject experts with skills in both mental health and physical health ...


Big Data Management In United States Hospitals: Benefits And Barriers, Chad Schaeffer, Ariful Haque, Lawrence Booton, Jamey Halleck, Alberto Coustasse 2016 Marshall University

Big Data Management In United States Hospitals: Benefits And Barriers, Chad Schaeffer, Ariful Haque, Lawrence Booton, Jamey Halleck, Alberto Coustasse

Alberto Coustasse

Big Data has been considered as an effective tool to reduce healthcare costs by eliminating adverse events and reducing readmissions in hospitals. The purpose of this study was to examine the emergence of Big Data in the United Sates healthcare industry, to evaluate hospital’s ability to effectively make use of complex information, and to predict the potential benefits hospitals might realize if they are successful. The findings of the research suggest that there were a number of benefits expected by hospitals when using Big Data analytics, including cost savings and business intelligence. In addition, hospitals have recognized that there ...


The Qualitative And Quantitative Effects Of Patient Centered Medical Home In The Veterans Health Administration, Samuel N. Lovejoy, Eric Stalnaker, William K. Willis, Alberto Coustasse 2016 Marshall University

The Qualitative And Quantitative Effects Of Patient Centered Medical Home In The Veterans Health Administration, Samuel N. Lovejoy, Eric Stalnaker, William K. Willis, Alberto Coustasse

Alberto Coustasse

Since the 1990’s, the Veteran’s Health Administration (VHA) has implemented a system of primary care that has been considered some of the best care that can be offered (Klein, 2011). The Patient Center Medical Home (PCMH) Model, also called “Patient Aligned Care Team” (PACT) in the VHA, has been coordinating and integrating services which ensure optimal health outcomes at an acceptable value (Bidassie, Davies, Stark, & Boushon, 2014).

PACT was created in 2010, building on 20 years of the VHA transforming from a loosely based system of inpatient services to a provider of outpatient primary care for veterans. From ...


User-Composable Electronic Health Record Improves Efficiency Of Clinician Data Viewing For Patient Case Appraisal: A Mixed-Methods Study, Yalini Senathirajah, David R. Kaufman, Suzanne R. Bakken 2016 SUNY Downstate Medical Center

User-Composable Electronic Health Record Improves Efficiency Of Clinician Data Viewing For Patient Case Appraisal: A Mixed-Methods Study, Yalini Senathirajah, David R. Kaufman, Suzanne R. Bakken

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Background: Challenges in the design of electronic health records (EHRs) include designing usable systems that must meet the complex, rapidly changing, and high-stakes information needs of clinicians. The ability to move and assemble elements together on the same page has significant human-computer interaction (HCI) and efficiency advantages, and can mitigate the problems of negotiating multiple fixed screens and the associated cognitive burdens.

Objective: We compare MedWISE—a novel EHR that supports user-composable displays—with a conventional EHR in terms of the number of repeat views of data elements for patient case appraisal.

Design and Methods: The study used mixed-methods for ...


Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano 2016 East Tennessee State Universtiy

Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano

Electronic Theses and Dissertations

For decades, healthcare access and quality in central and southern Appalachia have trailed the rest of the country. Entrenched poverty and low educational attainment compound healthcare problems. This study examines the healthcare obstacles women encounter in southern and central Appalachia and analyzes how technology use, such as Internet searching and social media affect women’s healthcare decisions. Data were analyzed from four focus groups conducted with women from the region. Results indicate that seeing a physician or not did not influence women’s propensity to search the Internet for health-related information or to seek support through social media sites. Additionally ...


Can Social Media Reduce Discrimination And Ignorance Towards Patients With Long Term Conditions? A Chronic Kidney Disease Example In The Uk And More Widely, Shahid N. Muhammad, Amy J. Zahra, Howard J. Leicester, Heather Davis, Stephen Davis 2016 The Renal Patient Support Group (RPSG)

Can Social Media Reduce Discrimination And Ignorance Towards Patients With Long Term Conditions? A Chronic Kidney Disease Example In The Uk And More Widely, Shahid N. Muhammad, Amy J. Zahra, Howard J. Leicester, Heather Davis, Stephen Davis

Patient Experience Journal

Long Term Conditions (LTCs) are increasing in prevalence and cost in Western healthcare. Patients with such conditions are often classed as “disabled”, because of impacts of self-care on “activities of daily life” or secondary consequences of conditions (impairments) affecting factors such as mobility, concentration and communications. Disability needs are often ignored in the design of services and treatment of individuals. It manifests as services which some find difficult to use and lack of personal respect (discrimination) often based on lack of understanding by the healthcare profession itself (ignorance). This paper explores how Social Media (SM), an example “Assistive Technology” in ...


Virus-Host Co-Evolution: Determining The Origin Of Human Cytomegalovirus Us27 And Us28, Jessica A. Scarborough, Juliet Spencer, John Paul 2016 University of San Francisco

Virus-Host Co-Evolution: Determining The Origin Of Human Cytomegalovirus Us27 And Us28, Jessica A. Scarborough, Juliet Spencer, John Paul

Creative Activity and Research Day - CARD

G protein-coupled receptors (GPCR) are the largest family of cell surface proteins, found in organisms from yeast to humans. Human cytomegalovirus (HCMV) is a widespread pathogen that is particularly skilled at evading immune detection and defense mechanisms, largely due to extensive co-evolution with its host’s immune system. One aspect of this co-evolution involves the acquisition of four virally encoded GPCR homologs: US27, US28, UL33 and UL78. In this research, phylogenetic analysis was used to investigate the origins of the US27 and US28 genes, which are adjacent in the viral genome. The results indicate that both US27 and US28 share ...


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