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Healthcare Information Systems: Opportunities And Challenges, Madison Ngafeeson 2015 Northern Michigan University

Healthcare Information Systems: Opportunities And Challenges, Madison Ngafeeson

Madison Ngafeeson

No abstract provided.


Model Of Cost-Effectiveness Of Mri For Women Of Average Lifetime Risk Of Breast Cancer, Mckenna L. Kimball 2015 Dominican University of California

Model Of Cost-Effectiveness Of Mri For Women Of Average Lifetime Risk Of Breast Cancer, Mckenna L. Kimball

Scholarly and Creative Works Conference

Background: Mammography is the current standard for breast cancer detection however magnetic resonance imaging (MRI) is a more sensitive method of breast imaging. Despite MRI’s increased sensitivity, MRI has more false positives and higher costs. The purpose of this study was to determine if MRI or MRI in conjunction with mammography was a cost-effective solution for breast cancer detection in women with average lifetime risk of breast cancer.

Methods: A mathematical model was used to compare annual mammography, annual MRI, and mammography and MRI on alternate years. The model included the natural history of breast cancer, screening by mammography ...


Patients, Consumers, And Caregivers: The Original Data Stewards, Erin A. Mackay 2015 EDM Forum

Patients, Consumers, And Caregivers: The Original Data Stewards, Erin A. Mackay

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: For patients and families, the issue of data quality is personal. When treatment decisions or research conclusions are based on incomplete or inaccurate information—a misdiagnosis, an incomplete medication list, the wrong demographic data— care safety, quality, and outcomes suffer—and patients and families suffer.

Opportunity for Change: Thanks in part to the power of health information technology, individuals have new opportunities to be part of the solution when it comes to assessing and improving data quality. Building on a framework for data quality, there are numerous opportunities for patients to be part of ‘feedback loops’ to understand and ...


Transparent Reporting Of Data Quality In Distributed Data Networks, Michael G. Kahn, Jeffrey S. Brown, Alein T. Chun, Bruce N. Davidson, Daniella Meeker, Patrick B. Ryan, Lisa M. Schilling, Nicole G. Weiskopf, Andrew E. Williams, Meredith Nahm Zozus 2015 University of Colorado

Transparent Reporting Of Data Quality In Distributed Data Networks, Michael G. Kahn, Jeffrey S. Brown, Alein T. Chun, Bruce N. Davidson, Daniella Meeker, Patrick B. Ryan, Lisa M. Schilling, Nicole G. Weiskopf, Andrew E. Williams, Meredith Nahm Zozus

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Poor data quality can be a serious threat to the validity and generalizability of clinical research findings. The growing availability of electronic administrative and clinical data is accompanied by a growing concern about the quality of these data for observational research and other analytic purposes. Currently, there are no widely accepted guidelines for reporting quality results that would enable investigators and consumers to independently determine if a data source is fit for use to support analytic inferences and reliable evidence generation.

Model and Methods: We developed a conceptual model that captures the flow of data from data originator across ...


Integrating Patient-Reported Outcomes Into Spine Surgical Care Through Visual Dashboards: Lessons Learned From Human-Centered Design, Andrea L. Hartzler, Shomir Chaudhuri, Brett C. Fey, David R. Flum, Danielle Lavallee 2015 Group Health Research Institute

Integrating Patient-Reported Outcomes Into Spine Surgical Care Through Visual Dashboards: Lessons Learned From Human-Centered Design, Andrea L. Hartzler, Shomir Chaudhuri, Brett C. Fey, David R. Flum, Danielle Lavallee

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: The collection of patient-reported outcomes (PROs) draws attention to issues of importance to patients—physical function and quality of life. The integration of PRO data into clinical decisions and discussions with patients requires thoughtful design of user-friendly interfaces that consider user experience and present data in personalized ways to enhance patient care. Whereas most prior work on PROs focuses on capturing data from patients, little research details how to design effective user interfaces that facilitate use of this data in clinical practice. We share lessons learned from engaging health care professionals to inform design of visual dashboards, an emerging ...


My Bibliography And Sciencv: Grant Reporting, Compliance And Biosketch Through Myncbi, Rolando Garcia-Milian 2015 Yale University

My Bibliography And Sciencv: Grant Reporting, Compliance And Biosketch Through Myncbi, Rolando Garcia-Milian

Rolando Garcia-Milian

Although not required at this point, the NIH suggest the use of the Science Experts Network Curriculum Vitae (SciENcv), -a MyNCBI online tool- that serves as an interagency system designed to create biosketches for multiple federal agencies. This, along with the use of My Bibliography for grant activity reporting and NIH Public Access Policy compliance, increases the importance using MyNCBI as a tool for managing NIH-sponsored research. This workshop introduce researchers, research assistants and administrators on the effective use of these online tools and will cover the following among other topics:

How to create MyNCBI account and how to link ...


Wikipedia And Medicine: Quantifying Readership, Editors, And The Significance Of Natural Language, James M. Heilman, Andrew G. West 2015 University of British Columbia

Wikipedia And Medicine: Quantifying Readership, Editors, And The Significance Of Natural Language, James M. Heilman, Andrew G. West

Andrew G. West

BACKGROUND: Wikipedia is a collaboratively edited encyclopedia. One of the most popular websites on the Internet, it is known to be a frequently used source of healthcare information by both professionals and the lay public.

OBJECTIVE: This document quantifies: (1) The amount of medical content on Wikipedia, (2) the citations supporting Wikipedia’s medical content, (3) the readership of medical content, and (4) the quantity/characteristics of Wikipedia’s medical contributors

METHODS: Using a well-defined categorization infrastructure we identify medically pertinent English Wikipedia articles and links to their foreign language equivalents (Objective 1). With these, Wikipedia’s API can be ...


Technology In Clinical Practice And The "Technological Ethic", John W. Murphy, John T. Pardeck 2015 Arkansas State University

Technology In Clinical Practice And The "Technological Ethic", John W. Murphy, John T. Pardeck

The Journal of Sociology & Social Welfare

Computers are being introduced into practically every area of clinical practice. The use of this technology by practitioners has not gone unchallenged. Specifically, new ethical problems are thought to be associated with using computers to make clinical assessments. Logistical and procedural difficulties, however, have been the primary focus of concern. In this paper the critique of computerized evaluation is expanded, with attention directed to the computer "micro-world." Because the computer micro-world consists of several unwarranted assumptions about the nature of social reality, clinical practice may be affected in many undesireable ways. The theoretical underside of computer use is illustrated to ...


Novel Informatic Platform For The Standard Unification Of Donors, Offspring And Patients Records: Institutional Registry Requirements In The Reproductive Biomedicine Regulations Compliance., Salvo Reina, Mauro Costa, Mauro Giacomini 2015 Institute of Microbiology School of Medicine University of Genoa, Italy

Novel Informatic Platform For The Standard Unification Of Donors, Offspring And Patients Records: Institutional Registry Requirements In The Reproductive Biomedicine Regulations Compliance., Salvo Reina, Mauro Costa, Mauro Giacomini

Salvo Reina

The Donor ART (DART), recently promulgated by italian institution, has posed several incumbent questions to the Artificial Reproductive Techniques (ART) world. Besides the critical social and ethical aspects, a crucial issue is the engagement of a centralised “Donors-offspring Registry” which introduces new stringent criteria up on the treatments of the sensitive data of donors, newborns and patients. Such registry will have to comply with applicable italian laws (Legge 40/04, Dlg.191/07 and Dlg.16/10, the so called “Patto per la Salute 2014-2016) and the european Tissue Directive (2006/17/CE, Ed. 2004). Moreover, recent Guide Lines were ...


Automated Detection Of Puffing And Smoking With Wrist Accelerometers, Qu Tang 2015 Northeastern University

Automated Detection Of Puffing And Smoking With Wrist Accelerometers, Qu Tang

Electrical and Computer Engineering Master's Theses

Real-time, automatic detection of smoking behavior could lead to novel measurement tools for smoking research and "just-in-time" interventions that may help people quit, reducing preventable deaths. This paper discusses the use of machine learning with wrist accelerometer data for automatic puffing and smoking detection. A two-layer smoking detection model is proposed that incorporates both low-level time domain features and high-level smoking topography such as inter-puff intervals and puff frequency to detect puffing then smoking. On a pilot dataset of 6 individuals observed for 11.8 total hours in real-life settings performing complex tasks while smoking, the model obtains a cross ...


Use Of Robots On Cardiac Surgery, Heath Ashford, Alex Hunter, Connie Phung, Alberto Coustasse 2015 Marshall University

Use Of Robots On Cardiac Surgery, Heath Ashford, Alex Hunter, Connie Phung, Alberto Coustasse

Management Faculty Research

Surgical robots are computer-assisted electromechanical devices that aid surgeons and are designed to replicate human movements into more steady precise motions, giving more accurate and delicate operations. The purpose of this research was to study the evolution of technical features of surgical robots on cardiology to determine technical advantages and barriers of these technologies. In one study out of all 50 patients that had endoscopic atraumatic coronary artery bypass robotic surgery, 49 reported they would recommend the surgery to another. Features make instrument manipulation more intuitive by eliminating the fulcrum effect, which removes the surgeon from twisting and turning in ...


Development Of A Web Service For Analysis In A Distributed Network, Xiaoqian Jiang, Yuan Wu, Keith Marsolo, Lucila Ohno-Machado 2014 UC San Diego

Development Of A Web Service For Analysis In A Distributed Network, Xiaoqian Jiang, Yuan Wu, Keith Marsolo, Lucila Ohno-Machado

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Objective: We describe functional specifications and practicalities in the software development process for a web service that allows the construction of the multivariate logistic regression model, Grid Logistic Regression (GLORE), by aggregating partial estimates from distributed sites, with no exchange of patient-level data.

Background: We recently developed and published a web service for model construction and data analysis in a distributed environment. This recent paper provided an overview of the system that is useful for users, but included very few details that are relevant for biomedical informatics developers or network security personnel who may be interested in implementing this or ...


Startracker: An Automated Emr Panel Management Tool To Enhance Geriatric Outpatient Care, James Powers MD, FACP, Ralf Habermann MD, William Gregg MD, MPH 2014 Vanderbilt Adult Primary Care

Startracker: An Automated Emr Panel Management Tool To Enhance Geriatric Outpatient Care, James Powers Md, Facp, Ralf Habermann Md, William Gregg Md, Mph

Tennessee Medicine E-Journal

Decision support linked to quality measures has the potential to enhance quality of care and chronic disease management. The HITECH mandate of the 2009 Affordable Care Act requires electronic health records (EHR) to be implemented by 2014 functioning as a lever to provide patient and population 1) data capture and patient access, 2) information exchange and care coordination, and 3) promote improved outcomes of care.1 With over 700 US vendors offering electronic records, the EHR is here to stay. We describe the development and geriatric primary care clinic implementation of StarTracker, a real-time, diagnosis/patient specific EHR dashboard designed ...


The Future Of Public Health Informatics: Alternative Scenarios And Recommended Strategies, Margo Edmunds PhD, Lorna Thorpe PhD, MPH, Martin Sepulveda MD, Clem Bezold PhD, David A. Ross ScD 2014 AcademyHealth

The Future Of Public Health Informatics: Alternative Scenarios And Recommended Strategies, Margo Edmunds Phd, Lorna Thorpe Phd, Mph, Martin Sepulveda Md, Clem Bezold Phd, David A. Ross Scd

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Background: In October 2013, the Public Health Informatics Institute (PHII) and Institute for Alternative Futures (IAF) convened a multidisciplinary group of experts to evaluate forces shaping public health informatics (PHI) in the United States, with the aim of identifying upcoming challenges and opportunities. The PHI workshop was funded by the Robert Wood Johnson Foundation as part of its larger strategic planning process for public health and primary care.

Workshop Context: During the two-day workshop, nine experts from the public and private sectors analyzed and discussed the implications of four scenarios regarding the United States economy, health care system, information technology ...


Web-Based Comparative Patient-Reported Outcome Feedback To Support Quality Improvement And Comparative Effectiveness Research In Total Joint Replacement, Hua Zheng, Wenjun Li, Leslie Harrold, David C. Ayers, Patricia D. Franklin 2014 Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School

Web-Based Comparative Patient-Reported Outcome Feedback To Support Quality Improvement And Comparative Effectiveness Research In Total Joint Replacement, Hua Zheng, Wenjun Li, Leslie Harrold, David C. Ayers, Patricia D. Franklin

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Patient-reported outcomes (PROs) are rarely included in quality monitoring systems, surgeon comparative feedback reports, or registries. We present the design and implementation of a secure website in a federally funded research program—Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement (FORCE-TJR)—to return comparative PRO reports to participating surgeons, in addition to including traditional quality measures, in order to monitor and improve quality and health outcomes.

Methods: The surgeon-specific comparative PRO reports were designed and structured based on user input for content, data elements, integration, and display. Three questions are addressed regarding the knee and hip ...


The Visit-Data Warehouse: Enabling Novel Secondary Use Of Health Information Exchange Data, William Fleischman, Tina Lowry, Jason Shapiro 2014 Icahn School of Medicine at Mount Sinai

The Visit-Data Warehouse: Enabling Novel Secondary Use Of Health Information Exchange Data, William Fleischman, Tina Lowry, Jason Shapiro

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction/Objectives: Health Information Exchange (HIE) efforts face challenges with data quality and performance, and this becomes especially problematic when data is leveraged for uses beyond primary clinical use. We describe a secondary data infrastructure focusing on patient-encounter, nonclinical data that was built on top of a functioning HIE platform to support novel secondary data uses and prevent potentially negative impacts these uses might have otherwise had on HIE system performance.

Background: HIE efforts have generally formed for the primary clinical use of individual clinical providers searching for data on individual patients under their care, but many secondary uses have ...


Customising Doctor-Nurse Communications, Brian Cusack, Dave Parry 2014 Auckland University of Technology

Customising Doctor-Nurse Communications, Brian Cusack, Dave Parry

Australian eHealth Informatics and Security Conference

Doctor-Nurse communications are critical for patient safety and workflow effectiveness. Our research question was: What further improvements can be made to current communication systems? A variety of mobile and land based communication systems have been used and experimented with. In the study, the pager was found to be most common and more recent attempts to provide broadband capability with systems such as the iBeep. We built an alternative information system using Android phones and a software application that was customised by feedback from the medical professionals. The trial in five wards with 22 doctors and 170 nurses over one month ...


Managing Wireless Security Risks In Medical Services, Brian Cusack, Akar Kyaw 2014 Auckland University of Technology

Managing Wireless Security Risks In Medical Services, Brian Cusack, Akar Kyaw

Australian eHealth Informatics and Security Conference

Medical systems are designed for a range of end users from different professional skill groups and people who carry the devices in and on their bodies. Open, accurate, and efficient communication is the priority for medical systems and consequently strong protection costs are traded against the utility benefits for open systems. In this paper we assess the vulnerabilities created by the professional and end user expectations, and theorise ways to mitigate wireless security vulnerabilities. The benefits of wireless medical services are great in terms of efficiencies, mobility, and information management. These benefits may be realised by treating the vulnerabilities and ...


Byod In Ehealth: Herding Cats And Stable Doors, Or A Catastrophe Waiting To Happen?, Krishnun Sansurooh, Patricia A H Williams 2014 Edith Cowan University

Byod In Ehealth: Herding Cats And Stable Doors, Or A Catastrophe Waiting To Happen?, Krishnun Sansurooh, Patricia A H Williams

Australian eHealth Informatics and Security Conference

The use of personal devices in the work environment has crossed the boundaries of work and socially related tasks. With cyber criminals seriously targeting healthcare for medical identity theft, the lack of control of new technologies within healthcare networks becomes an increasing vulnerability. The prolific adoption of personal mobile devices in the healthcare environment requires a proactive approach to the management of Bring Your Own Device (BYOD). This paper analysed the current state of the problem and the challenges that this creates in an environment that has stringent privacy and security requirements. The discourse demonstrates that the issue is not ...


Big Data In Healthcare: What Is It Used For?, Rebecca Hermon, Patricia A H Williams 2014 Edith Cowan University

Big Data In Healthcare: What Is It Used For?, Rebecca Hermon, Patricia A H Williams

Australian eHealth Informatics and Security Conference

Big data analytics is a growth area with the potential to provide useful insight in healthcare. Whilst many dimensions of big data still present issues in its use and adoption, such as managing the volume, variety, velocity, veracity, and value, the accuracy, integrity, and semantic interpretation are of greater concern in clinical application. However, such challenges have not deterred the use and exploration of big data as an evidence source in healthcare. This drives the need to investigate healthcare information to control and reduce the burgeoning cost of healthcare, as well as to seek evidence to improve patient outcomes. Whilst ...


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