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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.


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 ...


My Shark Tank Experience: Inventing Tools For Population Health, Robert Lieberthal PhD 2014 Thomas Jefferson University

My Shark Tank Experience: Inventing Tools For Population Health, Robert Lieberthal Phd

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Information And Communication Technology To Facilitate Learning For Students In The Health Professions: Current Uses, Gaps, And Future Directions, Ellen Costello, Mary A. Corcoran, Jacqueline S. Barnett, Marisa C. Birkmeier, Rhea Cohn, Ozgur Ekmekci, Nancy L. Falk, Thomas Harrod, Debra Herrmann, Sean Robinson, Bryan Walker 2014 Himmelfarb Health Sciences Library, The George Washington University

Information And Communication Technology To Facilitate Learning For Students In The Health Professions: Current Uses, Gaps, And Future Directions, Ellen Costello, Mary A. Corcoran, Jacqueline S. Barnett, Marisa C. Birkmeier, Rhea Cohn, Ozgur Ekmekci, Nancy L. Falk, Thomas Harrod, Debra Herrmann, Sean Robinson, Bryan Walker

Physical Therapy and Health Care Sciences Faculty Publications

Changes in the US Healthcare System along with the need for institutions of higher education to prepare a work force ready to address the challenges of today and tomorrow have highlighted the need to incorporate technology in its broadest sense as part of the student learning experience. In health professional education, this becomes challenging as programs have traditionally relied on face-to-face instruction along with internship experiences which provide hands on patient care. In addition, learning activities that incorporate higher order critical thinking must be incorporated in order to meet competency based professional expectations as well as expectations in the work ...


The Comet Sleep Research Platform, Deborah A. Nichols, Steven DeSalvo, Ric Miller, Darrell Jonsson, Kara S. Griffin, Pamela R. Hyde, James K. Walsh, Clete A. Kushida 2014 EDM Forum

The Comet Sleep Research Platform, Deborah A. Nichols, Steven Desalvo, Ric Miller, Darrell Jonsson, Kara S. Griffin, Pamela R. Hyde, James K. Walsh, Clete A. Kushida

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: The Comparative Outcomes Management with Electronic Data Technology (COMET) platform is extensible and designed for facilitating multicenter electronic clinical research.

Background: Our research goals were the following: (1) to conduct a comparative effectiveness trial (CET) for two obstructive sleep apnea treatments—positive airway pressure versus oral appliance therapy; and (2) to establish a new electronic network infrastructure that would support this study and other clinical research studies.

Discussion: The COMET platform was created to satisfy the needs of CET with a focus on creating a platform that provides comprehensive toolsets, multisite collaboration, and end-to-end data management. The platform also ...


Achieving Medical Excellence, Kathryn McCracken 2014 Liberty University

Achieving Medical Excellence, Kathryn Mccracken

Honorable Mention

On August 22, 2014, Liberty University hosted a grand opening ceremony for its brand new Center for Medical and Health Sciences.


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 2014 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

Journal of Patient-Centered Research and Reviews

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 ...


Assessing Technologies For Information-Seeking On Prostate Cancer Screening By Low-Income Men, Susan W. McRoy, Emily M. Cramer, Hayeon Song 2014 Aurora Health Care

Assessing Technologies For Information-Seeking On Prostate Cancer Screening By Low-Income Men, Susan W. Mcroy, Emily M. Cramer, Hayeon Song

Journal of Patient-Centered Research and Reviews

Purpose: This paper presents a multipart investigation of the benefits and challenges in deploying automated question-answering as an alternative to web-based searching to provide information about prostate cancer screening for low-income men age 40 years and older.

Methods: The study comprised: 1) a survey assessing current use of the Internet, mobile phones and texting; 2) a controlled observational study of both web-based searching and automated question-answering for information about prostate cancer; and 3) a formative field study in which subjects interacted with a health department nurse using text messages.

Results: Survey results suggest the target population has greater access to ...


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.


The Southeastern Minnesota Beacon Project For Community-Driven Health Information Technology: Origins, Achievements, And Legacy, Christopher G. Chute, Lacey A. Hart, Alex K. Alexander, Daniel W. Jensen 2014 EDM Forum

The Southeastern Minnesota Beacon Project For Community-Driven Health Information Technology: Origins, Achievements, And Legacy, Christopher G. Chute, Lacey A. Hart, Alex K. Alexander, Daniel W. Jensen

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: The Southeastern (SE) Minnesota Beacon organized all the health care providers, county public health organizations, and school districts in the deployment and integration of health information exchange (HIE) and targeted health communication around childhood asthma and diabetes. The community cooperated to establish a clinical data repository for all residents in the 11-county region. Through this community of practice approach that involved traditional and nontraditional providers, the SE Minnesota Beacon was able to realize unique applications of this technology. This manuscript overviews the associated organization and infrastructure of this community collaboration.

Background: The Office of the National Coordinator for Health ...


Beacon Communities’ Public Health Initiatives: A Case Study Analysis, Barbara L. Massoudi MPH, PhD, Laura H. Marcial, Saira Haque, Robert Bailey, Kelley Chester, Shellery Cunningham, Amanda Riley, Paula Soper 2014 EDM Forum

Beacon Communities’ Public Health Initiatives: A Case Study Analysis, Barbara L. Massoudi Mph, Phd, Laura H. Marcial, Saira Haque, Robert Bailey, Kelley Chester, Shellery Cunningham, Amanda Riley, Paula Soper

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Abstract

Introduction: The Beacon Communities for Public Health (BCPH) project was launched in 2011 to gain a better understanding of the range of activities currently being conducted in population- and public health by the Beacon Communities. The project highlighted the successes and challenges of these efforts with the aim of sharing this information broadly among the public health community.

Background: The Beacon Community Program, designed to showcase technology-enabled, community-based initiatives to improve outcomes, focused on: building and strengthening health information technology (IT) infrastructure and exchange capabilities; translating investments in health IT to measurable improvements in cost, quality, and population health ...


Evaluating The Reliability Of Ehr-Generated Clinical Outcomes Reports: A Case Study, Chatrian Kanger, Lisanne Brown, Snigdha Mukherjee, Haichang Xin, Mark Diana, Anjum Khurshid 2014 EDM Forum

Evaluating The Reliability Of Ehr-Generated Clinical Outcomes Reports: A Case Study, Chatrian Kanger, Lisanne Brown, Snigdha Mukherjee, Haichang Xin, Mark Diana, Anjum Khurshid

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Quality incentive programs, such as Meaningful Use, operate under the assumption that clinical quality measures can be reliably extracted from EHRs. Safety Net providers, particularly Federally Qualified Health Centers and Look-Alikes, tend to be high adopters of EHRs; however, recent reports have shown that only about 9% of FQHCs and Look-Alikes were demonstrating meaningful use as of 2013. Our experience working with the Crescent City Beacon Community (CCBC) found that many health centers relied on chart audits to report quality measures as opposed to electronically generating reports directly from their EHRs due to distrust in the data. This paper ...


Big Data And Big Crowds: Getting Useful Data From Text Fields Using Large Data Sets, Janna L. Friedly, Jeffery G. Jarvik, Bryan Comstock 2014 EDM Forum

Big Data And Big Crowds: Getting Useful Data From Text Fields Using Large Data Sets, Janna L. Friedly, Jeffery G. Jarvik, Bryan Comstock

Webinars

Overview: Abstracting information from imaging reports is traditionally done by trained researchers who review the report text and record the presence or absence of key words or findings. The standard abstraction method is laborious, time-consuming, and expensive, and the alternative method, natural language processing (NLP), requires special expertise to implement and tailor the algorithm. A third, more recent, option is crowd-sourcing through Amazon mTurk, a marketplace where people can sign-up to work on human intelligence tasks (HITs).

This webinar reviewed three approaches for abstracting data from imaging reports based on the experiences of the Back pain Outcomes using Longitudinal Data ...


The Community Health Applied Research Network (Charn) Data Warehouse: A Resource For Patient-Centered Outcomes Research And Quality Improvement In Underserved, Safety Net Populations, Reesa Laws, Suzanne Gillespie, Jon Puro, Stephan Van Rompaey, Thu Quach, Joseph Carroll, Rosy Chang Weir, Phil Crawford, Chris Grasso, Erin Kaleba, Mary Ann McBurnie 2014 EDM Forum

The Community Health Applied Research Network (Charn) Data Warehouse: A Resource For Patient-Centered Outcomes Research And Quality Improvement In Underserved, Safety Net Populations, Reesa Laws, Suzanne Gillespie, Jon Puro, Stephan Van Rompaey, Thu Quach, Joseph Carroll, Rosy Chang Weir, Phil Crawford, Chris Grasso, Erin Kaleba, Mary Ann Mcburnie

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Background: The Community Health Applied Research Network, funded by the Health Resources and Services Administration, is a research network comprising 18 Community Health Centers organized into four Research Nodes (each including an academic partner) and a data coordinating center. The network represents more than 500,000 diverse safety net patients across 11 states.

Objective: The primary objective of this paper is to describe the development and implementation process of the CHARN data warehouse.

Methods: The methods involved regulatory and governance development and approval, development of content and structure of the warehouse and processes for extracting the data locally, performing validation ...


Egems’ Early Adventures In Open Access Publishing, Erin Holve 2014 EDM Forum

Egems’ Early Adventures In Open Access Publishing, Erin Holve

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: In January 2013 AcademyHealth officially launched eGEMs (Generating Evidence and Methods to improve patient outcomes) to rapidly disseminate peer-reviewed approaches using electronic health data (EHD) to advance research and quality improvement (QI), with the overall goal of improving patient and community outcomes. Instigated by the publication of eGEMs 50th paper, Dr. Erin Holve, eGEMs editor-in-chief reviews the EDM Forum’s early experiences with open access publishing.

eGEMs to Date: As of the end of September 2014 eGEMs has published 59 manuscripts and received nearly 150 submissions. These early findings demonstrate eGEMs is filling a need for dissemination outlets ...


Applying Novel Tree-Based Frameworks To Big Data For Classification Of Heart Failure Patients And Prediction Of Clinical Responses, Yan Zhang, Nicholas Downing, Emily Bucholz, Suganthi Balasubramanian, Shu-Xia Li, Tara Liptak, Harlan Krumholz, Mark Gerstein 2014 Yale University

Applying Novel Tree-Based Frameworks To Big Data For Classification Of Heart Failure Patients And Prediction Of Clinical Responses, Yan Zhang, Nicholas Downing, Emily Bucholz, Suganthi Balasubramanian, Shu-Xia Li, Tara Liptak, Harlan Krumholz, Mark Gerstein

Yale Day of Data

Over 5 million Americans suffer from heart failure, a condition with a 5-year survival that eclipses all cancers apart from that of lung cancer. Conventional understanding of heart failure is simplistic: it is viewed as a single syndrome, despite real heterogeneity. In addition, models predicting outcomes focus on dichotomous results, like 30-day readmission. A novel approach to classification of heart failure may improve our ability to target interventions, improve patient experiences, and predict outcomes.

The Healthcare Cost and Utilization Project is a family of administrative claims databases that describes patient demographics, comorbidities, procedures, acute care utilization and outcomes, such as ...


Emphasizing Public Health Within A Health Information Exchange: An Evaluation Of The District Of Columbia’S Health Information Exchange Program, Jason Goldwater, Juliette Jardim, Tasnuva Khan, Karen Chan 2014 EDM Forum

Emphasizing Public Health Within A Health Information Exchange: An Evaluation Of The District Of Columbia’S Health Information Exchange Program, Jason Goldwater, Juliette Jardim, Tasnuva Khan, Karen Chan

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Clinovations Government Solutions (CGS) was contracted in 2013 to conduct a mixed-methods evaluation of the District of Columbia (D.C.) Health Information Exchange (HIE) program as part of their Cooperative Agreement Grant funded by the Office of the National Coordinator in 2010. The evaluation was to focus on the progress of the HIE, how many providers and hospitals were participating in the program, and what benefits were being realized through the use of the HIE. During the course of the evaluation, the CGS team found that the use of the HIE to support public health reporting was one of ...


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 ...


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