Health Information Technology Commons^™

Healthcare Information Systems: Opportunities And Challenges, Madison Ngafeeson

Madison Ngafeeson

No abstract provided.

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

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

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 ...

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

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

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

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

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 ...

Lions, Tigers, And Gummi Bears: Springing Towards Effective Engagement With Research Data Management, Nicole Vasilevsky, Jackie Wirz, Robin Champieux, Todd Hannon, Bryan Laraway, Kyle Banerjee, Chris Shaffer, Melissa Haendel

Scholar Archive

As part of an award from the Future of Research Communications and e-Scholarship (Force11) community organization, the Oregon Health & Science University Library implemented an outreach effort with the local research community. The three-pronged approach consisted of a data management open house, one-on-one consultations with researchers, and an interactive data wrangling session. Here we describe our efforts to understand our community’s research data management needs and how the outcomes are influencing the Library’s efforts to provide research data management related services.

Video Streaming Application: Image Quality Analysis Of Wireless Ad-Hoc Network Routing Protocols, Innovative Research Publications Irp India, Mr.Thinaharan R Amachandran, Dr.P. Rajamohan, Dr.R Leelavathi

Innovative Research Publications IRP India

Wireless sensor ad-hoc network usually applied in a monitoring system like monitoring temperature, humidity or even any triggering inputs from a connected peripheral device. The approach of wireless ad hoc network for monitoring video data is under preliminary investigation and development because video streaming requires larger storage, quality channel, less jittering and low packet loss. The mobility of IEEE 802.11 in ad-hoc network increases packet loss due to high link breakages. An efficient routing protocol can diagnose, reduce and improves ad-hoc network for video streaming activity. In this paper the Optimized Link State Routing protocol (OLSR), Better Approach To ...

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

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

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 ...

Acceptability Of A Novel Smartphone Application For Rhythm Evaluation In Patients With Atrial Fibrillation, Daniel J. Amante, Thomas M. English, Jane S. Saczynski, Nada Esa, Iryna Nieto, Ki H. Chon, David D. Mcmanus

Community Engagement and Research Symposium

Background: Investigators at UMass Medical School and WPI co-developed a novel smartphone application (app), PULSESMART, that detects atrial fibrillation (AF). AF is the world’s most common, serious heart rhythm problem. In its early stages, most cases of AF are paroxysmal (pAF), making them difficult to identify early in the course of disease. Long-term cardiac monitoring is frequently needed to diagnose and prevent complications from AF, such as stroke. Home monitoring for AF can be clinically impactful but existing technologies have cost or methodological limitations. Data are needed on the potential acceptability and usability of heart rhythm monitoring applications.

Aim ...

Familial, Associational, & Incidental Relationships (Fair), Thomas M. English, Michael J. Davis, Rebecca L. Kinney, Ariana Kamberi, Wayne Chan, Rajani S. Sadasivam, Thomas K. Houston

Community Engagement and Research Symposium

Identifying familial linkages in a phenotypic data warehouse can be valuable in cohort identification, and beginning to understand interactions of diseases among families. The goal of the Familial, Associational, & Incidental Relationships (FAIR) system is to identify an index set patients’ relationships through elements in a data warehouse. Using a test set of 500 children, we measured the sensitivity and specificity of available linkage algorithm (e.g.: insurance id and phone numbers) and validated this tool/algorithm through a manual chart audit. Sensitivity varied from 16% to 87%, and specificity from 70% to 100% using various combinations of identifiers. Using the ...

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

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

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

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 ...