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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.


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 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 ...


An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha 2014 Northern Michigan University

An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha

Journal Articles

The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper ...


An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha 2014 SelectedWorks

An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha

Madison Ngafeeson

The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper ...


Enhancing A Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications, David L. Gutteridge MD, MPH, Nicholas Genes MD, PhD, Ula Hwang MD, MPH, Benjamin Kaplan, The GEDI WISE Investigators, Jason Shapiro MD, MA 2014 EDM Forum

Enhancing A Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications, David L. Gutteridge Md, Mph, Nicholas Genes Md, Phd, Ula Hwang Md, Mph, Benjamin Kaplan, The Gedi Wise Investigators, Jason Shapiro Md, Ma

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: In a health care system where patients often have numerous providers and multiple chronic medical conditions, interoperability of health information technology (HIT) is of paramount importance. Regional health information organizations (RHIO) often provide a health information exchange (HIE) as a solution, which gives stakeholders access to clinical data that they otherwise would not otherwise have. A secondary use of preexisting HIE infrastructure is clinical event notification (CEN) services, which send automated notifications to stakeholders. This paper describes the development and implementation of a CEN service enabled by a RHIO in the New York metropolitan area to improve care coordination ...


The Utah Beacon Experience: Integrating Quality Improvement, Health Information Technology, And Practice Facilitation To Improve Diabetes Outcomes In Small Healthcare Facilities, Janet Tennison, Deepthi Rajeev, Sarah Woolsey, Jeff Black, Steven J. Oostema, Christie North 2014 EDM Forum

The Utah Beacon Experience: Integrating Quality Improvement, Health Information Technology, And Practice Facilitation To Improve Diabetes Outcomes In Small Healthcare Facilities, Janet Tennison, Deepthi Rajeev, Sarah Woolsey, Jeff Black, Steven J. Oostema, Christie North

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: The Utah Improving Care through Connectivity and Collaboration (IC3) Beacon community (2010–2013) was spearheaded by HealthInsight, a nonprofit, community-based organization. One of the main objectives of IC3 was to improve health care provided to patients with diabetes in three Utah counties, collaborating with 21 independent smaller clinics and two large health care enterprises. This paper will focus on the use of health information technology (HIT) and practice facilitation to develop and implement new care processes to improve clinic workflow and ultimately improve patients’ diabetes outcomes at 21 participating smaller, independent clinics.

Innovation: Early in the project ...


State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards 2014 EDM Forum

State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: This case study describes the collaboration between a state public health department, a major research university, and a health extension service funded as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act to establish an interoperable health information system for disease surveillance through electronic reporting of systemic therapy data from numerous oncology practices in Kentucky. The experience of the Kentucky cancer surveillance system can help local and state entities achieve greater effectiveness in designing communication efforts to increase usage of electronic health records (EHRs) and health information exchanges (HIEs), help eligible clinicians meet these new ...


Supporting Primary Care Practices In Building Capacity To Use Health Information Data, Douglas Fernald, Robyn Wearner, W. Perry Dickinson 2014 EDM Forum

Supporting Primary Care Practices In Building Capacity To Use Health Information Data, Douglas Fernald, Robyn Wearner, W. Perry Dickinson

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Our objective was to describe essential support resources and strategies in order to advance the pace and scope of the use of health information technology (HIT) data.

Background and Context: Primary data were collected between January 2011 and October 2012. The primary study population comprised 51 primary care practices enrolled in the Colorado Beacon Consortium in western Colorado.

Methods: We used qualitative methods embedded in a mixed-method evaluation: monthly narrative reports from practices; interviews with providers and staff; and focused, group discussions with quality improvement (QI) advisors and staff from the Health Information Technology Regional Extension Center.

Findings: Practices ...


A Comparison Of Fatigue During Cardiocerebral Resuscitation With Different Compression Rates Among Layperson And Professional Rescuers, Christopher Cassidy 2014 California Polytechnic State University

A Comparison Of Fatigue During Cardiocerebral Resuscitation With Different Compression Rates Among Layperson And Professional Rescuers, Christopher Cassidy

Master's Theses and Project Reports

Quality chest compressions during Cardiopulmonary Resuscitation (CPR) are vital to maintaining adequate perfusion of oxygenated blood to the organs of the body to sustain life. Over the years, the compression rate recommended in Basic Life Support (BLS)/ Advanced Cardiac Life Support (ACLS) protocols for the best possible outcome has risen, and with that increase there are questions regarding rescuer fatigue and the effectiveness of compressions. Layperson and professional rescuers, answering to an emergency, both maintain continuous chest compressions until advanced life support arrives. Depending on the location, this arrival time would most likely be longer than the two minute standard ...


How A Beacon Community Program In New Orleans Helped Create A Better Health Care System By Building Relationships Before Technology, Anjum Khurshid, Lisanne Brown 2014 EDM Forum

How A Beacon Community Program In New Orleans Helped Create A Better Health Care System By Building Relationships Before Technology, Anjum Khurshid, Lisanne Brown

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: In the aftermath of Hurricane Katrina, much of New Orleans’ healthcare infrastructure was destroyed. Initial federal funding after the storm expanded primary care services and helped set up medical homes for New Orleans’ large uninsured and underinsured population. Following that, the Beacon Community in New Orleans, charged with improving health care through the use of technology, decided the best way to accomplish those goals was to build community partnerships and introduce technology improvements based on their input and on their terms. The purpose of this paper is to describe how those partnerships were wrought, including the innovative use of ...


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 2014 EDM Forum

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 2014 EDM Forum

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 2014 EDM Forum

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 ...


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