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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 ...


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 EDM Forum

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 EDM Forum

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 2014 Oregon Health & Science University

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.


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.


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 2014 University of Massachusetts Medical School

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 2014 University of Massachusetts Medical School

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 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 ...


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