Health Information Technology Commons^™

Lessons Learned From The Hospital To Home Community Care Program In Singapore And The Supporting Ai Multiple Readmissions Prediction Model, John Abisheganaden, Kheng Hock Lee, Lian Leng Low, Eugene Shum, Han Leong Goh, Christine Gia Lee Ang, Adny An Ta Wee, Steven M. Miller

Research Collection School Of Computing and Information Systems

In a prior practice and policy article published in Healthcare Science, we introduced the deployed application of an artificial intelligence (AI) model to predict longer-term inpatient readmissions to guide community care interventions for patients with complex conditions in the context of Singapore's Hospital to Home (H2H) program that has been operating since 2017. In this follow on practice and policy article, we further elaborate on Singapore's H2H program and care model, and its supporting AI model for multiple readmission prediction, in the following ways: (1) by providing updates on the AI and supporting information systems, (2) by reporting on customer …

Tracing The Twenty-Year Evolution Of Developing Ai For Eye Screening In Singapore: A Master Chronology Of Sidrp, Selena+ And Eyris, Steven M. Miller

Research Collection School Of Computing and Information Systems

This working paper is entirely comprised of a timeline table that begins in 2002 and runs through mid-2023. Across these two decades, this timeline traces the evolutionary development of the following:

• The early Singapore R&D efforts to apply software-based image analysis algorithms and methods to analyse eye retina images for diabetic retinopathy and other eye diseases. This was based on a collaboration between the Singapore Eye Research Institute (SERI) and its parent organization, the Singapore National Eye Centre (SNEC), with faculty from the School of Computing at National University of Singapore.
• The establishment and operation of the Singapore Integrated Diabetic …

Feature Selection From Clinical Surveys Using Semantic Textual Similarity, Benjamin Warner

McKelvey School of Engineering Graduate Student Theses & Dissertations

Survey data collected from human subjects can contain a high number of features while having a comparatively low quantity of examples. Machine learning models that attempt to predict outcomes from survey data under these conditions can overfit and result in poor generalizability. One remedy to this issue is feature selection, which attempts to select an optimal subset of features to learn upon. A relatively unexplored source of information in the feature selection process is the usage of textual names of features, which may be semantically indicative of which features are relevant to a target outcome. The relationships between feature names …

Combining Frameworks To Improve Military Health System Quality And Cybersecurity, Dr. Maureen L. Schafer, Dr. Joseph H. Schafer

Military Cyber Affairs

Existing conceptual frameworks and commercially available technology could be considered to rapidly operationalize the use of Quality Measures (QM) within military health systems (Costantino et al. 2020). Purchased healthcare as well as digital healthcare services have paved the way for data collection from multiple information systems thus offering stakeholders actionable intelligence to both guide and measure healthcare outcomes. However, the collection of data secondary to Smart Devices, disparate information systems, cloud services, and the Internet of Medical Things (IOMT) is a complication for security experts that also affect clients, stakeholders, organizations, and businesses delivering patient care. We have combined three …

Exploring A Gradient-Based Explainable Ai Technique For Time-Series Data: A Case Study Of Assessing Stroke Rehabilitation Exercises, Min Hun Lee, Yi Jing Choy

Research Collection School Of Computing and Information Systems

Explainable artificial intelligence (AI) techniques are increasingly being explored to provide insights into why AI and machine learning (ML) models provide a certain outcome in various applications. However, there has been limited exploration of explainable AI techniques on time-series data, especially in the healthcare context. In this paper, we describe a threshold-based method that utilizes a weakly supervised model and a gradient-based explainable AI technique (i.e. saliency map) and explore its feasibility to identify salient frames of time-series data. Using the dataset from 15 post-stroke survivors performing three upper-limb exercises and labels on whether a compensatory motion is observed or …

The Impact Of Virtual Reality On The Healthcare Industry, Peter Sullivan

Honors Projects in Information Systems and Analytics

Virtual reality (VR) took off in 2013 and has touched many public sectors, from gaming, to business, to healthcare. This study looks at virtual reality's impact has affected the healthcare system, with a focus on its use for medical training, patient recovery, patient pain management, and mental health care. A literature review was conducted on the current state of the industry addressing virtual reality's performance in the field, the perception of experts, and an estimation of financial undertakings. Looking at cost analyses brought a fuller approach to the research. Surveying researchers and workers within the realm of healthcare and VR …

From Policy Promotion To Research Output: Brief Analysis Of Technical Challenges Of Hospital-Led Artificial Intelligence Research, Yu Zhuang, Cheng Zhou

Bulletin of Chinese Academy of Sciences (Chinese Version)

In recent years, artificial intelligence has become a key direction of medical and health-related research and a hot spot of international competition. In order to investigate the current situation and challenges in hospital-led artificial intelligence researched, this study selects 14 national pilot hospitals to promote the high-quality development of public hospitals as samples, adopts a combination of quantitative and qualitative methods, analyzes the research articles related to artificial intelligence published by the sample hospitals in recent years, and analyzes the technical challenges in the hospital-led artificial intelligence research. The results show that although the number of hospital-led artificial intelligence research …

Creating The Capacity For Digital Government, Cheow Hoe Chan, Steven M. Miller

Asian Management Insights

This article explains how a well-thought-out data policy, supported by a tech stack and cloud infrastructure, an agile way of working, and coordinated whole-of-government leadership, are fundamental to successful government digital transformation efforts, as exemplified by the Singapore government’s digital journey. As part of explaining how to create the capacity for digital government, the main sections of this article cover:

• The origins of GovTech
• How thinking big, starting small and acting fast is a practical strategy for organisational learning
• The importance of horizontal platforms and other enablers of a horizontal approach
• Data architecture and policy
• “Shifting left” with internal technology …

Spatio-Temporal Heterogeneity In The International Trade Resilience During Covid-19, Wei Luo, Lingfeng He, Zihui Yang, Shirui Zhang, Yong Wang, Dianbo Liu, Sheng Hu, Li He, Jizhe Xia, Min Chen

Research Collection School Of Computing and Information Systems

The COVID-19 pandemic and subsequent lockdowns have created immeasurable health and economic crises, leading to unprecedented disruptions to world trade. The COVID-19 pandemic shows diverse impacts on different economies that suffer and recover at different rates and degrees. This research aims to evaluate the spatio-temporal heterogeneity of international trade network vulnerabilities in the current crisis to understand the global production resilience and prepare for the future crisis. We applied a series of complex network analysis approaches to the monthly international trade networks at the world, regional, and country scales for the pre- and post- COVID-19 outbreak period. The spatio-temporal patterns …

A Fair Incentive Scheme For Community Health Workers, Avinandan Bose, Tracey Li, Arunesh Sinha, Tien Mai

Research Collection School Of Computing and Information Systems

Community health workers (CHWs) play a crucial role in the last mile delivery of essential health services to under-served populations in low-income countries. Many non-governmental organizations (NGOs) provide training and support to enable CHWs to deliver health services to their communities, with no charge to the recipients of the services. This includes monetary compensation for the work that CHWs perform, which is broken down into a series of well-defined tasks. In this work, we partner with a NGO D-Tree International to design a fair monetary compensation scheme for tasks performed by CHWs in the semi-autonomous region of Zanzibar in Tanzania, …

A Secure Emr Sharing System With Tamper Resistance And Expressive Access Control, Shengmin Xu, Jianting Ning, Yingjiu Li, Yinghui Zhang, Guowen Xu, Xinyi Huang, Robert H. Deng

Research Collection School Of Computing and Information Systems

To reduce the cost of human and material resources and improve the collaborations among medical systems, research laboratories and insurance companies for healthcare researches and commercial activities, electronic medical records (EMRs) have been proposed to shift from paperwork to friendly shareable electronic records. To take advantage of EMRs efficiently and reduce the cost of local storage, EMRs are usually outsourced to the remote cloud for sharing medical data with authorized users. However, cloud service providers are untrustworthy. In this paper, we propose an efficient, secure, and flexible EMR sharing system by introducing a novel cryptosystem called dual-policy revocable attribute-based encryption …

Architectural Design Of A Blockchain-Enabled, Federated Learning Platform For Algorithmic Fairness In Predictive Health Care: Design Science Study, Xueping Liang, Juan Zhao, Yan Chen, Eranga Bandara, Sachin Shetty

VMASC Publications

Background: Developing effective and generalizable predictive models is critical for disease prediction and clinical decision-making, often requiring diverse samples to mitigate population bias and address algorithmic fairness. However, a major challenge is to retrieve learning models across multiple institutions without bringing in local biases and inequity, while preserving individual patients' privacy at each site.

Objective: This study aims to understand the issues of bias and fairness in the machine learning process used in the predictive health care domain. We proposed a software architecture that integrates federated learning and blockchain to improve fairness, while maintaining acceptable prediction accuracy and minimizing overhead …

Commentary On Healthcare And Disruptive Innovation, Hilary Finch, Affia Abasi-Amefon, Woosub Jung, Lucas Potter, Xavier-Lewis Palmer

Electrical & Computer Engineering Faculty Publications

Exploits of technology have been an issue in healthcare for many years. Many hospital systems have a problem with “disruptive innovation” when introducing new technology. Disruptive innovation is “an innovation that creates a new market by applying a different set of values, which ultimately overtakes an existing market” (Sensmeier, 2012). Modern healthcare systems are historically slow to accept new technological advancements. This may be because patient-based, provider-based, or industry-wide decisions are tough to implement, giving way to dire consequences. One potential consequence is that healthcare providers may not be able to provide the best possible care to patients. For example, …

An Efficient Lightweight Provably Secure Authentication Protocol For Patient Monitoring Using Wireless Medical Sensor Networks, Garima Thakur, Sunil Prajapat, Pankaj Kumar, Ashok Kumar Das, Sachin Shetty

VMASC Publications

The refurbishing of conventional medical network with the wireless medical sensor network has not only amplified the efficiency of the network but concurrently posed different security threats. Previously, Servati and Safkhani had suggested an Internet of Things (IoT) based authentication scheme for the healthcare environment promulgating a secure protocol in resistance to several attacks. However, the analysis demonstrates that the protocol could not withstand user, server, and gateway node impersonation attacks. Further, the protocol fails to resist offline password guessing, ephemeral secret leakage, and gateway-by-passing attacks. To address the security weaknesses, we furnish a lightweight three-factor authentication framework employing the …

Design Of Robust Blockchain-Envisioned Authenticated Key Management Mechanism For Smart Healthcare Applications, Siddhant Thapiyal, Mohammad Wazid, Devesh Pratap Singh, Ashok Kumar Das, Sachin Shetty

VMASC Publications

The healthcare sector is a very crucial and important sector of any society, and with the evolution of the various deployed technologies, like the Internet of Things (IoT), machine learning and blockchain it has numerous advantages. However, in this section, the data is much more vulnerable than others, because the data is strictly private and confidential, and it requires a highly secured framework for the transmission of data between entities. In this article, we aim to design a blockchain-envisioned authentication and key management mechanism for the IoMT-based smart healthcare applications (in short, we call it SBAKM-HS). We compare the various …

Artificial Intelligence In The Medical Field: Medical Review Sentiment Analysis, Nicholas Podlesak

Honors Capstones

In this research project, natural language processing techniques’ ability to accurately classify medical text was measured to reinforce the relevance of artificial intelligence in the medical field. Sentiment analyses (analyses to determine whether the text was positive or negative) were performed on the prescription drug reviews in an open-source dataset using four different models: lexical, a neural network, a support vector machine, and a logistic regression model. Each model’s effectiveness was gauged by its ability to correctly classify unlabeled drug reviews (i.e., a percentage representing accuracy). The machine learning models were able to accurately classify the text, while the lexical …

Smartphone As An Edge For Context-Aware Real-Time Processing For Personal E-Health, Muhammad Bangash

University Honors Program Senior Projects

The medical domain is facing an ongoing challenge of how patients can share their health information and timeline with healthcare providers. This involves secure sharing, diverse data types, and formats reported by healthcare-related devices. A multilayer framework can address these challenges in the context of the Internet of Medical Things (IoMT). This framework utilizes smartphone sensors, external services, and medical devices that measure vital signs and communicate such real-time data with smartphones. The smartphone serves as an “edge device” to visualize, analyze, store, and report context- aware data to the cloud layer. Focusing on medical device connectivity, mobile security, data …

Predictive Self-Organizing Neural Networks For In-Home Detection Of Mild Cognitive Impairment, Seng Khoon Teh, Iris Rawtaer, Ah-Hwee Tan

Research Collection School Of Computing and Information Systems

In-home sensing of daily living patterns from older adults coupled with machine learning is a promisingapproach to detect Mild Cognitive Impairment (MCI), a potentially reversible condition with early detectionand appropriate intervention. However, the number of subjects involved in such real-world studies istypically limited, posing the so-called small data problem to most predictive models which rely on a sizablenumber of labeled data. In this work, a predictive self-organizing neural network known as fuzzy AdaptiveResonance Associate Map (fuzzy ARAM) is proposed to detect MCI using in-home sensor data collected from aunique Singapore cross-sectional study. Specifically, mean and standard deviation of nine in-home …

Sustaining Patient Portal Continuous Use Intention And Enhancing Deep Structure Usage: Cognitive Dissonance Effects Of Health Professional Encouragement And Security Concerns, Murad Moqbel, Barbara Hewitt, Fiona Fui-Hoon Nah, Rosann M. Mclean

Research Collection School Of Computing and Information Systems

Sustaining patient portal use is a major problem for many healthcare organizations and providers. If this problem can be successfully addressed, it could have a positive impact on various stakeholders. Through the lens of cognitive dissonance theory, this study investigates the role of health professional encouragement as well as patients’ security concerns in influencing continuous use intention and deep structure usage among users of a patient portal. The analysis of data collected from 177 patients at a major medical center in the Midwestern region of the United States shows that health professional encouragement helps increase the continuous use intention and …

Two Singapore Public Healthcare Ai Applications For National Screening Programs And Other Examples, Andy Wee An Ta, Han Leong Goh, Christine Ang, Lian Yeow Koh, Ken Poon, Steven M. Miller

Research Collection School Of Computing and Information Systems

This article explains how two AI systems have been incorporated into the everyday operations of two Singapore public healthcare nation-wide screening programs. The first example is embedded within the setting of a national level population health screening program for diabetes related eye diseases, targeting the rapidly increasing number of adults in the country with diabetes. In the second example, the AI assisted screening is done shortly after a person is admitted to one of the public hospitals to identify which inpatients—especially which elderly patients with complex conditions—have a high risk of being readmitted as an inpatient multiple times in the …

Analyzing The Impact Of Covid-19 Control Policies On Campus Occupancy And Mobility Via Wifi Sensing, Camellia Zakaria, Amee Trivedi, Emmanuel Cecchet, Michael Chee, Prashant Shenoy, Rajesh Krishna Balan

Research Collection School Of Computing and Information Systems

Mobile sensing has played a key role in providing digital solutions to aid with COVID-19 containment policies, primarily to automate contact tracing and social distancing measures. As more and more countries reopen from lockdowns, there remains a pressing need to minimize crowd movements and interactions, particularly in enclosed spaces. Many COVID-19 technology solutions leverage positioning systems, generally using Bluetooth and GPS, and can theoretically be adapted to monitor safety compliance within dedicated environments. However, they may not be the ideal modalities for indoor positioning. This article conjectures that analyzing user occupancy and mobility via deployed WiFi infrastructure can help institutions …

A Smartwatch Step-Counting App For Older Adults: Development And Evaluation Study, George Boateng, Curtis L. Petersen, David Kotz, Karen L. Fortuna, Rebecca Masutani, John A. Batsis

Dartmouth Scholarship

Background: Older adults who engage in physical activity can reduce their risk of mobility impairment and disability. Short amounts of walking can improve quality of life, physical function, and cardiovascular health. Various programs have been implemented to encourage older adults to engage in physical activity, but sustaining their motivation continues to be a challenge. Ubiquitous devices, such as mobile phones and smartwatches, coupled with machine-learning algorithms, can potentially encourage older adults to be more physically active. Current algorithms that are deployed in consumer devices (eg, Fitbit) are proprietary, often are not tailored to the movements of older adults, and have …

Mobile Health With Head-Worn Devices: Challenges And Opportunities, Andrea Ferlini, Dong Ma, Lorena Qendro, Cecilia Mascolo

Research Collection School Of Computing and Information Systems

Monitoring human behavior and health status using mobile devices, a.k.a. Mobile Health, has gained increasing attention from both academia and industry in recent years. It allows imperceptible health tracking from the users and remote health management from the healthcare service providers. Headworn devices, such as earbuds, glasses, and BCIs (Brain Computer Interfaces), exhibit great potential for mobile health due to their advantageous wearing position, the human head, which is motion-resilient and full of human bio-signals. Although initial attempts have been conducted for different healthcare applications with head-worn devices, this fast-growing area is still under-explored and retains great promises. With this …

Application In Medicine: Has Artificial Intelligence Stood The Test Of Time, Mir Ibrahim Sajid, Shaheer Ahmed, Usama Waqar, Javeria Tariq, Mohsin Chundrigar, Samira Shabbir Balouch, Sajid Abaidullah

Medical College Documents

Artificial intelligence (AI) has proven time and time again to be a game-changer innovation in every walk of life, including medicine. Introduced by Dr. Gunn in 1976 to accurately diagnose acute abdominal pain and list potential differentials, AI has since come a long way. In particular, AI has been aiding in radiological diagnoses with good sensitivity and specificity by using machine learning algorithms. With the coronavirus disease 2019 pandemic, AI has proven to be more than just a tool to facilitate healthcare workers in decision making and limiting physician-patient contact during the pandemic. It has guided governments and key policymakers …

The Short-Term Effects Of Fine Airborne Particulate Matter And Climate On Covid-19 Disease Dynamics, El Hussain Shamsa, Kezhong Zhang

Medical Student Research Symposium

Background: Despite more than 60% of the United States population being fully vaccinated, COVID-19 cases continue to spike in a temporal pattern. These patterns in COVID-19 incidence and mortality may be linked to short-term changes in environmental factors.

Methods: Nationwide, county-wise measurements for COVID-19 cases and deaths, fine-airborne particulate matter (PM_2.5), and maximum temperature were obtained from March 20, 2020 to March 20, 2021. Multivariate Linear Regression was used to analyze the association between environmental factors and COVID-19 incidence and mortality rates in each season. Negative Binomial Regression was used to analyze daily fluctuations of COVID-19 cases …

Leveraging Context Patterns For Medical Entity Classification, Garrett Johnston

Computer Science Senior Theses

The ability of patients to understand health-related text is important for optimal health outcomes. A system that can automatically annotate medical entities could help patients better understand health-related text. Such a system would also accelerate manual data annotation for this low-resource domain as well as assist in down- stream medical NLP tasks such as finding textual similarity, identifying conflicting medical advice, and aspect-based sentiment analysis. In this work, we investigate a state-of-the-art entity set expansion model, BootstrapNet, for the task of medical entity classification on a new dataset of medical advice text. We also propose EP SBERT, a simple model …

Codem: Conditional Domain Embeddings For Scalable Human Activity Recognition, Abu Zaher Md Faridee, Avijoy Chakma, Zahid Hasan, Nirmalya Roy, Archan Misra

Research Collection School Of Computing and Information Systems

We explore the effect of auxiliary labels in improving the classification accuracy of wearable sensor-based human activity recognition (HAR) systems, which are primarily trained with the supervision of the activity labels (e.g. running, walking, jumping). Supplemental meta-data are often available during the data collection process such as body positions of the wearable sensors, subjects' demographic information (e.g. gender, age), and the type of wearable used (e.g. smartphone, smart-watch). This information, while not directly related to the activity classification task, can nonetheless provide auxiliary supervision and has the potential to significantly improve the HAR accuracy by providing extra guidance on how …

Rhythmedge: Enabling Contactless Heart Rate Estimation On The Edge, Zahid Hasan, Emon Dey, Sreenivasan Ramasamy Ramamurthy, Nirmalya Roy, Archan Misra

Research Collection School Of Computing and Information Systems

The primary contribution of this paper is designing and prototyping a real-time edge computing system, RhythmEdge, that is capable of detecting changes in blood volume from facial videos (Remote Photoplethysmography; rPPG), enabling cardio-vascular health assessment instantly. The benefits of RhythmEdge include non-invasive measurement of cardiovascular activity, real-time system operation, inexpensive sensing components, and computing. RhythmEdge captures a short video of the skin using a camera and extracts rPPG features to estimate the Photoplethysmography (PPG) signal using a multi-task learning framework while offloading the edge computation. In addition, we intelligently apply a transfer learning approach to the multi-task learning framework to …

The Contribution Of Ethical Governance Of Artificial Intelligence & Machine Learning In Healthcare, Tina Nguyen

Electronic Theses and Dissertations

With the Internet Age and technology progressively advancing every year, the usage of Artificial Intelligence (AI) along with Machine Learning (ML) algorithms has only increased since its introduction to society. Specifically, in the healthcare field, AI/ML has proven to its end-users how beneficial its assistance has been. However, despite its effectiveness and efficiencies, AI/ML has also been under scrutiny due to its unethical outcomes. As a result of this, two polarizing views are typically debated when discussing AI/ML. One side believes that AI/ML usage should continue regardless of its unsureness, while the other side argues that this technology is too …

Studying Alive : An Application For The Wellness Of College Students During The Covid-19 Pandemic, Natasia Fernandez

Theses, Dissertations and Culminating Projects

Mental health awareness has become an increasingly important topic over the past couple of years due the Covid-19 pandemic. Many individuals find it difficult to discuss their mental health. An individual’s mental health is a significant factor in maintaining their overall wellness. College students, specifically, face various hurdles and challenges that can affect their mental health. They have several responsibilities weighing on their shoulders which can lead to stress, depression and/or anxiety. College students may find it difficult to express these topics and seek healthy ways to cope. During the Covid-19 pandemic, additional challenges have been added onto college students …