Health Information Technology Commons^™

Smartphone Apps For Disasters: Workshop Lesson Plan, Paul Levett

Himmelfarb Library Faculty Posters and Presentations

This instruction was designed to be delivered to a Disaster Medical Assistance Team (DMAT) or a Community Emergency Response Team (CERT).

Instructional Goal #1: Using a personal smartphone connected to the internet, learners will download medical information apps, before deployment to a disaster environment.

Instructional Goal #2: Recalling real and simulated patient care situations that required additional medical information, learners will identify and search smartphone apps for relevant, current, authoritative, medical information that could be applied to the care of individual patients in disasters.

An Ehealth System Supporting Palliative Care For Patients With Non-Small Cell Lung Cancer: A Randomized Trial, David H. Gustafson, Lori L. Dubenske, Kang Namkoong, Robert Hawkins, Ming-Yuan Chih, Amy K. Atwood, Roberta Johnson, Abhik Bhattacharya, Cindy L. Carmack, Anne M. Traynor, Toby C. Campbell, Mary K. Buss, Ramaswamy Govindan, Joan H. Schiller, James F. Cleary

Community & Leadership Development Faculty Publications

BACKGROUND: In this study, the authors examined the effectiveness of an online support system (Comprehensive Health Enhancement Support System [CHESS]) versus the Internet in relieving physical symptom distress in patients with non-small cell lung cancer (NSCLC).

METHODS: In total, 285 informal caregiver-patient dyads were assigned randomly to receive, for up to 25 months, standard care plus training on and access to either use of the Internet and a list of Internet sites about lung cancer (the Internet arm) or CHESS (the CHESS arm). Caregivers agreed to use CHESS or the Internet and to complete bimonthly surveys; for patients, these tasks …

Hidden Surveillance On Consumer Health Information Websites, Jacquelyn A. Burkell, Alexandre Fortier

FIMS Publications

Behavioural tracking presents a significant privacy risk to Canadians, particularly when their online behaviours reveal sensitive information that could be used to discriminate against them. This concern is particularly relevant in the context of online health information seeking, since searches can reveal details about health conditions and concerns that the individual may wish to keep private. The privacy threats are exacerbated because behavioural tracking mechanisms are large invisible to users, and many are unaware of the strategies and mechanisms available to track online behaviour. In this project, we seek to document the behavioural tracking practices of consumer health websites, and …

Information Sources In Relation To Information Quality, Information-Seeking, And Uncertainty In The Context Of Healthcare Reform, Jennifer L. Bevan

Communication Faculty Books and Book Chapters

This exploratory study examines information-seeking about the 2010 Patient Protection and Affordable Care Act (i.e. healthcare reform) in relation to the potential barriers of uncertainty,uncertainty discrepancy, and low health self-efficacy. Adult United States participants completed an anonymous online survey about their perceptions and understanding of healthcare reform. Results confirmed recent literature, suggesting a complex relationship between information-seeking and uncertainty. Specifically, for this sample, significant positive relationships were observed between information-seeking about healthcare reform and uncertainty, uncertainty discrepancy, health self-efficacy. Further, uncertainty discrepancy was the potential barrier that accounted for the most variance in predicting information-seeking.Implications of these findings for improving …

Approaches That Will Yield Greater Success When Implementing Self-Administered Electronic Data Capture Ict Systems In The Developing World With An Illiterate Or Semi-Literate Population, Stanley J. Mierzwa, Samir Souidi, Irene Friedland, Sarah A. Littlefield, Lauren L. Katzen, Craig Savel, Deborah Boccio, Saumya Ramarao

Reproductive Health

The Information Technology (IT) Group at the Population Council responded to a need for a technology solution that would help researchers obtain more accurate responses to survey questions that concerned subject matter of a sensitive nature. The IT Group had three goals: (1) to enhance research by obtaining the best data possible, (2) to operate successfully in the local environment and be welcomed by the local populations, and (3) to increase the efficiency and cost-effectiveness of the survey process. This paper outlines approaches to consider when designing and implementing self-administered information and communications technology (ICT) questionnaires in developing countries, and …

Clustered Subsampling For Clinically Informed Diagnostic Brain Mapping, Malin Björnsdotter, Diego Sona, Sonny Rosenthal, Justin Dauwels

Research Collection College of Integrative Studies

Brain based diagnostic systems have recently received attention as a tool in the characterization and diagnosis of a variety of neurodevelopmental and psychiatric disorders. Nonetheless, a majority of disorders are still diagnosed entirely based on symptom assessments and behavioral correlates. We therefore propose a method for fusing brain responses with clinical measures for improved diagnosis. To this end, we utilized the flexibility of clustered random subspace brain mapping to detect regions where brain responses in conjunction with a clinical measure could reliably differentiate patients from control subjects. We demonstrate the approach on realistically simulated functional magnetic resonance imaging (fMRI) brain …

Health Information Privacy In The Correctional Environment, Melissa M. Goldstein

Health Policy and Management Faculty Publications

Information technology is considered a transformative element in health care because it facilitates the transparency and sharing of health information, which have always been central to the practice of medicine and the delivery of high-quality care. The widespread use of electronic health records (EHRs) and electronic health information exchange, among other technologies, is considered essential to improving the quality of care, reducing medical errors, reducing health disparities, and advancing the delivery of patient-centered medical care.

The Emergence And Potential Impact Of Medicine 2.0 In The Healthcare Industry, Terra Stump, Sarah Zilch, Alberto Coustasse

Management Faculty Research

Medicine 2.0 has emerged within healthcare information technology to enable more defined relationships among providers and patients. Physicians, hospitals, and patients are using Medicine 2.0 through social networking to maintain their foothold in the evolution of medical technologies. The authors’ purpose was to determine potential improvements that Medicine 2.0 has on communication and collaboration of healthcare information. Research has shown that Medicine 2.0 has integrated into the healthcare industry and is enabling an increase in communication in healthcare matters. The provider-patient relationship is improving through the use of Medicine 2.0 and has positively impacted society so far.

Function-­Preserving Filters For Sampling In Biological Networks, Kathryn Dempsey Cooper, Sanjukta Bhowmick, Hesham Ali

Interdisciplinary Informatics Faculty Publications

Assays created to study systems of disease and aging can offer a whole new set of therapeutic targets. However, with experiments of this immense volume, data becomes unmanageable for many traditional analyses. Enter the biological network, a tool for modeling relationships among high-throughput data that is quickly rising in popularity. Small networks (in the order of hundreds to few thousands of nodes) use relationships between network structure to infer biological function; this relationship has been confirmed and used in many studies to advance the study of model organisms. Networks built for assessing entire genomes, or entire protein repertoires, however, tend …

Toward Collaborative Print Retention, Sue Woodson, Steven Douglas, Todd J. Puccio, Karen Grigg, Sylvia Mcaphee, Jan Orick, Martha Whaley, Mary Willams, Sheila Snow-Croft

HPD Library Presentations, Speeches, Lectures, Posters, Events, etc.

Background: :In order to serve the many member libraries who were faced with the loss of space and the subsequent need to downsize and discard print collections in a very short time, the NN/LM SE/A formed a task force on print retention in the spring of 2010. This group carried on online discussions and met twice between the Spring of 2010 and The Spring of 2011. The task force recommended, among other things, that a committee be formed to identify the potential for a collaborative print retention project in the region, develop educational resources on the topic of print retention, …

Addressing The Challenges Of Reporting On Childhood Asthma In A Changing Health Care System: Building Better Evidence For High Performance, Meagan Lyon, Anne Rossier Markus, Maya Tuchman Gerstein, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Childhood asthma is a serious and costly chronic disease that burdens children and families as well as the health care systems that serve them. A key element to improving asthma outcomes is access to timely and useful data that can improve the quality of care and inform programs and policies to best serve those communities most burdened by asthma. This Policy Brief examines the nation’s data collection framework for childhood asthma and considers steps that might be taken to strengthen it, including the development, collection and refinement of community-level data to inform local health care systems. Through a review of …

Optimization Strategies For Successful Ehr Adoption, Erin Faverty

Communication & Leadership Dissertations and Theses

The healthcare industry is experiencing a shift in care delivery and documentation as the nation moves toward electronic health record adoption (EHR). This project examines the benefits and hurdles to adoption faced within the industry and provides a detailed curriculum guide of strategies, approaches and materials for consultants assisting healthcare organizations in EHR implementation. The recommendations provided by this project are grounded in the theories of organizational culture as presented by Clifford Geertz (1977) and Michael Packanowsky (Griffin 2009, p. 252), as well as insights on the impacts of computer-mediated communication, as discussed by Joseph Walthers (Barrow, 2010). Materials presented …

Librarians And Health Workers: Partnering And Collaborating To Support Free Access To Health Information In Nigeria, Ngozi Blessing Ukachi

Collaborative Librarianship

The well-being of individuals and communities depend on accessibility to accurate health information. A recent study shows the many communities in some regions of Nigeria lack accessibility to this information. Building on the success of partnerships between librarians and health care workers in the delivery of health information in other parts of the world, the Nigerian situation could be greatly improved through a number of strategies, as suggested.

Data Segmentation In Electronic Health Information Exchange: Policy Considerations And Analysis, Melissa M. Goldstein, Alison L. Rein, Melissa M. Heesters, Penelope P. Hughes, Benjamin Williams, Scott A. Weinstein

Health Policy and Management Faculty Publications

The issue of whether and, if so, to what extent patients should have control over the sharing or withholding of their health information represents one of the foremost policy challenges related to electronic health information exchange. It is widely acknowledged that patients' health information should flow where and when it is needed to support the provision of appropriate and high-quality care. Equally significant, however, is the notion that patients want their needs and preferences to be considered in the determination of what information is shared with other parties, for what purposes, and under what conditions. Some patients may prefer to …

Consumer Consent Options For Electronic Health Information Exchange: Policy Considerations And Analysis, Melissa M. Goldstein, Alison L. Rein

Health Policy and Management Faculty Publications

The issue of whether, to what extent, and how individuals should have the ability to exercise control over their health information represents one of the foremost policy challenges related to the electronic exchange of health information. The current landscape of possible consent models is varied, and the factors involved in choosing among them are complex. States and other entities engaged in facilitating the exchange of electronic health information are struggling with a host of challenges, chief among them the establishment of policies and procedures for patient participation in their exchange efforts. While some have adopted policies enabling patients to exercise …

Forming Bodies And Reforming Healthcare: The Co-Construction Of Information Technologies And Bodies Through The Imperative For Self Care, Scout Calvert

University of Nebraska-Lincoln Libraries: Faculty Publications

Care work and technological work are markedly striated by sex; the sites where they overlap are few. What happens when the labor of care meets up with information technologies? It makes good methodological sense to look at largely feminized environments that are also increasingly technological. Gender, Health, and Information Technology in Context, edited and with contributions by Ellen Balka, Eileen Green, and Flis Henwood, is a welcome contribution to the body of evidence about the socio-technical co-construction of technology, health, and gender. The volume houses nine studies, bookended by an astute introduction and conclusion by the editors. Each study …

Computerized Provider Order Entry Implementation: Provider And Hospital Leadership Impacts On Success, Elizabeth J. Walker

Theses and Graduate Projects

Healthcare organizations are consistently exhausting efforts to improve their patient safety standards and outcomes, especially those that are regulated by federal and state agencies. Many healthcare organizations have chosen to implement an Electronic Health Record (EHR) to facilitate better decision-making and faster tumaround for providers, thus improving patient safety. The EHR allows providers to manage patient care with the help of decision support functions, and with greater accessibility to the patient's information. One of the components of an EHR is the application of Computerized Provider Order Entry (CPOE). Although the benefits to both providers and patients have shown to be …

Role Of Information And Communication Technologies (Icts) In Behavior Change Communication In Northern India, Population Council

Reproductive Health

This research brief examines the growth of new information and communication technologies (ICTs) and its uses in the health sector, as well as existing and emerging ICT applications that have the potential to rapidly accelerate the adoption of family health practices. It also looks at its use in behavior change communication strategies to deliver services for improving family health outcomes. The findings indicate that ICTs, particularly mobile phones are likely to have a wider reach among rural populations. It also recommends scaling up multiple interaction systems using ICTs.

Use Of Emoticons For Assessing Emotion And Mood States In Web-Based Interventions, Jennifer Chua So

Loma Linda University Electronic Theses, Dissertations & Projects

In the rapidly growing field of online psychotherapeutic interventions, an increasing number of clinicians are seeking to extend therapeutic interventions into cyberspace. However, because communication with clients in this medium is often devoid of auditory and visual feedback, these clinicians are not able to rely on their clinical observations. It then becomes incumbent to develop a psychometrically and theoretically sound means of assessing emotion and mood states that can be easily utilized in this forum. Utilizing cross-culturally and empirically supported models of emotion structure shown to be influential in the self-report data, the Positive Affect and Negative Affect factors, this …

The Effects Of The Introduction Of An Electronic Medical Record (Emr) On Self-Reported Treatment Effects In A Psychological Service In A Family Medicine Clinic, Michael D. Herman

Loma Linda University Electronic Theses, Dissertations & Projects

The healthcare system in the United States has traditionally focused on pathogenic disease prevention and treatment of acute illness, only addressing physical health (Grzywacz & Keyes, 2004). This approach is limited, as it does not often acknowledge the influence of mental health and health promotion on outcomes. Approximately, 25-75% of all presenting cases with uncertain etiology in medicine are psychosocial or behavioral in origin (Schulte et. al., 2004). Improvements can be made through integrated care; however, divergent viewpoints and often proximity across providers disrupts, psychologist-physician communication, collaboration, and subsequently care access (McDaniel, 1995). The current study examines the self reported …

The Rhetorical Strategies Of Pregnancy Support Centers Including The Visual Rhetoric Of Fetal Ultrasound Technology, Raymond Kyle Jones

Dissertations

This study examined the rhetorical strategies, including verbal and visual rhetoric, of pregnancy support centers that provide clients with fetal ultrasounds to persuade those who may be considering abortion as a means of resolving their unplanned pregnancy to carry to term. Qualitative data were gathered from 12 interviews of directors and ultrasound personnel from 7 states as well as from television advertisements and printed material. Eighteen research questions investigating the rhetorical transactions between centers and clients were answered. Rhetorical analyses were performed on the verbal and visual messages used in client interactions.

The grounded theory approach of inquiry resulted in …

Listening To The Stars: The Constellation Model Of Collaborative Social Change, Tonya Surman, Mark Surman

Social Space

There has been much talk about social sector partnerships and networks. Tonya Surman and Mark Surman explain how the ‘constellation model’, developed for the Canadian Partnership for Children’s Health and the Environment, offers an innovative approach to organising such collaborative efforts.

Sexual Behavior And Sti/Hiv Status Among Adolescents In Rural Malawi: An Evaluation Of The Effect Of Interview Mode On Reporting, Barbara Mensch, Paul C. Hewett, Richard Gregory, Stephane Helleringer

Poverty, Gender, and Youth

This paper presents the results from an interview-mode experiment conducted by the Population Council with unmarried young women in rural southern Malawi. To collect data on sexual behavior and the dynamics of HIV transmission, respondents were randomly assigned to either an audio computer-assisted self-interview (ACASI) or a conventional face-to-face (FTF) interview. Clear evidence indicates that the mode of interviewing and probing concerning various sexual partnerships affects respondents’ reporting of their sexual activity, yet the results are not always in accordance with expectations. Reporting for “ever had sex” and “sex with a boyfriend” is higher in the FTF mode, whereas, when …

Health Information Technology In The United States: The Information Base For Progress, David Blumenthal, Catherine M. Desroches, Karen Donelan, Sara J. Rosenbaum, Timothy Ferris

Health Policy and Management Faculty Publications

Health information technology (HIT) has the potential to advance health care quality by helping patients with acute and chronic conditions receive recommended care, diminishing disparities in treatment and reducing medical errors. Nevertheless, HIT dissemination has not occurred rapidly, due in part to the high costs of electronic health record (EHR) systems for providers of care—including the upfront capital investment, ongoing maintenance and short-term productivity loss. Also, many observers are concerned that, if HIT follows patterns observed with other new medical technologies, HIT and EHRs may diffuse in ways that systematically disadvantage vulnerable patient populations, thus increasing or maintaining existing disparities …

Girls' Perception Of Physical Environmental Factors And Transportation: Reliability And Association With Physical Activity And Active Transport To School, Kelly R. Evenson, Amanda Birnbaum, Ariane L. Bedimo-Rung, James Sallis, Carolyn C. Voorhees, Kimberly Ring, John P. Elder

Department of Public Health Scholarship and Creative Works

Background

Preliminary evidence suggests that the physical environment and transportation are associated with youth physical activity levels. Only a few studies have examined the association of physical environmental factors on walking and bicycling to school. Therefore, the purpose of this study was (1) to examine the test-retest reliability of a survey designed for youth to assess perceptions of physical environmental factors (e.g. safety, aesthetics, facilities near the home) and transportation, and (2) to describe the associations of these perceptions with both physical activity and active transport to school.

Methods

Test and retest surveys, administered a median of 12 days later, …

Internet Accessibility And Usage Among Urban Adolescents In Southern California: Implications For Web-Based Health Research, C. Anderson Johnson, Ping Sun, Jennifer B. Unger, Paula Palmer, Peggy E. Gallaher, Chih-Ping Chou, Steve Sussman, Lourdes Baezconde-Garbanati

CGU Faculty Publications and Research

The World Wide Web (WWW) poses a distinct capability to offer interventions tailored to the individual’s characteristics. To fine tune the tailoring process, studies are needed to explore how Internet accessibility and usage are related to demographic, psychosocial, behavioral, and other health related characteristics. This study was based on a cross-sectional survey conducted on 2373 7th grade students of various ethnic groups in Southern California. Measures of Internet use included Internet use at school or at home, Email use, chat-room use, and Internet favoring. Logistic regressions were conducted to assess the associations between Internet uses with selected demographic, psychosocial, behavioral …

The Feasibility Of Computer-Assisted Survey Interviewing In Africa: Experience From Two Rural Districts In Kenya, Paul C. Hewett, Annabel Erulkar, Barbara Mensch

Poverty, Gender, and Youth

This paper explores the use of an audio computer-assisted self-interviewing (audio-CASI) methodology in a household survey of adolescents in two districts of Kenya. Computer software was developed as part of a research project comparing audio-CASI with traditional methods of interviewing about sensitive behaviors, including sexual initiation, risky sexual behavior, coerced sex, and drug and alcohol use. The paper describes the experience of carrying out a household-based study using computers and explores the technical challenges faced by the data collection teams. Few problems emerged with the computer hardware and software, despite the difficult interviewing conditions. The adolescent respondents easily adapted to …

Consistency In The Reporting Of Sexual Behavior Among Adolescent Girls In Kenya: A Comparison Of Interviewing Methods, Paul C. Hewett, Barbara Mensch, Annabel Erulkar

Poverty, Gender, and Youth

This paper explores the consistency in reporting of sexual behavior in a household survey of adolescents aged 15-21 in the Kisumu district of Kenya. Respondents were randomly assigned to different interviewing modes: face-to-face interviews, paper-and-pencil self-administered interviews, and audio computer-assisted self-interviewing (ACASI). The analysis focuses on the reporting of sexual behavior by adolescent girls in the face-to-face and ACASI modes and compares responses to a variety of questions about sexual activity, including sexual initiation, risky sexual behavior, and coerced sex. All sexual behavior questions were asked of each adolescent girl even if she answered “no” to the initial question about …

Factors Assoctated With Technology Adoption In Clinical Practice, Jennifer C. Salib

All-Inclusive List of Electronic Theses and Dissertations

The primary focus of the current study was the investigation of technology use and related attitudes toward technology by psychologists in clinical practice. In addition, this study served as the initial step in a larger effort to develop a database, the Independent Practice Network (IP-Net), which will allow for on-going investigation of patterns and trends in independent practice. This study employed a survey method in which participants chose to respond either via the Internet or by mail. A random sample of 2,000 psychologists who are members of Division 42 (Psychologists in Independent Practice) of the American Psychological Association were invited …

Patient Choice Modules For Summaries Of Clinical Effectiveness: A Proposal, Margaret Holmes-Rovner, Hilary Llewellyn-Thomas, Vikki Entwistle, Angela Coulter

Dartmouth Scholarship

No abstract provided.