Health Information Technology Commons^™

A Study On Generic Prescription Substitution Policy As A Cost Containment Approach For Michigan’S Medicaid System, Khandaker Nayeemul Islam

Transactions of the International Conference on Health Information Technology Advancement

High health care costs have left millions of people unable to buy health insurance and has broadened the state’s responsibility to protect low-income families through Medicaid programs. Increasing health care costs have created severe toll on fiscal management of federal and state governments. Prescription drugs are a significant part of Michigan’s Medicaid costs. Due to the economic recession and the downsizing of auto sector the number of Medicaid beneficiaries in Michigan has increased over the years. Thus it has increased Medicaid prescription drugs program costs at a fast pace, which creates fiscal burden on Michigan in administering the program and …

Challenges Of Mobile Healthcare Application Security, Alan Rea

Transactions of the International Conference on Health Information Technology Advancement

Healthcare information technology has overcome many of the Web application security challenges in the past decade. We can now access information more securely and incidents of unintentional data loss are on the decline. However, more must be done to ensure the confidentiality, integrity, and availability of mobile applications in the healthcare field. Whether it is physicians using iPads to access treatment histories or patients managing healthcare options via smart phones, the proposed CAP framework (checks, assurances, protection) adds additional security and privacy layers to our modern mobile medical needs.

A Threat Table Based Approach To Telemedicine Security, John C. Pendergrass, Karen Heart, C. Ranganathan, V.N. Venkatakrishnan

Transactions of the International Conference on Health Information Technology Advancement

Information security within healthcare is paramount and telemedicine applications present unique security challenges. Technology is giving rise to new and advanced telemedicine applications and understanding the security threats to these applications is needed to ensure, among other things, the privacy of patient information. This paper presents a high level analysis of a telemedicine application in order to better understand the security threats to this unique and vulnerable environment. This risk analysis is performed using the concept of threat tables. This case study focuses on the capture and representation of salient security threats in telemedicine. To analyze the security threats to …

Standardization Needs For Effective Interoperability, Marilyn Skrocki

Transactions of the International Conference on Health Information Technology Advancement

The Electronic Health Record (EHR) has brought unique challenges in the effort to share information. How data is captured varies from institution to institution. In order for data to be well understood, data should have a definition that is consistent and comprehensively understood by all users of the data. Standardization of how data is captured is critical to allow the production and export of data needed to support quality assessment, decision support, exchange of data for patients with multiple health care providers and public health surveillance. Patient safety and quality improvement are dependent upon embedded clinical guidelines that promote standardized, …

An Empirical Study Of Home Healthcare Robots Adoption Using The Utuat Model, Ahmad Alaiad, Lina Zhou, Gunes Koru

Transactions of the International Conference on Health Information Technology Advancement

Home healthcare initiatives are aimed to reduce readmission costs, transportation costs, and hospital medical errors, and to improve post hospitalization healthcare quality, and enhance patient home independency. Today, it is almost unimaginable to consider this initiative without information technology. Home healthcare robots are one type of the emerging technologies that hold promise for making clinical information available at the right place and right time. Several robots have been developed to facilitate home healthcare such as remote presence robots (e.g., RP2) and Paro. Most previous research focus on technical and implementation issues of home healthcare robots, there is a need to …

The Ehealth Behavior Management Model: A Stage-Based Approach To Behavior Change And Management, Robert J. Bensley, Nelda Mercer, John J. Brusk, Ric Underhile, Jason Rivas, Judith Anderson, Deanne Kelleher, Melissa Lupella, André C. De Jager

Human Performance and Health Education Faculty Research

Although the Internet has become an important avenue for disseminating health information, theory-driven strategies for aiding individuals in changing or managing health behaviors are lacking. The eHealth Behavior Management Model combines the Transtheoretical Model, the behavioral intent aspect of the Theory of Planned Behavior, and persuasive communication to assist individuals in negotiating the Web toward stage-specific information. It is here — at the point of stage-specific information — that behavioral intent in moving toward more active stages of change occurs.

The eHealth Behavior Management Model is applied in three demonstration projects that focus on behavior management issues: parent-child nutrition education …

Technology In Clinical Practice And The "Technological Ethic", John W. Murphy, John T. Pardeck

The Journal of Sociology & Social Welfare

Computers are being introduced into practically every area of clinical practice. The use of this technology by practitioners has not gone unchallenged. Specifically, new ethical problems are thought to be associated with using computers to make clinical assessments. Logistical and procedural difficulties, however, have been the primary focus of concern. In this paper the critique of computerized evaluation is expanded, with attention directed to the computer "micro-world." Because the computer micro-world consists of several unwarranted assumptions about the nature of social reality, clinical practice may be affected in many undesireable ways. The theoretical underside of computer use is illustrated to …

Physiologic Responses To Maximal Exercise On A Treadmill, Monarch Bicycle Ergometer And Schwinn Air-Dyne Ergometer, Elaine Jason Naegele

Masters Theses

The study was conducted to determine which of three exercise modes would elicit the highest values for maximal oxygen uptake and maximal heart rate. Maximal graded exercise tests were performed by 20 healthy adults, ten women and ten men. Five of the women and five of the men were trained and the remaining ten were untrained. Each subject used, in a random order: (a) a motorized treadmill, (b) a Monarch bicycle ergometer, and (c) a Schwinn Air-Dyne ergometer. For each test, subjects were encouraged to complete successively harder workload stages, until they reached volitional exhaustion or localized muscle fatigue.

The …