Health Information Technology Commons^™

Med Conformity: Enhance Adherence With Prescription Opioids, Nafees Qamar

Research Days

A person dies in America approximately every 16 minutes from opioid overdose. It is estimated that one in four patients receiving long-term opioid therapy in a primary care setting struggles with opioid addiction. Medication non-adherence causes unfavorable healthcare outcomes and raises healthcare costs through increased service utilization. We need to provide tools and information for healthcare professionals working on overdose prevention and treatment, and increase awareness and share best practices with providers and patients. Developing a digital health application to run on a smartphone is an inexpensive solution for addressing medication non-adherence. Objective data captured on a digital device can …

Telemedicine Training In Undergraduate Medical Education: Mixed-Methods Review., Shayan Waseh, Mph, Adam P. Dicker, Md, Phd, Fastro

Student Papers, Posters & Projects

BACKGROUND: Telemedicine has grown exponentially in the United States over the past few decades, and contemporary trends in the health care environment are serving to fuel this growth into the future. Therefore, medical schools are learning to incorporate telemedicine competencies into the undergraduate medical education of future physicians so that they can more effectively leverage telemedicine technologies for improving the quality of care, increasing patient access, and reducing health care expense. This review articulates the efforts of allopathic-degree-granting medical schools in the United States to characterize and systematize the learnings that have been generated thus far in the domain of …

Improving Access To Rare Disease Clinical Trials Through Telemedicine, Dylan Haynes, Christina Topham, Teri Greiling

OHSU-PSU School of Public Health Annual Conference

Introduction: Rare diseases affect nearly 400 million individuals worldwide. The geographic density of any single disease, however, can prohibit access to care and research efforts. Telemedicine has improved access barriers in the clinical setting, though its application in rare disease trials has not been evaluated.

Objective: To assess the impact on access to care of videoconferencing in a rare disease clinical trial.

Materials and Methods: Preliminary analysis was performed on the first five participants to complete our ongoing trial (NCT03485976) evaluating the efficacy of ixekizumab for the treatment of pityriasis rubra pilaris. Participants were required to travel to Oregon Health …

Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp

Thinking Matters Symposium Archive

The ongoing opioid crisis has overwhelmed the traditional opioid use disorder (OUD) treatment resources across America. The treatment resources in rural communities have been especially hard hit as geographic and financial barriers limit service capacity. Telemedicine, or medicine delivered via remote means, has been proposed as a potential solution to the lack of conventional opioid treatment resources in rural Maine. Current legalities in the US prohibit telemedicine being used to prescribe opioid agonist drugs, and insurance reimbursement for telemedicine remains a major barrier. This qualitative content analysis looks at the existing research on telemedicine's treatment efficacy for use with OUD …

Clinical Decision Support Functions And Digitalization Of Clinical Documents Of Electronic Medical Record Systems, Young-Taek Park, Phoebe (Yeon) S. Kim, Byoung-Kee Yi, Sang Mi Kim

Nursing Faculty Publications

Objectives

The objective of this study was to investigate the clinical decision support (CDS) functions and digitalization of clinical documents of Electronic Medical Record (EMR) systems in Korea. This exploratory study was conducted focusing on current status of EMR systems.

Methods

This study used a nationwide survey on EMR systems conducted from July 25, 2018 to September 30, 2018 in Korea. The unit of analysis was hospitals. Respondents of the survey were mainly medical recorders or staff members in departments of health insurance claims or information technology. This study analyzed data acquired from 132 hospitals that participated in the survey. …

Views On The Apple Health Application From Future Health Science Professionals, Trent Talmadge

Health Sciences Student Work

Introduction: Fitness and wellness applications are now the norm that smartphones come with the applications pre-installed on the device. In 2016 and 2017 wearable fitness technology was rated as the top trend in health and wellness sectors (Bunn et al, 2018). More information is needed to improve the utilization of fitness tracking technology to create a bridge between health professionals having their clients use the applications and the people building the tech. Methods: Healthy students at least 18 years of age at Merrimack College (mostly in the School of Health Sciences) were asked to partake in an online survey. The …

Implementation Of Pharmacogenomics Into Electronic Health Record And Clinical Decision Support, Dharaben Naik

Applied Research Projects

The advent of electronic health records (EHR) and clinical decision support (CDS) has brought numerous changes in the healthcare field and has improved how patients receive care. The field of pharmacogenomics has made many breakthrough discoveries in the last few decades and these new advances have immensely reduced the cost of genetic testing. As advances have been made, researchers have discovered that individuals may respond to a medication differently due to genetic variants. There is a shift in the medical field from a one size fits all model to a personalized medicine model based on genetic information. Institutions have started …

Health Information Exchanges In The Community Pharmacy Setting, Kenneth D. Sykes

Applied Research Projects

The landscape of health care is shifting as new payment models and mandates for health information technology (HIT) rise. There is an unprecedented demand to meet our nation’s health care challenges of access, safety, quality, and cost. To meet these demands, the health care industry has recognized a team-based care model which can introduce the collaborative power through health information exchanges (HIEs). Providers like pharmacists, can detect and resolve medication errors, duplications, and omissions by using HIEs. HIEs give pharmacists the entire view of the patient from the bed-side of the hospital to the community pharmacy. However, the implementation of …

An Assessment Of Utilization Of Prescription Anti-Hypertension Medications Via A Health Records Database, Ryan Payne

Applied Research Projects

Obesity is a growing problem in the United States, though not a new one. It was estimated that over 72 million U.S. adults alone have a diagnosis of obesity. Among all preventable premature deaths, obesity ranks as the second leading cause. Contemporary classifications define obesity as a body mass index (BMI) greater than or equal to 30. Several common comorbidities are widely present in obese populations, particularly hypertension, diabetes, and hyperlipidemia. Among these chronic disease states, hypertension has been identified as the most common and earliest identifiable. The purpose of this study was to make inferences on the prescribing of …

Patient Willingness To Undergo Robotic Surgery: Identification And Validation Of A Predictive Model, Emily C. Anania

Doctoral Dissertations and Master's Theses

INTRODUCTION: The purpose of the current dissertation is to better understand the factors which make an individual willing (or unwilling) to undergo robotic surgery. Though surgical feasibility and provider perceptions are often studied, little research has investigated how patients perceive robotic surgical systems.

METHOD: A two-stage approach was taken in order to build and validate a regression equation in order to predict an individual’s willingness to undergo robotic surgery based on several factors. Stage 1 employed a sample size of 1324 participants in order to build the model. Participants responded to a survey indicating their willingness to undergo robotic surgery, …

Evidence-Based Toolkit To Evaluate Telemedicine Delivery Of Palliative Care, Aubrey E. Dwyer

Doctoral Projects

Advances in healthcare have led to many individuals with cancer to live longer, however the quality of life of these individuals has decreased. Palliative care is a medical sub-specialty that can assist to care for individuals with a life-limiting illness such as cancer. However, the access to palliative care services in rural communities is limited. According to the Institute of Medicine (IOM) report Dying in America, increasing access to palliative care will not only enhance the quality of life for patients with a life-limiting illness, but also contribute to a more sustainable healthcare system. The key stakeholders within a Midwest …

Using Technology-Driven Patient Communication Appointment Reminders To Improve Uniform Data System Measures In A Federally Qualified Health Center, Ana Torres

Doctoral Projects

Background: Process of meeting Uniform Data System (UDS) measures in a west Michigan Federally Qualified Health Center (FQHC) has several components with different team members sharing responsibility in the process and workflow to document preventative screenings. An evidence-based technology-enhanced patient communication intervention was developed to meet benchmarks for the FQHCs UDS reporting metrics. The purpose of this quality improvement project was to answer the clinical question: Will technology-enhanced communication appointment reminders using automated telephone communication increase rates of screening follow-up visits to improve data reported to UDS at a west Michigan FQHC organization?

Objectives: Increase percentage of screening visits after …

Cinema: Efficient And Privacy-Preserving Online Medical Primary Diagnosis With Skyline Query, Jianfeng Hua, Hui Zhu, Fengwei Wang, Ximeng Liu, Rongxing Lu, Hao Li, Yeping Zhang

Research Collection School Of Computing and Information Systems

Online medical primary diagnosis system, which can provide convenient medical decision support through applying mobile communication and data analysis technology, has been considered as a promising approach to improve the quality of healthcare service. However, it still faces many severe challenges on the privacy of users' health information and the accuracy of diagnosis result, which deter the wide adoption of online medical primary diagnosis system. In this paper, we propose an efficient and privacy-preserving online medical primary diagnosis (CINEMA) framework. Within CINEMA framework, users can access online medical primary diagnosing service accurately without divulging their medical data. Specifically, based on …

April 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Public Health Week

Join in observing National Public Health Week from April 1-7, 2019 and become part of a growing movement to create the healthiest nation in one generation. During the week, we will celebrate the power of prevention, advocate for healthy and fair policies, share strategies for successful partnerships and champion the role of a strong public health system. Each day of NPHW 2019 will focus on a public health topic. Hoping each topic will spark new conversations and engage new participants in the community. Follow along at this link to see daily themes and ways each of …

Cross-Day Influences Between Couple Closeness And Coparenting Support Among New Parents., Yunying Le, Steffany J Fredman, Brandon T. Mcdaniel Phd, Jean-Philippe Laurenceau, Mark E Feinberg

Health Services and Informatics Research

The couple and coparenting relationships are demonstrated to be prospectively and bidirectionally associated over months to years during the early parenting years. However, little is known about these associations at the daily level within the first year of parenthood, when coparenting first emerges. The goal of the current study was to examine the association between couples' daily feelings of relationship closeness and coparenting support in first-time parents and determine directionality of these effects using a dyadic daily diary design. At 10 months postpartum, heterosexual couples (

Program Perencanaan Pulang Dapat Meningkatkan Pengetahuan Dan Keterampilan Ibu Yang Melahirkan Bayi Prematur Merawat Bayinya, Erna Julianti, Yeni Rustina, Defi Efendi

Jurnal Keperawatan Indonesia

Discharge Planning Improving Knowledge and Skill Mother Who Birth Premature to Take Care Baby. Premature babies have a greater risk for health problems. Therefore, they need an intensive care since they are in the hospital until they go home. The purpose of this research was to find out the influence of education program for the knowledge and skills of the mothers on caring for their premature babies during discharge planning. This research was a quasi-experimental study with pre and post-test design without control groups. The sample of this research was 35 mothers who gave birth to premature babies and their …

Prediktor Kegagalan Menyusui Ekslusif: Studi Di Puskesmas Buaran Kabupaten Pekalongan Jawa Tengah Indonesia, Isyti'aroh Isyti'aroh, Siti Rofiqoh, Nurul Aktifah

Jurnal Keperawatan Indonesia

Predictors for Exclusive Breastfeeding Failure: Study at Buaran Community Health Center Pekalongan Regency, Central Java, Indonesia. The failure of exclusive breastfeeding (EBF) is still a phenomenon in the community. In 2015 Pekalongan Regency had exclusive breastfeeding coverage of 30.3%. It indicates that most mothers failed to give exclusive breastfeeding. This study aimed to determine the factors that related to exclusive breastfeeding (EBF)failure. This descriptive cross sectional study was carried out among 151 mother in the Buaran Health Centre Pekalongan Regency, selected using cluster random sampling method. The research instrument was questionnaires from the research of Isyti'aroh, Setyowati and Afifah (2013). …

Hubungan Tingkat Pengetahuan Dan Diabetes Self-Management Dengan Tingkat Stres Pasien Diabetes Melitus Yang Menjalani Diet, Kusnanto Kusnanto, Putri Mei Sundari, Candra Panji Asmoro, Hidayat Arifin

Jurnal Keperawatan Indonesia

The correlation between knowledge level and diabetes self-management towards stress level of patients DM with diet. Knowledge is very important in developing diabetes self-management to prevent the risk of long-term complications with a strict diet. The purpose of this study was to determine the relationship between knowledge and diabetes self-management with stress levels of people with diabetes mellitus who went on a diet. This study uses a cross-sectional design. The total samples obtained were106 respondents with multistage sampling, inclusion criteria included patients with DM years, did not use insulin injection, DM patients were still married and lived with their families. …

Kepuasan Pasien Terhadap Penerapan Keselamatan Pasien Di Rumah Sakit, Widiasari Widiasari, Hanny Handiyani, Enie Novieastari

Jurnal Keperawatan Indonesia

Patient Satisfaction Against Patient Safety Application at Hospital. The level of patient satisfaction with nursing services in Indonesia is mostly unsatisfied. The cause of patient dissatisfaction is due to misidentification, miscommunication, medication errors, and inappropriate risk management of falls. This study aimed to identify the relationship between the application of patient safety and patient satisfaction at Hospital X. The study design used a cross-sectional approach by distributing questionnaires to 143 patients. Sampling using cluster random sampling by determining the number of samples that meet the inclusion criteria, then given a questionnaire until the number of samples is met, and conduct …

An Insight Into Maternal Death Caused By Postpartum Hemorrhage In Western Timor, Indonesia, Kristiani Desmina Tauho, Ferry Fredy Karwur

Jurnal Keperawatan Indonesia

Maternal deaths in Timor Island, East Nusa Tenggara Province, are one of the contributors to the overall maternal mortality rate (MMR) of Indonesia. The MMR of Western Timor Island was150/100,000 live births in 2015. The aim of this qualitative study was to explore the perceived causes of maternal death due to postpartum hemorrhage. Data were obtained from family members, traditional birth attendants, and Posyandu cadres, as well as health providers. Using the retrospective method, this study traced six out of nine postpartum hemorrhage cases in the four sub districts with the highest maternal deathrate in 2010. The research findings showed …

Dampak Frekuensi Pernapasan Predialisis Terhadap Kram Otot Intradialisis Di Rsud Panembahan Senopati Bantul, Cornelia D Y Nakeda, Mohamad Judha

Jurnal Keperawatan Indonesia

Effect of Predialysis Respiration Rate on Intradialysis Muscle Cramps at Regional Hospital Panembahan Senopati Bantul. Hemodialysis process often causes painful impact such as muscle cramps during intradialysis. The objective of this research was to identify the increased between respiratory rate and intradialysis muscle cramps. The method of this research was analytical survey method. This research is descriptif quantitative with cross sectional design. This research conducted in hemodialysis unit in Panembahan Senopati General Hospital in Bantul. The subjects of the research taken using accidental sampling. The total research subjects were 91 respondents. The researchers measured the relationship between predialysis respiratory rate …

Distraction Techniques: Telling Stories To Decrease Pain For Preschool Children During Infusion, Lina Dewi Anggraeni, Widiyanti Widiyanti

Jurnal Keperawatan Indonesia

Hospital procedures, such as infusions, are often associated with pain. Preschool-aged children who are hospitalized for infusions will often exhibit a strong fearful response because their concept of body integrity has not fully developed. One way to reduce the fear of infusion pain is by using stories as a distraction technique. The purpose of this study was to identify differences in the scale of pain between members of an intervention group, to which the distraction technique was applied, and a control group, to which it was not applied. The study used quasi-experimental methods, with intervention and control groups. The study …

Latihan Pernapasan Diafragma Meningkatkan Arus Puncak Ekspirasi (Ape) Dan Menurunkan Frekuensi Kekambuhan Pasien Asma, Dian Kartikasari, Ikhlas Muhammad Jenie, Yanuar Primanda

Jurnal Keperawatan Indonesia

Effect of Diaphragmatic Breathing Exercises on Peak Expiratory Flow Rate(PEFR) Enhancement and The Mild-Moderate Asthma Patients’ Relapse Frequency Reduction. One of the management of asthma is diaphragmatic breathing exercises that could improve lung function of asthma patients. The objective of the study was to examine the effect of diaphragmatic breathing exercises on Peak Expiratory Flow Rate (PEFR) and decreased frequency of mild-moderate asthma relapse on the patients. True experiment method pretest-posttest with control group was applied in this study with involved 28 random research subject. Subjects were divided into intervention groups and control groups through randomization of 14 people for …

A Methodology For Rapid Deployment Of Shared Cohort Discovery System With Integrated Ehr To Enable Federated Health Data Governance, Muhammad Asim Khan

Theses and Dissertations

This dissertation is an effort to address the Information Quality (IQ) issues in the federated healthcare networks. As the Electronic health records (EHR) systems technology evolves, the importance of data sharing in federated research has increased. However time consuming and technical difficulties in deploying federated data networks, along with the issue of disparate EHR systems in use of data federating entities aggravate the IQ challenges. Healthcare data mapping across federated database schemas and consistent clinical criteria for phenotype identification requires better data governance in the federated data networks. This research provides the methodology for the rapid deployment of Federated Healthcare …

An Evaluation Of Mobile Applications For Improving Health In Older Adults: A Review Of The Literature, Patrick Healy

The Pegasus Review: UCF Undergraduate Research Journal

There are over one million mobile applications or "apps" available for use in improving health. One population that could potentially benefit from the use of mobile applications is the elderly. Choosing appropriate applications can be daunting, however, and there is a paucity of research identifying which applications are useful for elderly patients. The aim of this study is to perform a literature review regarding the available mobile applications for health and fitness and to provide health care providers with evidence-based information about other potentially useful and novel applications for their older patients.

In an attempt to address the need for …

Dual Complementary Liposomes Inhibit Triple-Negative Breast Tumor Progression And Metastasis, Peng Guo, Jiang Yang, Daxing Liu, Lan Huang, Gillian Fell, Jin Huang, Marsha A. Moses, Debra T. Auguste

Publications and Research

Distinguishing malignant cells from non-neoplastic ones is a major challenge in triple-negative breast cancer (TNBC) treatment. Here, we developed a complementary targeting strategy that uses precisely matched, multivalent ligand-receptor interactions to recognize and target TNBC tumors at the primary site and metastatic lesions. We screened a panel of cancer cell surface markers and identified intercellular adhesion molecule–1 (ICAM1) and epithelial growth factor receptor (EGFR) as optimal candidates for TNBC complementary targeting. We engineered a dual complementary liposome (DCL) that precisely complements the molecular ratio and organization of ICAM1 and EGFR specific to TNBC cell surfaces. Our in vitro mechanistic studies …

A Woman With A Lung Infiltrate And Brain Abscesses: Case Discussion From The University Of Louisville Hospital, Veronica Corcino, Viswanathan Nagarajan, Forest W. Arnold

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Healthcare Common Procedure Coding System Chapter, Module, Veronica Mcgowan

Faculty Articles & Research

Like Current Procedural Terminology (CPT®), the Healthcare Common Procedure Coding System (HCPCS) is a code set for billing services and procedures. Unlike CPT, HCPCS is also used to bill supplies, products, durable medical equipment (DME), prosthetics, orthotics, outpatient hospital care, ambulance rides, and certain drugs and medicines provided to Medicare patients and private health insurance program beneficiaries. In general, users deploy HCPCS for services, procedures, and equipment not covered by CPT codes.

Evaluating An Electronic Protocol In A Pediatric Intensive Care Unit, Jeanette Rose

UNO Student Research and Creative Activity Fair

A team of clinicians at Children’s Hospital and Medical Center (CHMC) developed a standardized protocol in 2018 for the care of patients needing sedation. This protocol is ordered through the EPIC electronic health record system for patients in the pediatric intensive care unit (PICU). When used, electronic protocols reduce the variation in clinical decision making which can ultimately improve patient outcomes. The goal of this project is to evaluate this technology, how the protocol is being used, and how it may be improved. Actual users of the EPIC sedation protocol were the subjects of this study, including PICU physicians, physician …

The Effect Of Arm Swing On Countermovement Vertical Jump Performance, Arash Mohammadzadeh Gonabadi

UNO Student Research and Creative Activity Fair

Vertical jumping is one of the popular ways to evaluate ankle-knee efficiency in athletic population. Arm swing can play a crucial role in enhancing vertical jump performance. This study aimed to address the differences in kinetic and kinematic parameters during countermovement jump motion with arm swing (AS) and no arm swing (NAS). We used OpenSim to examine the efficacy of AS in reducing the impulse applied to the body and changes in range of lower limb joint angles at landing instant. We calculated the maximum vertical peak of the ground reaction force and impulse generated at landing in two different …