Health Information Technology Commons^™

Improving Patient Experience And Education By Leveraging Technology, Cathy Palleschi, Wendy Osgood, Mark Parker, Cecilia Inman, Alicia Russell, Eileen Shanahan, Erin Pappal

Operations Transformation

It is estimated that 65% of the population are visual learners. With that in mind, a team of cardiac nurses in a large academic tertiary hospital developed a quality improvement project to hopefully improve patient engagement as well the patients’ perception that the nurses explained things in a manner that they could understand.

Baseline patient survey scores for the question, “Nurses Explained Things In A Way That I Understand”, were under the 75^thpercentile for a period of 9 months. A root cause analysis was conducted and it demonstrated numerous reasons for this score.

Several countermeasures were instituted to …

Improving The Workflow And Partnership Between Registration And Clinical Staff In An Outpatient Urgent Care Center, Melissa Fairfield, Bailey Eells, Faye Collins, Joyce Cornish, Stephen Tyzik, Joy Moody, Wendy Osgood, Suneela Nayak, Ruth Hanselman, Amy Sparks

Operations Transformation

An outpatient urgent care unit was experiencing challenges in balancing the need to register patients and delivering care in the timeliest manner as possible. Upon examination, it was found that delays were being experienced in patient triage and discharge that resulted in low patient satisfaction scores.

A team of providers was established to review all process steps and a quality improvement project was created to attain a goal of 100% of the time discharge would not be delayed due to incomplete registration.

Baseline metrics demonstrated current numbers of delayed discharges, median time from door to triage as well as door …

Treating Substance Use Disorders: Enhancing Attendance At The Weekly Inpatient Medication Assisted Treatment Group, Devon Gillis, Jayne Weisberg, Dena Whitesell, Amy Mcauliffe, Amy Sparks, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

Operations Transformation

At a large academic tertiary medical center, an Integrated Medication Assisted Treatment (IMAT) program has been established for those medically stable inpatients with an addiction diagnosis. Over a four month period, this program had experienced a decline in attendance and a quality improvement project was initiated is to better understand the barriers to attendance and institute a process that would reverse the decline.

A goal was established to improve attendance by medically stable patients that have consented to participate to a minimum of 50%.

A root cause analysis outlined numerous causes for low attendance and several countermeasures were established to …

Reduction Of Catheter Associated Urinary Tract Infections (Cauti) In A Critical Care Setting, Deborah Jackson, Lindsey Lucas, Shawn Taylor, Jonathan Archibald, Stephen Tyzik, Suneela Nayak, Ruth Hanselman, Amy Sparks

Operations Transformation

Urinary tract infections (UTIs) are the most common type of healthcare associated infections. Seventy five percent are related to indwelling urinary catheters. These infections come with increased morbidity and mortality risk. A team of intensive care providers at a large academic tertiary medical center initiated a quality improvement project to reduce the number of CAUTIs.

Baseline data established the total number of catheter days and CAUTIs by month. A subsequent root cause analysis was completed and several counter measures were developed to include a KPI implementation to track that all intensive care providers are educated in CAUTI and creation of …

A Coaching And Team Performance Evaluation Model To Build Capacity For High-Impact Lean Improvement, Ruth Hanselman, Mark Parker, Suneela Nayak, Stephen Tyzik, Amy Sparks

Operations Transformation

There is abundant evidence that links a strong culture of safety with improved patient and staff experience. However, there has been no clear avenue identified as to how to achieve this metric.

A team in a large academic tertiary teaching hospital set about leveraging their daily managing system (DMS) to attain improvement in their institution’s safety. The goals of this quality improvement project were to use DMS to identify and report safety concerns and increase frontline team knowledge and comfort with reporting safety concerns during Gemba walks.

A root cause analysis identified 5 areas for improvement and several countermeasures were …

September 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Childhood Obesity Awareness Month

One in 5 children in the United States have obesity. Childhood obesity puts kids at risk for health problems that were once seen only in adults, like type 2 diabetes, high blood pressure, and heart disease.

The good news is that childhood obesity can be prevented. In honor of National Childhood Obesity Awareness Month, SWOSU encourages your family to make healthy changes together.

• Get active outside! Walk around the neighborhood, go on a bike ride, or play basketball at the park.
• Limit screen time. Keep screen time (time spent on the computer, watching TV, or …

Wavelet-Based Analysis Of Physical Activity And Sleep Movement Data From Wearable Sensors Among Obese Adults, Rahul Soangra, Vennila Krishnan

Physical Therapy Faculty Articles and Research

Decreased physical activity in obese individuals is associated with a prevalence of cardiovascular and metabolic disorders. Physicians usually recommend that obese individuals change their lifestyle, specifically changes in diet, exercise, and other physical activities for obesity management. Therefore, understanding physical activity and sleep behavior is an essential aspect of obesity management. With innovations in mobile and electronic health care technologies, wearable inertial sensors have been used extensively over the past decade for monitoring human activities. Despite significant progress with the wearable inertial sensing technology, there is a knowledge gap among researchers regarding how to analyze longitudinal multi-day inertial sensor data …

Abroad View Of Wellness, Patrick Kunkel, Megan Mills, Seth Clark

Masters Theses/Capstone Projects

A presentation on a Study Abroad trip taken to Hungary.

August 2019, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy

Foodai: Food Image Recognition Via Deep Learning For Smart Food Logging, Doyen Sahoo, Hao Wang, Ke Shu, Xiongwei Wu, Hung Le, Palakorn Achananuparp, Ee-Peng Lim, Hoi, Steven C. H.

Research Collection School Of Computing and Information Systems

An important aspect of health monitoring is effective logging of food consumption. This can help management of diet-related diseases like obesity, diabetes, and even cardiovascular diseases. Moreover, food logging can help fitness enthusiasts, and people who wanting to achieve a target weight. However, food-logging is cumbersome, and requires not only taking additional effort to note down the food item consumed regularly, but also sufficient knowledge of the food item consumed (which is difficult due to the availability of a wide variety of cuisines). With increasing reliance on smart devices, we exploit the convenience offered through the use of smart phones …

The Diffusion Of Telehealth: System-Level Conditions For Successful Adoption, Danika Tynes

Dissertations

Telehealth is a promising advancement in health care, though there are certain conditions under which telehealth has a greater chance of success. This research sought to further the understanding of what conditions compel the success of telehealth adoption at the systems level applying Diffusion of Innovations (DoI) theory. System-level indicators were selected to represent four components of DoI theory (relative advantage, compatibility, complexity, and observability) and regressed on 5 types of Telehealth (Teleradiology, Teledermatology, Telepathology, Telepsychology, and Remote Monitoring) using multiple logistic regression.

Analyses included data from 84 states leveraging data from the World Health Organization, World Bank, ICT Index, …

An Analysis Of The Evolving Intellectual Structure Of Health Information Systems Research In The Information Systems Discipline, Langtao Chen, Aaron Baird, Detmar W. Straub

Business and Information Technology Faculty Research & Creative Works

The rapid evolution of health information systems (Health IS) research has led to many significant contributions. However, while the Health IS subset of information systems (IS) scholarship has considerably grown over the past two decades, this growth has led to questions regarding the current intellectual structure of this area of inquiry. In an effort to more fully understand how Health IS research has contributed to the IS discipline, and what this may mean for future Health IS research in the IS domain, we conduct an in-depth evaluation of Health IS research published in mainstream IS journals. We apply citation analysis, …

August 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Immunization Month

We all need shots (vaccines) to help protect us from serious diseases. This protection is called immunization and it is in place to help keep our community safe. Shots can prevent serious diseases like the flu, measles, and pneumonia. It’s important to know which shots you need and when to get them.

Text Messaging For Disease Monitoring In Childhood Nephrotic Syndrome., Chia-Shi Wang, Jonathan P. Troost, Larry A. Greenbaum, Tarak Srivastava, Kimberly Reidy, Keisha Gibson, Howard Trachtman, John D. Piette, Christine B. Sethna, Kevin Meyers, Katherine M. Dell, Cheryl L. Tran, Suzanne Vento, Krishna Kallem, Emily Herreshoff, Sangeeta Hingorani, Kevin Lemley, Gia Oh, Elizabeth Brown, Jen-Jar Lin, Frederick Kaskel, Debbie S. Gipson

Manuscripts, Articles, Book Chapters and Other Papers

Introduction: There is limited information on effective disease monitoring for prompt interventions in childhood nephrotic syndrome. We examined the feasibility and effectiveness of a novel text messaging system (SMS) for disease monitoring in a multicenter, prospective study.

Methods: A total of 127 patientsresults, symptoms, and medication adherence were sent to a designated caregiver (n = 116) or adolescent patient (n = 3). Participants responded by texting. Feasibility of SMS was assessed by SMS adoption, retention, and engagement, and concordance between participant-reported results and laboratory/clinician assessments. The number of disease relapses and time-to-remission data captured by SMS were compared …

Patient-Centered Design Grounded In User And Clinical Realities Towards Valid Digital Health, Victor P. Cornet, Carly Daley, Davide Bolchini, Tammy Toscos Phd, Michael Mirro Md, Richard J. Holden

Health Services and Informatics Research

Valid design of patient-centered digital health or health information technology (IT) systems is based on a thorough and accurate understanding of both “user reality” and “clinical reality.” Type 1 Design Error (User-Reality Error) occurs when designers do not accommodate user characteristics, tasks, context of use, needs, or preferences. Type 2 Design Error (Clinical-Reality Error) occurs when designers do not accommodate the clinical reality, including biomedical knowledge, clinical workflows, and organizational requirements. Both types of errors can invalidate the design, leading to products being rejected by patient end-users or their healthcare delivery systems, product non-use or inappropriate use, and risk of …

Visualization Of Cardiac Implantable Electronic Device Data For Older Adults Using Participatory Design., Ryan Ahmed, Tammy Toscos Phd, Romisa Rohani Ghahari, Richard J Holden, Elizabeth Martin, Shauna Wagner, Carly Daley, Amanda Coupe, Michael Mirro Md

Health Services and Informatics Research

Patients with heart failure (HF) are commonly implanted with cardiac resynchronization therapy (CRT) devices as part of their treatment. Presently, they cannot directly access the remote monitoring (RM) data generated from these devices, representing a missed opportunity for increased knowledge and engagement in care. However, electronic health data sharing can create information overload issues for both clinicians and patients, and some older patients may not be comfortable using the technology (i.e., computers and smartphones) necessary to access this data. To mitigate these problems, patients can be directly involved in the creation of data visualization tailored to their preferences and needs, …

Selection Biases In Technology-Based Intervention Research: Patients' Technology Use Relates To Both Demographic And Health-Related Inequities., Tammy Toscos Phd, Michelle Drouin, Jessica Pater, Mindy Flanagan, Rachel Pfafman, Michael Mirro Md, Facc, Fhrs, Faha

Health Services and Informatics Research

OBJECTIVE: Researchers conduct studies with selection biases, which may limit generalizability and outcomes of intervention research. In this methodological reflection, we examined demographic and health characteristics of implantable cardioverter defibrillator patients who were excluded from an informatics intervention due to lack of access to a computer and/or the internet.

MATERIALS AND METHODS: Using information gathered from surveys and electronic health records, we compared the intervention group to excluded patients on demographic factors, computer skills, patient activation, and medical history.

RESULTS: Excluded patients were older, less educated, less engaged and activated in their health, and had worse health (ie, more medical …

Feasibility Of Using Participant Owned Smartphone Features To Conduct Ecological Momentary Assessment Of Planned Exercise Behavior In College-Aged Adults, Lucas F. Sheridan, Lindsay Toth, Kelley Strohacker

Pursuit - The Journal of Undergraduate Research at The University of Tennessee

Background: Ecological Momentary Assessment (EMA) allows input of affective, social, and behavioral factors by participants in real time, which reduces recall bias. While such data may help predict exercise behavior, one limitation is the need for additional devices (palm pilot) or the creation of an app for a smartphone. The use of an online survey distribution platform compatible with personal smartphones to conduct EMA of exercise behavior in free-living adults is still unclear. Methods: Across 14 days, texts with a survey link were distributed at 9:30 am, 1:30 pm, 5:30 pm, and 9:30 pm. The survey assessed hypothesized …

Depresi Berhubungan Dengan Kualitas Hidup Penderita Kanker Kolorektal Di Rumah Sakit Kota Makassar, Nuridah Nuridah, Ariyanti Saleh, Cahyono Kaelan

Jurnal Keperawatan Indonesia

Depression Related to Life Quality of Colorectal Cancer Patients in Makassar CityHospital. Colorectal cancer is a cancer which incidence increased year by year. This research aimedto analyse factors related to the quality of life of patients’with colorectal cancer. The research applieddescriptivepre-experimental correlations witha cross-sectional study design with a total sample technique of colorectalcancer. A sample of 50 people was obtained from the hospital in the city of Makassar. Data were analyzed using the Pearson and Spearman correlationtest to find outthe relationship, and Chi square test to find out the difference. The results showed that there was a relationship between fatigue …

Improving The Health And Functional Status Of Institutionalized Older Adults Through The Nurse, Caregiver And Older-Adults Partnership Model (Miradasia), Junaiti Sahar, Dwi Nuviyandari Kusuma Wati, Etty Rekawati

Jurnal Keperawatan Indonesia

Health and functional status are standard measurements in older adult’s services that showed physical and mental condition. However, institutionalized older adults with several adjustments and their limited source might cause compromised health and functional status. The quasi-experimental study aimed to investigate the effect of MiRaDaSia (nurses and caregivers joined the partnership model) on health and functional status among institutionalized older adults in Jakarta. It included 106 participants as intervention groups and 106 participants as control groups, who selected by multistage random sampling. We used the SF-12 and Barthel index to measure older-adults health and functional status. MiRaDaSia model was implemented …

Penurunan Kemampuan Kepala Keluarga Dalam Memenuhi Kebutuhan Ekonomi Keluarga: Studi Fenomenologi Pengalaman Orang Dengan Gangguan Jiwa Paska Pasung, Novy Helena Catharina Daulima, Rasmawati Rasmawati, Ice Yulia Wardani

Jurnal Keperawatan Indonesia

Kepala keluarga bertanggungjawab secara ekonomi memenuhi kebutuhan hidup anggota keluarga yang meliputi kebutuhan sandang, pangan dan papan. Seorang kepala keluarga yang mengalami gangguan jiwa selepas dari pemasungan perlu menyesuaikan diri terhadap fungsi sosial yang meliputi kemampuan untuk bekerja dan terlibat dalam hubungan sosial. Tujuan penelitian adalah ini untuk mendeskripsikan pengalaman kepala keluarga paska pasung dalam memenuhi kebutuhan ekonomi keluarga. Pendekatan fenomenologi diterapkan untuk mengekplorasi pengalaman kepala keluarga. Sejumlah enam orang berpartisipasi dalam penelitian ini yang dipilih melalui metode purposive sampling. Pengumpulan data dilakukan dengan wawancara mendalam kemudian dianalisis dengan metode Colaizzi. Tiga tema dihasilkan dalam penelitian ini yaitu harga diri …

The Influence Of Self-Efficacy On The Relationship Between Depression And Hiv-Related Stigma With Art Adherence Among The Youth In Malawi, Eric Umar, Judith A. Levy, Geri Donenberg, Mary Ellen Mackesy-Amiti, Hening Pujasari, Robert C. Bailey

Jurnal Keperawatan Indonesia

Depression and HIV-related stigma, among other factors, have been inversely linked independently with adherence to antiretroviral therapy (ART) among the youth. However, the processes through which the various factors influence this relationship is not fully known. Guided by Social Action Theory, we examined the interactive mechanisms through which depression, HIV-related stigma, and self-efficacy influenced ART adherence and whether or not these relationships are moderated by gender. A total of 450 HIV-positive youth (13–24 years) in Malawi receiving ART participated in this cross-sectional study. Moderated mediation analyses were conducted using Hayes’ PROCESS macro 2.11 in SPSS. ART adherence was measured by …

Determinan Epidemiologi Penyakit Pada Mahasiswa Akademi Keperawatan Pemerintah Kabupaten Garut, Jawa Barat Tahun 2015, Iwan Salahuddin, Theresia Eriyani, Sandra Pebriamti

Jurnal Keperawatan Indonesia

Determinants of Epidemiology of Disease in Nursing Academy Students in Garut, West Java in 2015. The process of adaptation and interaction of students with the new environment can result in physiological balance disorders of the body, thus becoming susceptibleto disease. This cross-sectional study aimed to identify the epidemiological determinants of disease in 2015 Garut District Nursing Academy students. A total of 235 students were involved. Data collected included respondent characteristics, the characteristics of the place of origin of the students, morbidity using a questionnaire about the history of previous illness or morbidity. The results showed that 70.2% of students experienced …

Intervensi Rehabilitasi Jantung Fase I Pada Pasien Yang Menjalani Operasi Bedah Pintas Koroner (Bpk): Literatur Review, Indah Dwi Astuti, M, Rizki Akbar, Aan Nuraeni

Jurnal Keperawatan Indonesia

Cardiac Rehabilitation Phase I in Patient Undergoing Coronary Artery Bypass Grafting Surgery. A patientunder-goingcoronary artery bypass graftingCABGsurgery hasa risk of post operative complication,which can cause prolonged length of stay and even mortality. Thepatient necessarily needs todointervention cardiac rehabilitation phase I to help the recovery process after surgery and prevent post operative complications.The articles related to cardiac rehabilitation have been carried out.However,it is necessary to review research articles about the effectiveand safe intervention of cardiac rehabilitation phase I for patientsundergoing CABGsurgery. The aim of this studywasto explore the effectiveand safe intervention of cardiac rehabilitation phase I. This literature review was conducted …

Penerapan Evidence-Based Nursing Pengaruh Earplug Dan Eye Mask Terhadap Kualitas Tidur Pada Pasien Di Icu, Mutarobin Mutarobin, Elly Nurachmah, Muhammad Adam, Rita Sekarsari, Erwin Erwin

Jurnal Keperawatan Indonesia

Evidence-Based Nursing Application Effect of Earplugs and Eye Mask on Quality Sleep in Patients in ICU. Sleep disorders in ICU are caused by many factors, including environment, noise, lighting, nursing activities, illness, nursing, medication therapy, and mechanical ventilation. The effects will affect the immune function, metabolic system, central nervous system regulation, and psychological conditions. The purpose of this study to apply and prove the effectiveness of the use of Earplug and Eye Mask in improving sleep quality in patients in ICU. The design used randomized controlled trial (RCT) crossover design. The researchers divide Group A and Group B by simple …

Celebrating A Quarter-Century Of Public Domain Research: 25th Annual Conference Of The Health Care Systems Research Network, Sarah M. Greene, Carolyn A. Taylor, Suma Vupputuri

Journal of Patient-Centered Research and Reviews

The 25th annual conference of the Health Care Systems Research Network (HCSRN) was held April 10–12 in Portland, Oregon, attracting 420 attendees. The HCSRN, a consortium of 18 community-based research organizations embedded in or affiliated with large health care delivery systems, has hosted annual research conferences since 1994. The primary objective of the conference is to convene researchers, project staff, funders, and other stakeholders to share latest scientific findings and cultivate new partnerships among research teams, patients, and clinicians. Collaboration is the cornerstone of the HCSRN’s success; the conference serves as a catalyst for a variety of collaborative ventures as …

Engagement Of Patients With Scleroderma To Revise An Internet Self-Management Program, Janet L. Poole, Sharon L. Newbill, Jennifer Serrano, Dana Rosson, Josephine Battyany, Laura Dyas, Luke Evnin, Dennis W. Raisch, Cynthia Maxwell, Mary Alore, Saville Kellner, Pedro Cuencas, Richard M. Silver, Dinesh Khanna

Patient Experience Journal

Systemic sclerosis (SSc) or scleroderma is a rare connective tissue disease. Many people do not have access to education programs. A self-management program was developed several years ago based on the literature and input from people with SSc. However, new therapies and treatment options have been developed since the program was developed. The purpose of this qualitative study was to identify and remedy gaps in an internet SSc self-management program to improve the quality of critical information relevant to effective management of the disease. Six focus groups with 30 participants with SSc were conducted: 2 telephone groups and 4 face-to-face …

Involving Patients And Families In A Social Robot Study, Lillian Hung, Annette Berndt, Christine Wallsworth, Neil Horne, Mario Gregorio, Jim Mann, Cindy Liu, Evan Woldum, Andy Au-Yeung, Habib Chaudhury

Patient Experience Journal

Innovative research in care practice for older people can benefit from the active involvement of patient and family partners. Involvement may begin with identifying priorities, then move to formulate research questions and to plan the research methods, to data collection, and finally to analysis and knowledge dissemination. However, in the field of dementia care, actively engaging patients and families in co-research is a novel practice that needs exploration. This paper describes the experiences and perspectives of two patient researchers and three family researchers, along with four clinicians (two physicians, a nurse, and an occupational therapist) within a social robot project …

A Next-Day, Brief E-Survey Overcomes The Excessive Variability Seen In Cahps-Style Emergency Department Surveys So That Individual Physician Performance Can Be Assessed On A Regular Basis, Tom Scaletta, Eva Hare, Christopher Sung Lee

Patient Experience Journal

Traditional CAHPS-style emergency department (ED) surveys result in excessive variability when assessing individual physician performance. The objective of this study is to measure the variability of a brief, electronic survey (e-survey). The study team also measured the association of individual physicians to demographic data, physician and patient factors, and a physician burnout assessment tool. Data from SmartContact (SmartER, La Grange, IL) is a next-day, e-survey that takes about 30-seconds to complete. This tool was used by a hospital-employed emergency department (ED) group during calendar year 2017 across 2 EDs and 37 physicians.^1,2 Variability was estimated regarding raw patient experience …

Beneath The Surface Of Talking About Physicians: A Statistical Model Of Language For Patient Experience Comments, Taylor Turpen, Lea Matthews Md, Senem Guney Phd, Cpxp

Patient Experience Journal

This study applies natural language processing (NLP) techniques to patient experience comments. Our goal was to examine the language describing care experiences with two groups of physicians: those with scores in the top 100 and those with scores in the bottom 100 among all physicians (n=498) who received scores from patient satisfaction surveys. Our analysis showed a statistically significant difference in the language used to describe care experiences with these two distinct groups of physicians. This analysis illustrates how to apply NLP techniques in categorizing and building a statistical model for language use in order to identify meaningful language and …