Health Information Technology Commons^™

Abstracts From The 22nd Annual Health Care Systems Research Network Conference, April 13–16, 2016, Atlanta, Georgia

Journal of Patient-Centered Research and Reviews

This proceedings supplement includes selected abstracts presented at the 22nd annual conference of the Health Care Systems Research Network (HCSRN), held April 13–16, 2016, in Atlanta, Georgia. The HCSRN connects the resources and capabilities of research departments from its member health care systems. Collectively, the organization represents more than 1,900 scientists and research staff from an array of disciplines such as epidemiology, economics, disparities, outcomes and quality assessment, trials and genomics.

Advancing Population Health: New Models And The Role Of Research. An Overview Of The 22nd Annual Health Care Systems Research Network Conference, Robert T. Greenlee, Lois E. Lamerato, Sarah M. Greene

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN; formerly HMO Research Network) held its annual conference in Atlanta, Georgia, in April 2016. A consortium of research organizations affiliated with 20 large health care delivery systems, the HCSRN met for the 22^nd consecutive year to report on scientific achievements, develop and share skills and best practices, and promote new research collaborations. The 2016 conference, with a theme of “Advancing Population Health: New Models and the Role of Research,” was co-hosted on behalf of HCSRN by Marshfield Clinic Research Foundation and Henry Ford Health System’s Public Health Sciences Department. The 350 conference …

Telehealth At Jefferson: The Future Of Medicine, Danica Stone

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Perceptions Of Electronic Health Records Effects On Staffing, Workflow, & Productivity In Community Health Centers, Leah E. Masselink, Clese Erikson

Health Workforce Research Center Publications

Significant Federal investments under the Health Information Technology for Economic and Clinical Health Act of 2009 and the Affordable Care Act have motivated many community health centers (CHCs) to implement electronic health records (EHRs) in the past few years. Evidence suggests that EHR implementation causes significant changes in how primary care clinicians spend their time and may be associated with changes in staff and facility level productivity. However, the mechanisms to explain these changes were mostly speculative. The goals of this project were to understand how, from the perspective of clinicians, support staff, and administrators, CHCs’ implementation of EHRs has …

Pilot Study Of A Web-Delivered Multicomponent Intervention For Rural Teens With Poorly Controlled Type 1 Diabetes, Amy H. Lansing, Catherine Stanger, Alan Budney, Ann S. Christiano, Samuel Casella

Dartmouth Scholarship

Objective. The purpose of this study was to examine the feasibility and effectiveness of a web-delivered multicomponent behavioral and family-based intervention targeting self-regulation and self-monitoring of blood glucose levels (SMBG) and glycemic control (HbA1c) in teens with type 1 diabetes (T1DM) living in rural US. Methods. 15 teens with poorly controlled T1DM participated in a 25-week web-delivered intervention with two phases, active treatment (weekly treatment sessions and working memory training program) and maintenance treatment (fading of treatment sessions). Results. Almost all (13 of 15) participants completed at least 14 of 15 treatment sessions and at least 20 of 25 working …

July 2016, Randy Curry, Cindy Brooks

RURAL ROCKS

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

The Importance Of Data Quality In Using Health Information Exchange (Hie) Networks To Improve Health Outcomes: Case Study Of A Hie Extracted Dataset Of Patients With Congestive Heart Failure Participating In A Regional Hie, Marie-Astrid L. Cartron-Mizeracki

Theses and Dissertations

Expenditures on health information technology (HIT) for healthcare organizations are growing exponentially and the value of it is the subject of criticism and skepticism. Because HIT is viewed as capable of improving major health care indicators, the government offers incentives to health care providers and organizations to implement solutions. However HIT implementation is still subject to numerous technical, financial and organizational barriers. Health Information Exchange (HIE) networks are examples of HIT implementations that have been shown to assist healthcare providers in exchanging data and facilitating patient care through the circulation of critical clinical information between health care organizations statewide and …

Bedside Nurses' Perceptions Of Intensive Care Unit Telemedicine In A Rural Setting, Susan Parker

Nursing Theses and Capstone Projects

Healthcare is a rapidly changing and continuously advancing field. Currently, virtual care technology (e-ICU) is moving into many rural healthcare facilities in an effort to improve patient care outcomes and bridge physician and nursing shortages. The purpose of this Masters of Science thesis is to determine the impact that electronic telemedicine has on the quality of nursing care at the bedside. The study done by Mullen-Fortino et al. (2012) in an urban academic center was replicated to compare the bedside nurses’ perception of ICU telemedicine in a rural hospital setting. Thirty-eight rural ICU nurses working with ICU telemedicine responded to …

Ehr Quality Documentation Research Thesis, Ashley Danielle Holmes

Applied Research Projects

This research proposal contains and introduction to my proposed research, background of the issue at hand, purpose of the research, significance of the research, research questions that I will be asking, definition of terms, limitations that I may be facing, literature review, SWOT Analysis, and Work Flow diagram on literature review. Also discussed are my proposed research methodology, research design, population sample, data collection procedures, as well as a table of survey variables that I propose to include. This proposal will go over why documentation quality and quantity is so important and the history behind why we are facing a …

Nutrition Informatics: Information Technology Transition For Registered Dieticians, Arlanda Bell

Applied Research Projects

The passing of the Health Information Technology for Economic and Clinical Health Act (HITECH) has created a growing push for healthcare organizations to no longer use paper based records and convert to an Electronic Health Record (EHR). Along with the adoption of an EHR comes a necessary change for ancillary services like nutrition and dietetic services because it affects patient care as well. In order to maintain a professional standard in patient healthcare as other health disciplines have done, the development of nutrition informatics model has become necessary. Nutrition informatics will prove to be a necessary addition to the developing …

Recognition Of Smoking Gesture Using Smart Watch Technology, Casey A. Cole, Bethany Janos, Dien Anshari, James Thrasher, Scott Strayer, Homayoun Valafar

Faculty Publications

Diseases resulting from prolonged smoking are the most common preventable causes of death in the world today. In this report we investigate the success of utilizing accelerometer sensors in smart watches to identify smoking gestures. Early identification of smoking gestures can help to initiate the appropriate intervention method and prevent relapses in smoking. Our experiments indicate 85%-95% success rates in identification of smoking gesture among other similar gestures using Artificial Neural Networks (ANNs). Our investigations concluded that information obtained from the x-dimension of accelerometers is the best means of identifying the smoking gesture, while y and z dimensions are helpful …

Glu: An Online Type 1 Diabetes Information Community, Stefanie Witt

School of Information Student Research Journal

This research paper examines the online health community Glu (MyGlu.org), a type 1 diabetes social media site. Type 1 diabetes is a chronic medical condition that requires constant and specialized medical attention. Online health communities like Glu, are an important part of maintaining a healthy lifestyle for many of its members. This study discusses the composition of this information community, the motivations of its members, and the benefits members gain through their participation. It describes the major characteristics of the community and focuses on the information needs of type 1 diabetics. It concludes with reflections on how libraries and LIS …

Spatial Heterogeneity Analysis In Evaluation Of Cell Viability And Apoptosis For Colorectal Cancer Cells, Aydin Saribudak, Herman Kucharavy, Karen Hubbard, Muharrem Umit Uyar

Publications and Research

In evaluation of cell viability and apoptosis, spatial heterogeneity is quantified for cancerous cells cultured in 3-D in vitro cell-based assays under the impact of anti-cancer agents. In 48-h experiments using human colorectal cancer cell lines of HCT-116, SW-620, and SW-480, incubated cells are divided into control and drug administered groups, to be grown in matrigel and FOLFOX solution, respectively. Our 3-D cell tracking and data acquisition system guiding an inverted microscope with a digital camera is utilized to capture bright field and fluorescent images of colorectal cancer cells at multiple time points. Identifying the locations of live and dead …

June 2016, Randy Curry, Cindy Brooks

RURAL ROCKS

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

Patient Engagement In The Medical Facility Waiting Room Using Gamified Healthcare Information Delivery, Raheel Hassan, Nathan W. Twyman, Fiona Fui-Hoon Nah, Keng Siau

Research Collection School Of Computing and Information Systems

This study explores the proposition that medical facility waiting rooms are an opportune setting to engage with and educate patients while they are waiting for care. In collaboration with emergency department (ED) personnel, we developed ER Hero, a tablet-based application for waiting rooms that introduces patients to ED professionals and operations through mini-games and story-like interaction. We evaluated this prototype with human participants to determine how well it performed when compared to paper-based information disclosure presenting the same information. Participants using the application exhibited increased ED knowledge, decreased nervousness, and increased interest. The gamified application outperformed a paper-based approach on …

Asthma Control Screening Using The Electronic Health Record, Accursia A. Baldassano, Jonathon Mack

Doctor of Nursing Practice Final Manuscripts

ABSTRACT

Experts in asthma care globally recommend screening for asthma control in all patients with asthma through the use of an evidence-based tool. This project embedded the Asthma Control Test (ACT) in the electronic health record to determine if screening for control would change compared to standard care.

Methods

An electronic template of the ACT was embedded in the electronic health record system for a community faith-based family medicine clinic. All patients 12 years and older with a previous diagnosis of asthma were included in this project. These patients were screened for asthma control using the template at every appointment. …

Utilizing An Electronic Health Record Prompt To Improve Routine Tobacco Intervention In Student Health: An Ebp Project, Molly Patricia Hurda

Doctor of Nursing Practice Final Manuscripts

Purpose: Improve the use of tobacco screening and cessation interventions by utilizing an Electronic Health Record (EHR) prompt in a university student health center.

Background: It is well known that the leading cause of preventable morbidity and mortality in the United States (US) is the use of tobacco products. Tobacco use accounts for $289 billion in direct health care costs and loss of productivity annually. Nearly all smokers (98 percent) start before 26 years of age making college campuses an important area for tobacco intervention.¹ A southern California university recently adopted a comprehensive tobacco-free campus policy that prohibits the …

Improving Policies Impacting School Absenteeism Due To Influenza Using Agent-Based Simulation Modeling., Galina V. Miller

Purdue P-12 Networking Summit & Poster Session

No abstract provided.

Missing Links: Challenges In Engaging The Underserved With Health Information And Communication Technology, Maria D. Wright, Mindy Flanagan, Kislaya Kunjan, Bradley N. Doebbeling, Tammy Toscos Phd

Health Services and Informatics Research

PervasiveHealth '16: Proceedings of the 10th EAI International Conference on Pervasive Computing Technologies for Healthcare

We sought to understand underserved patients' preferences for health information technology (HIT) and examine the current use of personal health records (PHRs) in Community Health Centers (CHCs) serving low-income, uninsured, and underinsured patients. Forty-three patients and 49 clinic staff, administrators, and providers from these CHC systems were interviewed using open-ended questions assessing patient experience, perceptions of the CHC, access barriers, strategies used to overcome access barriers, technology access and use, and clinic operations and workflow. All seven CHC systems were at some stage of implementing …

"What's App?" Utilizing Evidence Based Medicine Apps In The Clinical Setting, Kathryn C. O'Donovan

BU Well

The medical community has utilized evidence-based medicine, or EBM, in practice for decades, and healthcare personnel are used to the idea of utilizing research and statistics to determine the treatment of patients. However, as technology advances, the use of electronics and EBM apps has increased in the clinical setting. While there are advantages to clinicians having resources at their fingertips as they talk with patients, there are also hurdles that could harm or offend patients. So as healthcare inevitably becomes more and more electronic, can providers strike the balance needed to effectively use EBM apps in practice to provide optimum …

A Qualitative Analysis Of Virtual Patient Descriptions In Healthcare Education Based On A Systematic Literature Review, Inga Hege, Andrzej A. Kononowicz, Daniel Tolks, Samuel Edelbring

Dartmouth Scholarship

Background: Virtual Patients (VPs) have been in the focus of research in healthcare education for many years. The aim of our study was to analyze how virtual patients are described in the healthcare education literature, and how the identified concepts relate to each other.

Methods: We performed a literature review and extracted 185 descriptions of virtual patients from the articles. In a qualitative content analysis approach we inductively-deductively developed categories and deducted subcategories. We constructed a concept map to illustrate these concepts and their interrelations.

Results: We developed the following five main categories: Patient, Teacher, Virtual Patient, Curriculum, and Learner. …

Transitioning Novice Nurses To Expert Nurses In Progressive Telemetry Care, Timothy E. Fraley

Nursing Theses and Capstone Projects

New nurses do not possess the clinical skills necessary to thrive in a fast-paced, rapidly changing telemetry unit. The study explores the idea that nurses with less than two years’ experience may not have the self-confidence or experience to begin a career on a telemetry unit. A search of the literature was performed to identify the skills needed to be successful in a critical care telemetry unit. Established orientation programs, nurse internships, and nursing experience were the keywords researched. Patricia Benner’s Theory: From Novice to Expert Excellence and Power in Clinical Nursing Practice (1984) serves as the foundation for this …

Development Of A Simple Handheld Biosensor For Waterborne Pathogens, Bryce C. Jones

Chemical Engineering Undergraduate Honors Theses

Current methods of detecting waterborne pathogens involve testing strips which take 24-48 hours to yield results, or require expensive equipment in order to function. In minimalist environments, these two technologies are not always applicable to test water quality. With the emergence of a new method of PCR, named LAMP PCR, it is possible to quickly and accurately detect pathogen DNA in a water sample. In order to scale this technique into a simple device, the aspects of the reaction must be accommodated, and a visual detection method chosen. A handheld device which keeps the isothermal LAMP PCR stable for the …

Essays In Physicians Preference Items And Inventory Management Within The Healthcare Supply Chain, Mohammad A. Shbool

Graduate Theses and Dissertations

This work is composed of a number of topics in the healthcare area, which are approached separately with appropriate methodologies. The two topics deal with physician preference items via two different approaches. The first one investigates stock keeping unit (SKU) proliferation in healthcare organizations due to physician preference items (PPI). It captures perspectives of physicians and supply chain professionals about this problem through two surveys. The second topic builds a decision-making framework for the PPI selection process that can be used by healthcare organizations to make more objective decisions. A Multi-criteria decision making technique is implemented to illustrate the framework.

Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano

Electronic Theses and Dissertations

For decades, healthcare access and quality in central and southern Appalachia have trailed the rest of the country. Entrenched poverty and low educational attainment compound healthcare problems. This study examines the healthcare obstacles women encounter in southern and central Appalachia and analyzes how technology use, such as Internet searching and social media affect women’s healthcare decisions. Data were analyzed from four focus groups conducted with women from the region. Results indicate that seeing a physician or not did not influence women’s propensity to search the Internet for health-related information or to seek support through social media sites. Additionally, women reported …

Harnessing Teams And Technology To Improve Outcomes In Infants With Single Ventricle., Girish S. Shirali, Lori A. Erickson, Johnathan Apperson, Kathy Goggin, David D. Williams, Kimberly J. Reid, Andrea Bradley-Ewing, Dawn Tucker, Michael Bingler, John Spertus, Leslie Rabbitt, Richard Stroup

Manuscripts, Articles, Book Chapters and Other Papers

Infants with single ventricle require staged cardiac surgery, with stage I typically performed shortly after birth, stage II at 4 to 6 months of age, and stage III at 3 to 5 years of age. There is a high risk of interstage mortality and morbidity after infants are discharged from the hospital between stages I and II. Traditional home monitoring requires caregivers to record measurements of weight and oxygen saturation into a binder and requires families to assume a surveillance role. We have developed a tablet PC-based solution that provides secure and nearly instantaneous transfer of patient information to a …

Can Social Media Reduce Discrimination And Ignorance Towards Patients With Long Term Conditions? A Chronic Kidney Disease Example In The Uk And More Widely, Shahid N. Muhammad, Amy J. Zahra, Howard J. Leicester, Heather Davis, Stephen Davis

Patient Experience Journal

Long Term Conditions (LTCs) are increasing in prevalence and cost in Western healthcare. Patients with such conditions are often classed as “disabled”, because of impacts of self-care on “activities of daily life” or secondary consequences of conditions (impairments) affecting factors such as mobility, concentration and communications. Disability needs are often ignored in the design of services and treatment of individuals. It manifests as services which some find difficult to use and lack of personal respect (discrimination) often based on lack of understanding by the healthcare profession itself (ignorance). This paper explores how Social Media (SM), an example “Assistive Technology” in …

Virus-Host Co-Evolution: Determining The Origin Of Human Cytomegalovirus Us27 And Us28, Jessica A. Scarborough, Juliet Spencer, John Paul

Creative Activity and Research Day - CARD

G protein-coupled receptors (GPCR) are the largest family of cell surface proteins, found in organisms from yeast to humans. Human cytomegalovirus (HCMV) is a widespread pathogen that is particularly skilled at evading immune detection and defense mechanisms, largely due to extensive co-evolution with its host’s immune system. One aspect of this co-evolution involves the acquisition of four virally encoded GPCR homologs: US27, US28, UL33 and UL78. In this research, phylogenetic analysis was used to investigate the origins of the US27 and US28 genes, which are adjacent in the viral genome. The results indicate that both US27 and US28 share the …

An Overview Of Free And Useful Resources From The National Library Of Medicine, Alicia Lillich

Nebraska Library Association: Conferences

It’s hard out there for a librarian supporting health and/or science programs. You’re expected to provide access to cutting-edge research, without breaking the bank on costly subject-specific databases. Luckily, the National Library of Medicine (NLM) can help. NLM, a division of the National Institutes of Health, is the world’s largest medical library whose mission is to advance the progress of medicine and improve health through access to health information. This session will focus on the free products and services offered through NLM such as online databases, training, and promotional/educational resources. This will include: MedlinePlus, PubMed, PHPartners, the Household Products Database, …

April 2016, Randy Curry, Cindy Brooks

RURAL ROCKS

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