Health Information Technology Commons^™

The Benefits And Regulations Of Electronic Cigarettes, Sarah Kenney

Best Integrated Writing

Kenney presents the risks and benefits of E-cigarettes and determines that this new technology can aid smokers in their attempts to stop smoking.

Nebraska Sex Trafficking Survivors Speak – A Qualitative Research Study, Shireen S. Rajaram, Sriyani Tidball

College of Journalism and Mass Communications: Faculty Publications

This exploratory, qualitative research study was conducted by researchers Dr. Shireen S. Rajaram in the College of Public Health at University of Nebraska Medical Center (UNMC) and Ms. Sriyani Tidball in the College of Journalism and Mass Communication at the University of Nebraska at Lincoln (UNL), and was funded by the Women’s Fund of Omaha. The purpose of this study was to document the perspectives of adult women survivors of sex trafficking about the “3Ps” paradigm: to identify strategies to prevent sex trafficking, provide protection and support for survivors and prosecution of the perpetrators to reduce the demand for sex …

Ua61/1 Nursing Spirit, Volume 1, Neal Chambler, Dean, Mary Bennett, Director, Susan Megahee, Editor, Creative, Wku School Of Nursing

School of Nursing Publications

No abstract provided.

Using Security Risk Analysis: Is The Bring Your Own Device Policy Becoming A Liability Risk Within Healthcare?, Lee Alexander Cavett

Open Access Theses

Using computer simulation modeling, this research examined the problems contributing to data breaches within healthcare industry. The study attempted to answer two questions: 1) is the Bring Your Own Device policy becoming a liability risk within hospitals causing an increase in data breaches and 2) is there a lower risk compared to using wired desktops. An iPad was the primary focused device as one of many Bring Your Own Devices. The study used a randomly generated sample of an approximate 2,700 patients, one nurse and doctor on a eight hour work-day within the clinic (eight A.M five P.M) considering a …

User Acceptance Of Neurology Telemedicine Technology In The Emergency Department, Teresa W. Mcneil

Applied Research Projects

There is currently a significant shortage of trained neurologists in the country. In addition to the shortfall of neurologists, there is an increasing need for this specialty due to an aging population, increase in the incident of neurologic diseases and an increasing demand for healthcare (Freeman, 2013). The development of tele neurology technology has been shown to help address these problems. As with any new technology there are multiple barriers to overcome, one of those being user acceptance of the technology. A survey of users of the telemedicine product VGo was conducted at Hunt Regional Medical Center to access the …

Effects Of Local Blood Flow On Muscle Stiffness, Megan E. White, Aaron J. Engel, Greg Bashford

UCARE: Research Products

Muscle injuries, in the form of strains or even tears, affect millions of people each year through undue tension on muscles during everyday activities, work tasks, or physical activity including sports or working out. These injuries can take from a few weeks to even months to heal, with patients having to deal with inflammation, swelling, and pain throughout the healing process. Scar tissue also forms when the muscle is injured, which regenerates throughout the healing process, but never fully recovers to its state prior to injury. This scar tissue is thought to make the muscle more prone to subsequent injury, …

A Mobile Health Approach To Assist Veterans Reintegrating Into Civilian Life, Rizwana Rizia

Dissertations (1934 -)

Civilian reintegration is the process of transitioning from military service to civilian life. For any active or reserve member of armed force, reintegration into civilian life can be very challenging. The reintegration phase has far larger impact than just a change in profession. It is actually a change in every aspect of life, which includes changes in lifestyles, responsibilities, home life, communities and much more. If a veteran is unable to survive the challenges of civilian reintegration it can adversely impact his or her personal and social life. Furthermore, in the long run it may even result in serious psychological …

The Genomic Cds Sandbox: An Assessment Among Domain Experts., Ayesha Aziz, Kensaku Kawamoto, Karen Eilbeck, Marc S Williams, Robert R Freimuth, Mark A Hoffman, Luke V Rasmussen, Casey L Overby, Brian H Shirts, James M Hoffman, Brandon M Welch

Manuscripts, Articles, Book Chapters and Other Papers

Genomics is a promising tool that is becoming more widely available to improve the care and treatment of individuals. While there is much assertion, genomics will most certainly require the use of clinical decision support (CDS) to be fully realized in the routine clinical setting. The National Human Genome Research Institute (NHGRI) of the National Institutes of Health recently convened an in-person, multi-day meeting on this topic. It was widely recognized that there is a need to promote the innovation and development of resources for genomic CDS such as a CDS sandbox. The purpose of this study was to evaluate …

Young Children’S Tablet Use And Associations With Maternal Well-Being, Tiffany Pempek, Brandon T. Mcdaniel Phd

Health Services and Informatics Research

While recent research has documented a rapid increase in the use of new technologies such as touchscreen tablets early in life, little is known about how young children use tablets, what activities they engage in, and whether family demographic and maternal well-being are associated with early use. Guided by Bronfenbrenner’s bioecological theory of human development, the current study addressed these questions with a cross-sectional, online survey of mothers with children between 12 and 48 months of age. Mothers reported on their child’s tablet use as well as their own personal well-being (depressive symptoms and role overload) and relational well-being (relationship …

Quality And Context-Aware Smart Health Care: Evaluating The Cost-Quality Dynamics, Nirmalya Roy, Christine Julien, Archan Misra, Sajal Das

Research Collection School Of Computing and Information Systems

Many emerging pervasive health-care applications require the determination of a variety of context attributes of an individual's activities and medical parameters and her surrounding environment. Context is a high-level representation of an entity's state, which captures activities, relationships, capabilities, etc. In practice, high-level context measures are often difficult to sense from a single data source and must instead be inferred using multiple sensors embedded in the environment. A key challenge in deploying context-driven health-care applications involves energy-efficient determination or inference of high-level context information from low-level sensor data streams. Because this abstraction has the potential to reduce the quality of …

Universal Heath Record, Tyler D. Kronewitter, Sharon Lee, Andrew Espar

Engagement & Service-Learning Summit

No abstract provided.

Using Information Technology To Model Hand-Washing Behavior And To Improve Policies Impacting Elementary School Absenteeism Due To Influenza, Galina V. Miller

Open Access Dissertations

This dissertation revealed several problems on the analysis of in?uenza propagation by indicating how agent-based modeling can be employed to measure the e?ectiveness of control measures and assist in improving health policy to decrease absenteeism among elementary students. The primary question posed was as following: “What is the e?ect of hand hygiene on the possible incidence rates among school children?” After creating an agent-based model representing the in?uenza transmission dynamic, the incidence rates were calculated based on the hand-washing success rates. The statistical results from the simulation model were displayed in graphical format.

Finally, the author addressed the issue of …

Elderly Medication Adherence Monitoring With The Internet Of Things, Xiaoping Toh, Hwee Xian Tan, Huiguang Liang, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

With the growth in elderly population in Singapore, healthcare expenditure and prevalence of age-related illnesses are expected to increase. Non-adherence among the elderly is a common issue that leads to adverse health complications, particularly among those with chronic conditions. However, existing studies typically focus on identifying predictors of medication adherence, and provide neither user-friendly nor actionable solutions that can be easily adopted by the elderly.In this paper, we use the Internet of Things to monitor medication adherence and detect changes in medication consumption patterns among the elderly, thus enabling timely interventions by caregivers to take place. Sensor-enabled medication boxes are …

Social Incentives In Pervasive Fitness Apps For Obese And Diabetic Patients, Yu Chen, Mirana Randriambelonoro, Antoine Geissbuhler, Pearl Pu

Faculty Publications, Information Systems & Technology

Social incentives such as cooperation and competition are found to motivate users in pervasive fitness applications. This work investigates how social incentives work for individuals with obesity and diabetes. We used a mobile fitness application called HealthyTogether as an experimental platform, which allows dyads to achieve fitness goals together and compete in an online community. We conducted a fourweek study with 16 obese and diabetic patients who used HealthyTogether to exercise with a buddy. Results show that participants exercised more with social incentives compared with their baseline. Collaborating with buddies to compete in a community was reported as motivating for …

Why Smart Watches Shouldn't Just Become A Trend: Using Smart Watches In The Treatment Of Diabetes, Caelan Rapp

Missouri S&T’s Peer to Peer

As mobile technologies have advanced, the idea of using them in health care applications has expanded greatly. In a 2011 paper by Boulos et al, the impact of mobile technology such as smartphones in health care was examined. Numerous benefits of the implementations were noted, such as how smartphones are able to provide a connection between both doctors and patients due to the network access capabilities of the device. Additionally, using the existing monitoring and sensor technologies on a smartphone can eliminate the need for other external devices, thus reducing the maintenance required by the patient. All in all, keeping …

The Public Health Information Technology Maturity Index: An Approach To Evaluating The Adoption And Use Of Public Health Information Technology, Kenyon Crowley, Robert S. Gold, Sruthi Bandi, Ritu Agarwal

Frontiers in Public Health Services and Systems Research

Background: Public health information technology (PHIT) has the potential to improve the effective and efficient use of information in achieving public health objectives. Information technology maturity models have been extensively used in other domains to guide information technology assessment and planning, but an information technology maturity model tailored for public health departments has heretofore been unavailable.

Purpose: The purpose of this study was to develop a Public Health Information Technology Maturity Index.

Methods: An extensive literature review and content analysis was conducted of information system adoption, use, and maturity in general and in the public health systems and services research …

February 2016, Randy Curry, Cindy Brooks

RURAL ROCKS

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

The Impact Of Reimbursement Policies And Practices On Healthcare Technology Innovation, Brian K. Bruen, Elizabeth Docteur, Ruth Lopert, Joshua Cohen, Joseph Dimasi, Avi Dor, Peter Neumann, Regina Desantis, Chuck Shih

Health Policy and Management Faculty Publications

No abstract provided.

Creating A Better World With Information And Communication Technologies: Health Equity, Sajda Qureshi

Information Systems and Quantitative Analysis Faculty Publications

When news broke on 23rd July 2014, that a case of the deadly virus Ebola had been confirmed in Lagos, home to about 21 million people and a major transportation hub, the World held its breath. If not contained, this virus could spread quickly killing a multitude of people around the World. By 15th October, cases of Ebola had been recorded around the World: Liberia reported 4249 cases with 2458 deaths, Sierra Leone reported 3252 cases with 1183 deaths, Guinea 1472 cases with 843 deaths, Nigeria reported 20 cases with 8 deaths, the USA reported 3 cases and 1 death, …

Use Of Mobile Devices To Access Resources Among Health Professions Students: A Systematic Review, Misa Mi, Wendy Wu, Maylene Qiu, Yingting Zhang, Lin Wu, Jie Li

Library Scholarly Publications

This systematic review examines types of mobile devices used by health professions students, kinds of resources and tools accessed via mobile devices, and reasons for using the devices to access the resources and tools. The review included 20 studies selected from articles published in English between January 2010 and April 2015, retrieved from PubMed and other sources. Data extracted included participants, study designs, mobile devices used, mobile resources/apps accessed, outcome measures, and advantages of and barriers to using mobile devices. The review indicates significant variability across the studies in terms of research methods, types of mobile programs implemented, resources accessed, …

Testing The Feasibility Of Remote Patient Monitoring In Prenatal Care Using A Mobile App And Connected Devices: A Prospective Observational Trial, Kathryn Marko, Jill M. Krapf, Andrew C. Meltzer, Julia Oh, Nihar Ganju, Anjali Martinez, Sheetal Sheth, Nancy D. Gaba

Obstetrics and Gynecology Faculty Publications

BACKGROUND:

Excessive weight gain and elevated blood pressure are significant risk factors for adverse pregnancy outcomes such as gestational diabetes, premature birth, and preeclampsia. More effective strategies to facilitate adherence to gestational weight gain goals and monitor blood pressure may have a positive health benefit for pregnant women and their babies. The impact of utilizing a remote patient monitoring system to monitor blood pressure and weight gain as a component of prenatal care has not been previously assessed.

OBJECTIVE:

The objective of this study is to determine the feasibility of monitoring patients remotely in prenatal care using a mobile phone …

Mobile Health Interventions For Adult Obesity In The United States: Analysis Of Effectiveness And Efficacy, David P. Paul Iii, Keerthi Gochipathala, Alberto Coustasse, Bezawit Wodajo, Niharika Bhardwaj

Management Faculty Research

The Unites States continues to struggle with the negative health effects associated with increasing population obesity, a problem which has been historically difficult, if not impossible, to solve. Mobile health applications represent a potential partial solution to this problem. We examine the existing literature on the effects of mobile health applications on body weight, waist circumference, BMI, and lifestyle, examining both physical findings as well as adherence, satisfaction and cost effectiveness. The use of mobile for weight reduction looks promising, but evidence is mixed, which is not surprising given the rapidly evolving nature of the mobile application field.

Opportunities And Challenges In The Use Of Personal Health Data For Health Research, Matthew J. Bietz, Cinnamon S. Bloss, Scout Calvert, Job G. Godino, Judith Gregory, Michael P. Claffey, Jerry Sheehan, Kevin Patrick

University of Nebraska-Lincoln Libraries: Faculty Publications

Objective: Understand barriers to the use of personal health data (PHD) in research from the perspective of three stakeholder groups: early adopter individuals who track data about their health, researchers who may use PHD as part of their research, and companies that market self-tracking devices, apps or services, and aggregate and manage the data that are generated.

Materials and Methods: A targeted convenience sample of 465 individuals and 134 researchers completed an extensive online survey. Thirty-five hourlong semi-structured qualitative interviews were conducted with a subset of 11 individuals and 9 researchers, as well as 15 company/key informants.

Results: Challenges to …

The Qualitative And Quantitative Effects Of Patient Centered Medical Home In The Veterans Health Administration, Samuel N. Lovejoy, Eric Stalnaker, William K. Willis, Alberto Coustasse

Management Faculty Research

Since the 1990’s, the Veteran’s Health Administration (VHA) has implemented a system of primary care that has been considered some of the best care that can be offered (Klein, 2011). The Patient Center Medical Home (PCMH) Model, also called “Patient Aligned Care Team” (PACT) in the VHA, has been coordinating and integrating services which ensure optimal health outcomes at an acceptable value (Bidassie, Davies, Stark, & Boushon, 2014).

PACT was created in 2010, building on 20 years of the VHA transforming from a loosely based system of inpatient services to a provider of outpatient primary care for veterans. From 2010 …

Big Data Management In United States Hospitals: Benefits And Barriers, Chad Schaeffer, Ariful Haque, Lawrence Booton, Jamey Halleck, Alberto Coustasse

Management Faculty Research

Big Data has been considered as an effective tool to reduce healthcare costs by eliminating adverse events and reducing readmissions in hospitals. The purpose of this study was to examine the emergence of Big Data in the United Sates healthcare industry, to evaluate hospital’s ability to effectively make use of complex information, and to predict the potential benefits hospitals might realize if they are successful. The findings of the research suggest that there were a number of benefits expected by hospitals when using Big Data analytics, including cost savings and business intelligence. In addition, hospitals have recognized that there have …

Linking Emr To Virtual Care Of Psychiatric Patients In The Acute Care Setting, Howard Louis Beatty Jr.

MUSC Theses and Dissertations

The purpose of this study is to test if the implementation of the Tele-Psychiatric Consultation Process (built within the FirstNet (Cerner/EMR) application, which pulls the patient’s current EMR encounter from multiple facility locations to a different physical facility location for consultation) provided increased quality by decreasing in total length of stay. The coordination of virtual care consultations allows for inter-practice data exchange for multi-provider clinical decision support. Documentation of medications and treatment regimens, which may be unfamiliar to the acute care provider, are provided through virtual tele-psychiatric consultations. An eTracking queue within FirstNet was built in-house by Carolinas Healthcare System …

Moving Forward With Family Centered-Care: One Step At A Time, Adrianne Dunbar

UReCA: The NCHC Journal of Undergraduate Research and Creative Activity

Family-centered care is an evolving process between patients, families, and health care providers. The family centered care model emphasizes the strength families bring to the healing process. The research project was a quasi-experimental pre-and post-test study with a communication intervention phase. The study was conducted in a Surgical-Trauma Intensive Care Unit (STICU) in a university affiliated hospital in the Southeast with restricted visitation hours. The purpose of this IRB-approved study was to measure the nurses’ perceptions of communication involvement with family members before and after the intervention phase. Approximately 50% of eligible participants responded. The communication intervention phase consisted of …

Impact Of Electronic Health Records On Patient Outcomes, Lilian Ndifon, Jude E. Edwards, Leila Halawi

Publications

With the passing of the HITECH Act, EHRs have come into prominence and sharper focus, due to efforts by the government to push for a national adoption of EHRs into our healthcare system. This push for a national adoption of EHRs is based on the premise that it will help improve the quality delivery of health care services and reduce costs. However, this push for a “national adoption” has experienced mixed results. This study was designed to assess the impact of EHRs post-2009, the year of the HITECH Act, to review some of the key contributing factors to this mixed …

The Integration Of Mobile Technology To Lower The Risk Of Developing Cervical Cancer In Hiv Positive Women, Tugce Kinik

Dissertations, Master's Theses and Master's Reports

Cervical cancer is the most common cancer in HIV positive women in the world [1]. According to epidemiologists, HPV infection alone will not initiate cervical cancer [2]. In addition to high risk HPV types, smoking, long term hormonal contraceptive use, high parity, HIV/AIDS infection, sexual activity before 20 years of age, multiple sexual partners, exposure to sexually transmitted disease, and family history of cervical cancer are other reasons to turn an HPV infection to the cervical cancer [3]. With the increasing global population, cervical cancer cases are expected to increase 46% until 2030 [4]. Effective prevention and control efforts will …

Detecting, Segmenting And Tracking Bio-Medical Objects, Mingzhong Li

Doctoral Dissertations

"Studying the behavior patterns of biomedical objects helps scientists understand the underlying mechanisms. With computer vision techniques, automated monitoring can be implemented for efficient and effective analysis in biomedical studies. Promising applications have been carried out in various research topics, including insect group monitoring, malignant cell detection and segmentation, human organ segmentation and nano-particle tracking.

In general, applications of computer vision techniques in monitoring biomedical objects include the following stages: detection, segmentation and tracking. Challenges in each stage will potentially lead to unsatisfactory results of automated monitoring. These challenges include different foreground-background contrast, fast motion blur, clutter, object overlap and …