Health Information Technology Commons^™

Necessity Of Analytics In Today’S Healthcare Revenue Cycle, Kristen N. Thomas

Applied Research Projects

Because of the recently growing pressures to improve quality and reduce costs, healthcare organizations are rapidly adopting IT in order to improve their operations and clinical care. As a result, an accumulation of vast amounts of data are becoming available for use. It is important for healthcare to use this data. Strome (2010) states that healthcare analytics is the application of statistical tools and techniques to healthcare-related data in order to study past situations (i.e., operational performance or clinical outcomes) to improve the quality and efficiency of clinical and business processes and performance. With the introduction of healthcare analytical tools, …

The Personal Health Record (Phr): The Effects On Patient Healthcare Outcomes?, Bonita R. Payne

Applied Research Projects

Electronic transmission of data is on the rise, due to the Affordable Care Act and provisions to make healthcare information more accessible, complete, and transparent. The Personal Health Record (PHR) application is a tool used to provide assistance to the goal of patient-centered and patient-centric care. Its purpose is to encourage consumers to become more participatory and informed in their healthcare treatment and healthcare needs. Since its inception, it has been questionable as to whether consumers and providers are seeing any improvements in the services provided or the care rendered. Since, the development and implementation of PHR applications, there has …

Hipaa Violations On Social Media, Tamesha Helen Parris

Applied Research Projects

With the rise of social media networks such as Facebook and Twitter, healthcare professionals and students pursing healthcare careers communicate, collaborate, and network on an array of websites and apps. With the use of social media, the users can reach a large audience in a matter of seconds, with this ease; users can transmit information and has presented challenges in the form of unauthorized disclosure of patient’s health information on social media sites. The purpose of this study is to see if the number of HIPAA violations increased due to the use of social media and what steps are healthcare …

Health Literacy Improves Health Care Quality, Rebecca Cook

Applied Research Projects

A lack of knowledge about health literacy is a cause for quality healthcare concern as the world advances in health information technology. Many patients struggle to understand and navigate their health and well-being as a result of lack of understanding of the treatment plan due to low literacy skills. Several federal policy initiatives promote health literacy as the responsibility of the healthcare organization. Improving health outcomes through health literacy should be a commitment of healthcare organization through providing clear communication, simplified forms, assistance, and even follow-up calls. Three major initiatives will combat health literacy to include the Affordable Care Act; …

Maintaining The Master Patient Index: The Impact Of Patient Registration Processes On Data Integrity, Matthew Biddle

Applied Research Projects

The master patient index is one of the most important components within a healthcare system. It ensures that an individual patient is given a unique identifier that is used across the various separate clinical, financial and administrative systems and ensures that all information about that patient is organized and complete. Ensuring the MPI is accurate is critical since errors can have significant costs- both financially and in terms of patient outcomes. Patient registrars are the first line of defense when it comes to correctly identifying incoming patients and is where many errors in the MPI occur. Errors can be simple …

Sexting Among Married Couples: Who Is Doing It, And Are They More Satisfied?, Brandon T. Mcdaniel Phd, Michelle Drouin

Health Services and Informatics Research

This study examined the prevalence and correlates of sexting (i.e., sending sexual messages via mobile phones) within a sample of married/cohabiting couples (180 wives and 175 husbands). Married adults do sext each other, but it is much less common than within young adult relationships, and consists mainly of sexy or intimate talk (29% reported engaging in sexy talk with partners) rather than sexually explicit photos or videos (12% reported sending nude or nearly-nude photos). Sending sexy talk messages was positively related to relationship satisfaction only among those with high levels of avoidance, and sending sexually explicit pictures was related to …

Security And Privacy Of Electronic Health Information Systems: Editorial, Elisa Bertino, Robert H. Deng, Xinyi Huang, Jianying Zhou

Research Collection School Of Computing and Information Systems

Digital technologies have dramatically transformed our daily lives by bringing countless conveniences and benefits. As an evolving concept, electronic health information has become the focus of attention in both academia and industry. By leveraging modern digital technologies like the internet and the cloud, electronic health information systems will be a key enabling technology in improving the quality and convenience of patient care, encouraging patient participation in their care, reducing medical errors, improving practice efficiencies, and saving time and cost. The complexity of electronic health information systems, however, raises several new security and privacy issues. It is thus critical to investigate …

Understanding User Resistance To Information Technology In Healthcare: The Nature And Role Of Perceived Threats, Madison Ngafeeson

Transactions of the International Conference on Health Information Technology Advancement

Information technology (IT) in healthcare is here to stay. The United States government has made efforts in the past ten years to harness the power of information technologies in healthcare to improve legibility, lessen medical errors, keep costs low, and boost the overall quality of health care. However, IT user resistance in healthcare is continually cited as a major barrier to achieving desired outcomes. Understanding the nature and manifestation of resistance is clearly a key to successfully managing this industry-wide change, fostering adoption, and realizing positive outcomes. Earlier research had established perceived threats as a significant antecedent of user resistance; …

Transactions Of 2015 International Conference On Health Information Technology Advancement Vol.3, No. 1, Center For Health Information Technology Advancement

Transactions of the International Conference on Health Information Technology Advancement

The Third International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 30-31, 2015

Conference Chair Bernard Han, Ph.D., HIT Pro Department of Business Information Systems Haworth College of Business Western Michigan University Kalamazoo, MI 49008

Transactions Editor Dr. Huei Lee, Professor Department of Computer Information Systems Eastern Michigan University Ypsilanti, MI 48197

Volume 3, No. 1

Hosted by The Center for Health Information Technology Advancement, WMU

Revisiting An Integrated Health Informatics And Technology Curriculum Model, Bernard T. Han, Tracy L. Johnson, Kenneth D. Bobo

Transactions of the International Conference on Health Information Technology Advancement

The shortage of health information technology workforce is quite significant in the health industry. The traditional education approach may not be effective enough to train college students to be an HIT workforce that requires both academic knowledge and extensive hands-on experiences in both healthcare and information technology. This paper presents an Integrated Health Informatics and Technology Curriculum Model to collapse the campus boundaries between regional Intermediate School Districts, Community Colleges, and a Four-Year health informatics and information management program to support expedited education with sufficient hands-on experiences in health informatics and technology. This model has been pilot tested by the …

The Expert Survey-Based Global Ranking Of Management- And Clinical-Centered Health Informatics And It Journals, Michael S. Dohan, Alexander Serenko, Joseph Tan Phd

Transactions of the International Conference on Health Information Technology Advancement

The goal of this study is to develop an expert survey-based journal ranking for the Health Informatics & Information Technology (HIIT) field. Journal of the American Medical Informatics Association and Journal of Medical Internet Research were ranked as top HIIT management-focused journals, and BMC Medical Informatics & Decision Making and IEEE Journal of Biomedical & Health Informatics were ranked as top HIIT clinical-focused journals. This ranking benefits academics who conduct research in this field because it allows them to direct their research to appropriate journals, convey their accomplishments to tenure and promotion committees, and experience other benefits.

First Generation College Students And Mobile Device Acceptance In Nursing Education, Deanna Gapp, Tsu-Yin Wu

Transactions of the International Conference on Health Information Technology Advancement

The National League for Nursing (2009) states that nurse educators must commit to diversity in education by reviewing practices that favor and exclude students. First generation college students (FGCS) have a background that may hinder success and require support to overcome barriers in a nursing program- including mobile device acceptance. A cross-sectional survey of 37 students showed significant differences; FGCS have higher results than non-FGCS in six of the eight key constructs of mobile device acceptance. Mobile devices may help bridge the digital divide. By increasing emphasis on mobile device functioning in the nursing curriculum, nurse educators can continue to …

Socio-Economic Dimension Of Indoor Radon Gas In West Michigan - A Public Health Discourse And Merit To Use Hit In Shaping Health Behavior, Azizur Molla

Transactions of the International Conference on Health Information Technology Advancement

This study focuses on indoor radon levels and socioeconomic data from West Michigan, MI. It was designed to: i) analyze the relationship between indoor radon levels and socioeconomic status of the participating households, and ii) assess the degree of public awareness about the danger of indoor radon gas. The study participants expressed that they knew that radon was negative, and a health risk, but were not equipped with the knowledge to test for or mitigate radon. With nearly half of the participants affected in some way by cancer, radon is a concern and a source for worry among many citizens. …

Exploring Cloud Computing Implementation Issues In Healthcare Industry, Sadaf Ashtari, Ali Eydgahi, Huei Lee

Transactions of the International Conference on Health Information Technology Advancement

Nowadays, cloud computing—as a flexible, collaborative, cost effective and scalable computational approach—is being applied within different public and private organizations. Furthermore, the use of cloud-based applications is becoming more widespread on both the organizational and individual level than it has been in the past. Healthcare is one discipline that could benefit from cloud-based applications; however, because of various privacy and security issues, it has been adopted more slowly than in many other disciplines. The purpose of this preliminary study is to investigate the related literature in order to explore the cloud computing implementation issues in the healthcare industry. Technological, Organizational, …

Can Psychology Research Inform Health Information Data Collection?, A. Michelle Wright

Transactions of the International Conference on Health Information Technology Advancement

Conclusions drawn from electronic medical records (EMRs) are only as accurate as the data provided. Recent findings by psychologists and health researchers may help streamline health information data collection and subsequent data analysis. Specifically, four areas will be discussed: (1) Standardization of terms between the patient and the health professionals, (2) Impact of patient inattention and fatigue when responding to health measures, (3) Importance of source labeling within the medical record (e.g., self-administered questionnaire, responded via phone, etc.), (4) Cognitive load on patients when using mobile health technology (e.g., apps, tablets, online patient portal, etc.). Research suggests consideration of these …

Forecasting The Potential For Emergency Department Overcrowding, Jeff Skinner, Raymond J. Higbea

Transactions of the International Conference on Health Information Technology Advancement

This research study used the Dixon Forecasting Model (DFM), a Bed Ratio (BR), and the National Emergency Department Overcrowding Scale (NEDOCS) to establish a reliable two-hour overcrowding forecasting tool within the Emergency Department. The DFM and BR were used together to predict severe overcrowding based on current census data. This two hour prediction was then be validated by the real-time NEDOCS and real-time Bed Ratio scores. Data analysis indicates that the two-hour predicted BR is moderately correlated with a real-time NEDOCS (correlation coefficient 0.508) and real-time BR (correlation coefficient 0.492) at the forecasted time. Further data analysis revealed a strong …

A Case Study Perspective Toward Data-Driven Process Improvement For Balanced Perioperative Workflow, Jim Ryan, Barbara Doster, Sandra Daily, Carmen Lewis

Transactions of the International Conference on Health Information Technology Advancement

Based on a 143-month longitudinal study of an academic medical center, this paper examines operations management practices of continuous improvement, workflow balancing, benchmarking, and process reengineering within a hospital’s perioperative operations. Specifically, this paper highlights data-driven efforts within perioperative sub-processes to balance overall patient workflow by eliminating bottlenecks, delays, and inefficiencies. This paper illustrates how dynamic technological activities of analysis, evaluation, and synthesis applied to internal and external organizational data can highlight complex relationships within integrated processes to identify process limitations and potential process capabilities, ultimately yielding balanced workflow and improvement. Study implications and/or limitations are also included.

Realizing The Value Of Ehr Systems: Critical Success Factors, Elizabeth A. Regan, Jumee Wang

Transactions of the International Conference on Health Information Technology Advancement

Now that a majority of hospitals and primary care physicians have made the transition to electronic health record (EHR) systems, realizing value from this investment has become a major issue. The issue raises two key questions: Why do so many EHR implementations continue to fall short of achieving intended healthcare outcome goals? What differentiates those that succeed from those that fall short? This article builds on prior research using a systems framework to analyze the EHR implementation process. It focuses on ten common themes (CSFs) that appear to differentiate institutions which achieve positive healthcare outcomes from those that do not. …

Patient Handoffs: A Review Of Current Status In The Usa, Farzad Rafi Razi

Transactions of the International Conference on Health Information Technology Advancement

The goal of this paper is to highlight the status of patient handoffs in the United States. A summary of what patient handoffs are, and the current processes through which handoffs are carried out will be described, as well as the benefits and limitations of each approach. In addition, this project will describe some major flaws in the handoff system, and suggestions to how they may be remedied. This paper will conclude by mentioning a new system which has reduced handoff errors, and propose an extension to this research in order to instigate further developments.

Does Unlearning Impact Interaction Of Ehr End-Users?, Julee Hafner, Cherie Noteboom

Transactions of the International Conference on Health Information Technology Advancement

Organizations need to remain competitive in today’s marketplace. Technology change impacts knowledge competencies that require alteration quickly, to reduce operating costs, and eliminate human errors. Updating computer system documentation procedures require unlearning to maintain competency. Physician end-users possess specialized competencies, or knowledge base in documentation of patient data to the degree that these operations have become automatic. To change the knowledge base of practitioners, end-users must use intellectual capital to unlearn patient care EHR documentation. This study focused on competency change, with the perceptions and influencers of unlearning of old competencies during EHR updates.

Developing And Pretesting A Text Messaging Program For Health Behavior Change, Lorien C. Abroms, Robyn Whittaker, Caroline Free, Judith Mendel Van Alstyne, Jennifer M. Schindler-Ruwisch

Prevention and Community Health Faculty Publications

Background: A growing body of evidence demonstrates that text messaging-based programs (short message service [SMS]) on mobile phones can help people modify health behaviors. Most of these programs have consisted of automated and sometimes interactive text messages that guide a person through the process of behavior change.

Objective: This paper provides guidance on how to develop text messaging programs aimed at changing health behaviors.

Methods: Based on their collective experience in designing, developing, and evaluating text messaging programs and a review of the literature, the authors drafted the guide. One author initially drafted the guide and the others provided input …

Eemi - An Electronic Health Record For Pediatricians: Adoption Barriers, Services And Use In Mexico, Juan Carlos L. Jarquin, Roberto Garza, Lorena G. Gomez Dr., Manuel J. Silva-Cavazos, Víctor J. Lara-Díaz

Transactions of the International Conference on Health Information Technology Advancement

The use of paper health records and handwritten prescriptions are prone to preset errors of misunderstanding instructions or interpretations that derive in affecting patients’ health. Electronic Health Records (EHR) systems are useful tools that among other functions can assists physicians’ tasks such as finding recommended medicines (and their contraindications) and dosage for a given diagnosis, filling prescriptions and support data sharing with other systems. By using an EHR many errors can be avoided. This paper presents EEMI (Expediente Electrónico Médico Infantil), a Children EHR focused on assisting pediatricians in their daily office practice. EEMI functionality keeps the relationships among diagnosis, …

Smart Home Healthcare Settings: A Qualitative Study Of The Domain Boundary, Ahmad Alaiad, Dorsa Ziaei, Muhammad Al-Ayyad

Transactions of the International Conference on Health Information Technology Advancement

Addressing the health problems of the 21st century will require individuals to use a new set of medical and public health resources that extend beyond historic and traditional medical devices and are built on current and smart information technologies. Much of these new medical tools was originally designed by device manufacturers to be used only in clinical settings and by trained healthcare professionals but recently are finding their way into the home nevertheless. Their migration to the home poses many challenges to both caregivers and care recipients. In order to facilitate their migration to the home, it is very important …

Examining The Performance Of Older And Younger Adults When Interacting With A Mobile Solution Supporting Levels Of Dexterity, Ayidh Alqahtani, Abdulwhab Alsalmah, Ahmad Alaiad

Transactions of the International Conference on Health Information Technology Advancement

The purpose of this research is to develop and evaluate a mobile game to support the needs of adults aiming to strengthen their perceptual and dexterity skills. The game itself is an advanced version of a Whack-A-Mole style game, in which the user is required to select visual targets, as quickly and accurately as possible. In this version of the game, the user is able to modify the speed, target size, and availability of distracters. In this paper, the performance between older and younger users has been compared. Older adults had spent more time and missed more compared to the …

Understanding Health Information Technology Adoption: A Synthesis Of Literature From An Activity Perspective, Jun Sun, Zhe Qu

Information Systems Faculty Publications

The vast body of literature on health information technology (HIT) adoption features considerably heterogeneous factors and demands for a synthesis of the knowledge in the field. This study employs text mining and network analysis techniques to identify the important concepts and their relationships in the abstracts of 979 articles of HIT adoption. Through the lens of Activity Theory, the revealed concept map of HIT adoption can be viewed as a complex activity system involving different users, technologies and tasks at both the individual level and the social level. Such a synthesis not only discloses the current knowledge domain of HIT …

Towards Mhealth Solutions For Asthma Patients, Nahid Negar

Master's Theses (2009 -)

With the recent, rapid growth in mobile-computing technology, mobile health (mHealth) is becoming a popular research topic. mHealth is one of several examples of how using technology in the health sector is being more advanced every day. mHealth is being applied to the care of a broad spectrum of diseases from acute to chronic, such as the flu, asthma, and cancer. Due to the easy-to-understand and friendly user interfaces, mobility and cost effectiveness; a mobile application can be a powerful tool to collect patient information. Asthma is a common disease around the globe. Collecting the proper symptom, trigger, peak-flow and …

A Machine Learning Approach To Post-Market Surveillance Of Medical Devices, Jonathan Bates, Shu-Xia Li, Craig Parzynski, Ronald Coifman, Harlan Krumholz, Joseph Ross

Yale Day of Data

Post-market surveillance is a collection of processes and activities used by product manufacturers and regulators, such as the U.S. Food and Drug Administration (FDA) to monitor the safety and effectiveness of medical devices once they are available for use “on the market”. These activities are designed to generate information to identify poorly performing devices and other safety problems, accurately characterize real-world device performance and clinical outcomes, and facilitate the development of new devices, or new uses for existing devices. Typically, a device is monitored by comparing adverse events in the exposed population to a matched unexposed population. This research considers …

Who Is Making Lifestyle Changes Due To Preventive Health Care Information? A 10 Year Comparison Study, Joseph D. Cangelosi Jr., David Kim, Edward Ranelli

Atlantic Marketing Association Proceedings

This paper sought to describe from a set of 6 demographic and 13 lifestyle change variables the person who is significantly and positively impacted by preventive health care information (PHCI). Based on past research, six hypotheses were developed. Three of the six hypotheses were accepted. In addition, there were significant relationships for each of the six demographic variables with at least one of the lifestyle change variables. Those who are seeking and are positively impacted by PHCI are better educated, female, and (depending upon the lifestyle change variable in question) fall into a definite age category. There is partial support …

An Attitudinal Analysis Of Preventive Health Care Information Users: With Insights From Social Media, Joseph D. Cangelosi, David Kim, Edward Ranelli

Atlantic Marketing Journal

As the U.S. health care system continues to restructure itself, an increased emphasis on preventive health care will be a very important component. It is vital that preventive health care information (PHCI) be readily accessible and applied. This research explores the impact of social media as a source for accessing PHCI. Specifically, it examines how individuals rate active vs. passive internet delivery systems (IDS) to gather PHCI. Results of the study indicated that online health forums (active IDS) were the most popular source of PHCI, whereas Facebook and Twitter were most unpopular. On the whole, accessing PHCI via active IDS …

Are We Making A Better World With Information And Communication Technology For Development (Ict4d) Research? Findings From The Field And Theory Building, Sajda Qureshi

Information Systems and Quantitative Analysis Faculty Publications

As Information and Communication Technologies (ICTs) continue to penetrate people’s lives the world over, there is a sense that understanding the role of ICTs in the context of development needs to be conceptualized theoretically while making empirical contributions that add to what we know (Avgerou, 2008; Davison, 2012; Sein and Harindranath, 2004; Sahay and Walsham, 1995). Other scholars have pointed to the importance of this research for the field of Information Systems (ISs) in offering broader contributions. Avgerou (2008) suggests that in the era of globalization such research offers contributions in ISs beyond “organizational organizational and national boundaries and support …