Health Information Technology Commons^™

Sistem Monitoring Dan Evaluasi Serta Perkembangan Program Pencegahan Dan Pengendalian Penyakit Tuberkulosis Di Dinas Kesehatan Kota Depok, Supriyanti Supriyanti, Tiur Febrina Pohan, Kemal N. Siregar

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Beban kasus TB tertinggi tahun 2021 terjadi di Provinsi Jawa Barat, Jawa Timur, Jawa Tengah, Sumatera Utara, dan DKI Jakarta. Kota Depok merupakan salah satu penyumbang beban TB di Jawa Barat. Dari data estimasi beban TB se-Provinsi Jawa Barat, Kota Depok berada di urutan ke-7 dengan estimasi jumlah kasus sebanyak 3853 kasus. Menurut indikator angka keberhasilan pengobatan pasien TB, semua kasus tahun 2018-2021 masih dibawah target 90%. Tujuan penelitian ini untuk mengetahui hasil monitoring dan evaluasi program TB yang telah berjalan di Seksi Pencegahan dan Pengendalian Penyakit Menular serta perkembangan program TB dilihat dari capaian indikator TB di Dinas Kesehatan …

Analysis Of User Satisfaction Of Telemedicine Services During Covid-19 Self-Isolation Among Fph Students At The Universitas Indonesia, Fathiya Nissa Mulyaningrum, Nadya Raihanny

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Telemedicine has become a new paradigm in the world of health since its popular use to assist the Ministry of Health in monitoring self-isolating patients during the COVID-19 pandemic. This study aims to analyze service quality variables related to user satisfaction with telemedicine services during COVID-19 self-isolation among students in FPH UI. This research is quantitative research with a cross-sectional approach. The results show that the platform most widely used for telemedicine services during the COVID-19 pandemic was platform H by 25 people. The average satisfaction of telemedicine users during self-isolation tends to be high, namely 3.8 with the lowest …

Analisis Spasial Faktor Risiko Difteri Di Provinsi Lampung Tahun 2022 Dan 2023, Nada Izzata Kamilla, Feranita Utama, Noviani Noviani

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Difteri merupakan penyakit menular yang disebabkan oleh bakteri Corynebacterium diphtheriae. Bila ditemukan satu kasus difteri di suatu wilayah maka dapat ditetapkan sebagai KLB. Provinsi Lampung terus mengalami kenaikan kasus dan suspek difteri sejak 2020 dan turut menyumbang angka kematian akibat difteri pada tahun 2023. Kasus difteri dipengaruhi oleh beberapa faktor risiko. Penelitian ini bertujuan untuk mendapatkan gambaran distribusi dan faktor risiko kasus difteri di Provinsi Lampung dengan memetakan kabupaten/kota berdasarkan persebaran dan faktor risikonya. Penelitian ini menggunakan desain studi ekologi dengan metode deskriptif analitik dengan aplikasi Quantum GIS versi 3.28.3. Hasil menunjukan distribusi kejadian difteri di Provinsi …

Persepsi Masyarakat Perdesaan Terhadap Penerimaan Vaksinasi Covid-19 Tahap Iii (Booster), Irma Irma, Yusuf Sabilu, Besse Amelia

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Penerimaan vaksinasi COVID-19 tahap III (booster) tiap kabupaten/kota di Provinsi Sulawesi Selatan memperoleh cakupan yang berbeda-beda. Jika dibandingkan dengan kabupaten/kota lainnya, Kabupaten Wajo memperoleh cakupan vaksin COVID-19 tahap III (booster) masih rendah yaitu 14.06%, dimana Desa Watan Rumpia memiliki persentase cakupan vaksinasi COVID-19 tahap III (booster) terendah per 16 Agustus 2022. Hal ini disebabkan karena persepsi dari masyarakat itu sendiri dalam menanggapi penerimaan vaksinasi COVID-19 tahap III (booster). Penelitian ini bertujuan untuk mengetahui hubungan antara persepsi masyarakat mengenai kerentanan, keparahan, manfaat dengan penerimaan vaksinasi COVID-19 tahap III (booster) di Desa …

Hubungan Berat Derajat Merokok Terhadap Kelainan Fungsi Paru Pada Sopir Angkutan Umum Di Terminal Kampung Melayu, Rizaldi Ridwan, Fajaria Nurcandra, Chandrayani Simanjorang, Dyah Utari, Balqis Hiri Bahasoan

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Di Indonesia, terdapat sebanyak 9,2 juta jiwa penyakit kelainan fungsi paru. Sopir angkutan umum yang merokok berisiko mengalami kelainan fungsi paru yang diakibatkan oleh rokok. Penelitian ini bertujuan untuk menganalisis hubungan berat derajat merokok terhadap gejala kelainan fungsi paru pada sopir angkutan umum di Terminal Kampung Melayu. Penelitian ini dilaksanakan pada bulan Mei tahun 2023 di Terminal Kampung Melayu dengan desain cross-sectional pada 102 sopir angkutan umum sebagai sampel. Sampel dipilih menggunakan teknik purposive sampling dengan kriteria inklusi sopir angkutan umum dan bersedia diwawancara. Wawancara langsung dilakukan menggunakan kuesioner dan spirometri untuk mengukur fungsi paru. Data dianalisis menggunakan uji Cox …

Measuring The Impact Of Primary Care Team Composition On Patient Activation Utilizing Electronic Health Record Big Data Analytics, Kristen K. Will, Yue Liang, Chih-Lin Chi, Gerri Lamb, Michael Todd, Connie Delaney

Journal of Patient-Centered Research and Reviews

Purpose

Team-based care has been linked to key outcomes associated with the Quadruple Aim and a key driver of high-value patient-centered care. Use of the electronic health record (EHR) and machine learning have significant potential to overcome previous barriers to studying the impact of teams, including delays in accessing data to improve teamwork and optimize patient outcomes.

Methods

This study utilized a large EHR dataset (n = 316,542) from an urban health system to explore the relationship between team composition and patient activation, a key driver of patient engagement. Teams were operationalized using consensus definitions of teamwork from the literature. …

Evolution Of Telehealth-Its Impact On Palliative Care And Medication Management, Syed N Imam, Ursula K Braun, Mary A Garcia, Leanne K Jackson

Center for Medical Ethics and Health Policy Staff Publications

Palliative care plays a crucial role in enhancing the quality of life for individuals facing serious illnesses, aiming to alleviate suffering and provide holistic support. With the advent of telehealth, there is a growing interest in leveraging technology to extend the reach and effectiveness of palliative care services. This article provides a comprehensive review of the evolution of telehealth, the current state of telemedicine in palliative care, and the role of telepharmacy and medication management. Herein we highlight the potential benefits, challenges, and future directions of palliative telemedicine. As the field continues to advance, the article proposes key considerations for …

Addressing Untimely Healthcare Access Of Veterans Receiving Care Through The Veteran Healthcare Administration (Vha), Frank Lunetta, Jamie Stern, Lila Mcnamee

School of Professional Studies

The Veteran Healthcare Administration (VHA) serves over nine million veterans (Department of Veterans Affairs, 2023). They are responsible for the health and well-being of veterans with service-connected disabilities (Department of Veterans Affairs, 2023). A major focus for the organization is to keep improving access for veterans, as the population continues to grow (Department of Veterans Affairs, 2023). In 2018, congress passed the MISSION Act in hopes of increasing access for veterans. The MISSION Act would expand private healthcare access for veterans through the Veteran Community Care Program (VCCP) (MISSION ACT, 2018). Despite the initial benefits of the program, the MISSION …

Navigating The Future Of Healthcare: Big Data's Impetus For Inpatient Quality Enhancement, Lakyn Hyre, Brian Cox, Alberto Coustasse

Management Faculty Research

This study aims to explore the impact of big data utilization on quality improvement in inpatient facilities, specifically assessing its influence on readmission rates, patient outcomes, and potential cost savings. This study utilized mixed methodologies with a literature review complemented by semi-structured interviews to gain perspectives about big data utilization on quality improvement in inpatient facilities. The Marshall University Institutional Review Board (IRB) approved the interview. This study’s conceptual framework (Figure 1) was adapted from the research framework of Yao, Chu, and Li (Yao et al., 2010). The framework displays the reasoning of and approach to big data and machine …

Diabetic Self-Management Programs As An Intervention To Decrease A1c Levels, Amanda Hughes

Master of Science in Nursing Family Nurse Practitioner

This paper discusses and examines the impact of a technology-integrated diabetes self-management program on HbA1c levels in adults with Type 2 diabetes, compared to traditional diabetic care and education methods. Utilizing a theoretical framework of Social Cognitive Theory, which would be applied to this project, the research would investigate whether integrating technological tools, such as mobile applications and online platforms, into diabetes self-management can provide better glycemic control. A randomized controlled trialis proposed that would involve 200 adult participants with Type 2 diabetes, divided into two groups: one receiving the technology-integrated program and the other following conventional care protocols. Over …

Implementing A New Clinical Note Template To Reduce Documentation Burden At A Pediatric Organization, Nikki Blaze

Translational Projects (Open Access)

Clinical notes of a patient’s visit to a healthcare provider are necessary for patient care, reimbursement, and regulatory compliance with federal and state laws. Over time, non-standardized processes within the EHR have led to the increasing use of copy-paste to complete clinical notes, leading to irrelevant information being captured in the notes. Sinsky et al. (2020) shared that 49% of physicians' time is spent within the EHR, completing their documentation, placing orders, and reviewing the patient's chart. The documentation requirements for billing and coding created tension as clinicians sought ways to reduce the documentation burden. To reduce the documentation burden …

Primary Hypertrophic Osteoarthropathy: A Case Series, Varuni Pragya, Mahabaleshwar Mamadapur Dr, Rahul Bisaralli Dr, Deepak Benny Dr, Purna Bansal

Digital Journal of Clinical Medicine

Skeletal dysplasia encompasses a spectrum of over 400 rare inheritable skeletal abnormalities typically manifested early in childhood. Hypertrophic Osteoarthropathy is a clinical syndrome marked by abnormal skin and osseous tissue proliferation at the distal extremities. It is characterized by unique clinical features such as digital clubbing, periostosis of tubular bones, and synovial effusions.

We report three cases of HPOA for further understanding and insight into this infrequent cause of clubbing. Case 1 involved a 25-year-old male presenting with joint pain, primarily in wrists and knees, accompanied by progressive swelling in both lower limbs for the past 3 years. Case 2 …

Changing The Way Providers Order Blood Return To Intensive Care Patients, Chloe Morris

Spring Showcase for Research and Creative Inquiry

Patients with anemia and other conditions resulting in loss of blood often come with orders to return wasted blood to them. While using typical blood draw practices, patients are placed at an increased risk of infection when their blood is exposed to the outside world. My question is, will using a closed system decrease the instances of infection in patients who receive their waste blood after draws? By utilizing a waste syringe attached to the IV line, nurses can avoid detaching and reattaching syringes to collect and give back the patient's blood. Patients who are already at an increased risk …

Primary Care Organizational Readiness And Implementation Climate For Task Sharing Of Tele-Mental Health Interventions, Frances Chu, Brenna Renn, Erin Abu-Rish Blakeney, Sean Munson, Oleg Zaslavsky

Articles, Abstracts, and Reports

Primary Care Organizational Readiness and Implementation Climate for Task Sharing of Tele-Mental Health Interventions

Chu, F.; Renn, B.; Blakeney, E.; Munson, S.; Zaskavsky, O. Providence Swedish/University of Washington, Seattle, WA

Purpose: To examine perceptions of organizational readiness and implementation climate for task sharing of telemental health (TMH) interventions from primary care healthcare professionals by levels of behavioral health integration (BHI) and roles. Background/Significance: BHI clinics have positive impact on patient outcomes. Task sharing, a strategy used to address shortages of behavioral/mental health (BMH) specialists, with TMH interventions adds complexity. Method: The mixed methods study surveyed 151 healthcare professionals with Organizational …

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation, Shanekia Garrett, Stefanie Lai, Jairo Pagan, Wendy Lu, Katie Whitehead

Articles, Abstracts, and Reports

No abstract provided.

Revolutionizing Revenue Cycle Management: Ai's Impact On Healthcare Organizations, Rachel Pennington, Alberto Coustasse

Management Faculty Research

Revenue Cycle Management (RCM) stands as a cornerstone in healthcare, overseeing the intricate processes involved in capturing, managing, and collecting revenue generated from patient services. However, the landscape of RCM has long been plagued by inefficiencies. These inefficiencies underscore the urgency for innovative approaches, and the integration of AI emerges as a promising solution to streamline processes and optimize revenue capture.

The Design Of A Quality Improvement Dashboard For Monitoring Spinal Cord And Column Injuries, Zahra Azadmanjir, Mohsen Sadeghi-Naini, Mohammad Dashtkoohi, Maziar Moradi-Lakeh, Jalil Arabkheradmand, James Harrop, Vafa Rahimi-Movaghar

Department of Neurosurgery Faculty Papers

Background: Interactive dashboards are a powerful tool for dynamic visualization and monitoring of patient performance and serve as a useful to for optimal decision-making. The National Spinal Column and Cord Injury Registry of Iran (NSCIR-IR) was designed to efficiently display and broadcast important patient care data. This has been achieved through an electronic dashboard display (graph and visual displays), rather than traditional static paper reports (text). Objectives: The objective of this study was to design and develop an electronic visual dashboard as a display system to monitor the quality of care in the NSCIR-IR collaborating centers. Methods: The indicators chosen …

Experiences Of Using The Mindset Self-Management Mobile Health App Among Hispanic Patients: Results Of A Qualitative Study, Charles Begley, Tomas Nuño, Shiela Soto, Cecilia Rosales, David Labiner

Faculty, Staff and Student Publications

BACKGROUND: Interventions focusing on epilepsy self-management (ESM) are vital for promoting the health of people living with epilepsy. E-technology and mobile health (mHealth) tools are becoming increasingly integrated into practice to promote self-management strategies for chronic diseases, enhance care delivery, and reduce health disparities. Management Information and Decision Support Epilepsy Tool (MINDSET), a bilingual decision support tool (available in English and Spanish), was found to be both feasible and effective in facilitating goal-based ESM in the clinic.

PURPOSE: To assess the experience of using MINDSET as an ESM intervention among Hispanic patients with epilepsy to inform future interventional studies.

METHODS: …

Evaluating And Improving The Usability Of A Mhealth Platform To Assess Postoperative Dental Pain, Nicholas Skourtes, David Holmes, Joel White, Elsbeth Kalenderian, Muhammad F Walji

Faculty, Staff and Student Publications

OBJECTIVES: The use of interactive mobile health (mHealth) applications to monitor patient-reported postoperative pain outcomes is an emerging area in dentistry that requires further exploration. This study aimed to evaluate and improve the usability of an existing mHealth application.

MATERIALS AND METHODS: The usability of the application was assessed iteratively using a 3-phase approach, including a rapid cognitive walkthrough (Phase I), lab-based usability testing (Phase II), and

RESULTS: The rapid cognitive walkthrough identified 23 potential issues that could negatively impact user experience, with the majority classified as system issues. The lab-based usability testing yielded 141 usability issues.; 43% encountered by …

Association Between Psychosocial Acuity And Glycemic Control In A Pediatric Type 1 Diabetes Clinic., Joseph Wardell, Dana K. Albright Phd, Claire Chang, Melissa A Plegue, Jung Eun Lee, Emily Hirschfeld, Ashley Garrity, Joyce M Lee, Melissa Dejonckheere

Health Services and Informatics Research

PURPOSE: The purpose of this study was to describe the frequency of psychosocial risk and its associations with glycemic levels in youth with type 1 diabetes (T1D) seen by social work staff during regular clinical care.

METHODS: A retrospective longitudinal analysis of observational clinical data was conducted. Individuals (1-26 years) with known T1D who were seen at a pediatric diabetes clinic in a US academic medical center between 2014 and 2021 were included. Variables included psychosocial acuity, A1C, and demographic characteristics. Chi-square tests, Wilcoxon rank sum tests, and mixed linear regressions were used to examine associations between demographic variables, psychosocial …

Efficacy Of Digital Mental Health Interventions For Ptsd Symptoms: A Systematic Review Of Meta-Analyses, Yue Qi Germaine Tng, Xun Ci Soh, Xun Ci Soh, Andree Hartanto, Andree Hartanto

Research Collection School of Social Sciences

Background: The present systematic review aimed to synthesize the results of meta-analyses which examine the effects of digital mental health interventions (DMHIs) on post-traumatic stress disorder (PTSD) symptoms, and investigate whether intervention characteristics (i.e., technique, timeframe, and therapeutic guidance) and methodological characteristics including outcome measures and sample inclusion criteria (age, gender, socioeconomic status, country, comorbidity) moderate the efficacy of digital interventions. Methods: A systematic search of various sources (ECSCOhost PsycInfo, PubMed, Web of Science, Scopus, EBSCOhost ERIC, Google Scholar, ProQuest Dissertations & Theses) including five peer-reviewed journals was conducted to identify relevant meta-analyses up to December 2023, and 11 meta-analyses …

Dentistry’S Cdt Code: Its Origins, Use And Future, Frank J. Pokorny Ii, Mba, Facd(Hon)

The Journal of the Michigan Dental Association

Today’s version of the Code on Dental Procedures and Nomenclature – commonly referred to as CDT 2024 -- is the latest iteration of the code set first published in 1969. The CDT Code is ADA intellectual property that serves dentists and the dental community at large as the HIPAA standard for documenting and reporting services delivered to patients. CDT supports multiple needs: e.g., documentation; billing and reimbursement; revenue; data analytics. The code set’s maintenance is an open process overseen by the ADA Council on Dental Benefit Programs’ Code Maintenance Committee. Any dentist or interested party may submit a maintenance request. …

Building For Safety: Design Considerations For Refuge Areas In Tall Buildings From Quality Management Perspective, Enass. A. Salama, Heba. M. Gaber, Ahmed. M. Selim

Journal of Engineering Research

New El Alamein City is one of the largest urban projects in Egypt, and the largest project on the north coast. Tall buildings (super high-rise buildings) are considered the prevailing trend by architectural designers to obtain the maximum view of the Mediterranean Sea. The provision of safety evacuation in emergencies for these buildings’ occupants is a crucial challenge from the Quality management point of view. In contrast, there are no sufficient architectural design guidelines for the tall buildings provided by the Egyptian code for protecting buildings from fire, especially the design of the refuge areas. This study aims to investigate …

Effect Of Organic Compounds Additives For Biodiesel Fuel Blends On Diesel Engine Vibrations And Noise Characteristics, Medhat Elkelawy Prof. Dr, Eng., Hagar Alm-Eldin Bastawissi Prof. Dr. Eng., E. A. El Shenawy Prof. Dr., Mahmoud Soliman Eng.

Journal of Engineering Research

The extensive consumption of petroleum fuel directly correlates with both hazardous exhaust emissions affecting human health and contributing to global warming. Initially, biodiesel fuels were proposed as a viable alternative to address these issues. This perspective finds support in numerous published studies that highlight how the significant catalytic effect of nanoparticles allows for their integration into biodiesel blends, resulting in improved combustion characteristics, reduced exhaust emissions, and enhanced performance. This study investigates the impact of additives on biodiesel fuel properties and its effects on engine performance metrics such as brake power, brake thermal efficiency, exhaust gas concentration, engine vibration, and …

Investigation Into The Impact Of Ammonia Hydroxide On Performance And Emissions In Compression Ignition Engines Utilizing Diesel/Biodiesel Blends, Medhat Elkelawy Prof. Dr, Eng., Hagar Alm-Eldin Bastawissi, Mohammed Osama Elsamadony Dr. Eng., Abdallah Salem Abdalhadi

Journal of Engineering Research

In recent times, there has been a surge in scientific endeavors aimed at combating global warming. Various methods have been employed to address this issue, including the substitution of fossil fuels with more environmentally sustainable alternatives and the combination of different fuel types. This can be achieved through the integration of innovative injection systems and the simultaneous combustion of alternative fuels alongside fossil fuels, or by modifying fuel injection systems such as in the PCCI, RCCI, or HCCI systems. In a particular research investigation, a blend of ammonia hydroxide and diesel, with volume percentages of 7.5% and 92.5% respectively, was …