Databases and Information Systems Commons^™

Better Inpatient Health Quality At Lower Cost: Should I Participate In The Online Healthcare Community First?, Kai Luo, Qiu-Hong Wang, Hock Hai Teo, Xi Chen

Research Collection School Of Computing and Information Systems

As policy makers across the globe look to health information technology (HIT) as a meansof improving the efficiency of the healthcare systems, it has sparked significant interestin understanding how HIT might help achieve that. While researchers have examined anddocumented the efficiency-improving effect of various institution HITs (e.g., electronicclinic pathways and telemedicine), the impacts of consumer HITs such as onlinehealthcare communities have been generally overlooked. Utilizing two unique datasetsfrom both an online healthcare community and a general hospital, we study the impactof online healthcare community on offline inpatient care efficiency. Through rigorousanalysis, we find that communications between physicians and patients on …

Phr: Patient Health Record, Quinn Nelson

Theses/Capstones/Creative Projects

The rapid development of information technology systems has expanded into multiple disciplines and results in systems that are limited by initial design and implementation: the Healthcare Information Technology (HIT) space is no different. The introduction of the Electronic Health Record (EHR) system has changed the way healthcare operates. Initial designs of these systems were focused on serving the needs of insurance companies and healthcare billing departments. Research shows that the design of EHR systems negatively impact provider-patient interactions and the care they receive. This capstone project capitalizes on the collaboration efforts between UNO and UNMC – by joining a research …

A Characterization Of The Medical-Legal Partnership (Mlp) Of Nebraska Medicine, Jordan Pieper

Capstone Experience

This research study was completed at Legal Aid of Nebraska’s Health, Education, and Law Project through the partnership it has formed working with Nebraska Medicine and Iowa Legal Aid. Traditionally, health and disease have always been viewed exclusively as "healthcare" issues. But with healthcare consistently growing towards holistic approaches to help patients, we now know there are deeper, structural conditions of society that can act as strong driving forces of a person's poor daily living conditions that can negatively impact health. The importance of a Medical-Legal Partnership is that it considers a patient's social determinants of health (SDHs). The goal …

Is Information Systems Misuse Always Bad? A New Perspective On Is Misuse In Hospitals Under The Context Of Disasters, Dheyaaldin Alsalman

Masters Theses & Doctoral Dissertations

Although the extant literature has investigated how individuals engage in inappropriate behaviors based on the rational choice theory (RCT) (e.g., computer misconduct), the neutralization theory (e.g., IS security policies violation), and workarounds under normal situations, it has given little consideration to how individuals are involved in misuse of information systems with a good intention under the context of disasters. To fill this research gap, we propose a selfless misuse model, which offers a theoretical explanation for the concept of individuals’ selfless misuse intention under uncertainty caused by disasters. In this study, we show why employees make decisions to misuse the …

Disease Gene Classification With Metagraph Representations, Sezin Kircali Ata, Yuan Fang, Min Wu, Xiao-Li Li, Xiaokui Xiao

Research Collection School Of Computing and Information Systems

This chapter is based on exploiting the network-based representations of proteins, metagraphs, in protein-protein interaction network to identify candidate disease-causing proteins. Protein-protein interaction (PPI) networks are effective tools in studying the functional roles of proteins in the development of various diseases. However, they are insufficient without the support of additional biological knowledge for proteins such as their molecular functions and biological processes. To enhance PPI networks, we utilize biological properties of individual proteins as well. More specifically, we integrate keywords from UniProt database describing protein properties into the PPI network and construct a novel heterogeneous PPI-Keyword (PPIK) network consisting …

Detecting Personal Intake Of Medicine From Twitter, Debanjan Mahata, Jasper Friedrichs, Rajiv Ratn Shah, Jing Jiang

Research Collection School Of Computing and Information Systems

Mining social media messages such as tweets, blogs, and Facebook posts for health and drug related information has received significant interest in pharmacovigilance research. Social media sites (e.g., Twitter), have been used for monitoring drug abuse, adverse reactions to drug usage, and analyzing expression of sentiments related to drugs. Most of these studies are based on aggregated results from a large population rather than specific sets of individuals. In order to conduct studies at an individual level or specific groups of people, identifying posts mentioning intake of medicine by the user is necessary. Toward this objective we develop a classifier …

Quantitative Phenotype Analysis To Identify, Validate And Compare Rat Disease Models, Yiqing Zhao

Theses and Dissertations

Introduction

The laboratory rat has been widely used as an animal model in biomedical research. There are many strains exhibiting a wide variety of phenotypes. Capturing these phenotypes in a centralized database provides researchers with an easy method for choosing the appropriate strains for their studies. Current resources such as NBRP and PhysGen provided some preliminary work in rat phenotype databases. However, there are drawbacks in both projects: (1) small number of animals (6 rats) used by NBRP; (2) NBRP project is a one-time effort for each strain; (3) PhysGen web interface only enables queries within a single study – …

Cross-Platform Openhds Web Application, Nick Littlefield

Thinking Matters Symposium Archive

A proof of concept cross platform data collection application for Demographic and Health studies has been developed. This application allows for the collection of information about locations, individuals, births, and deaths within a region. This application can be run on both mobile devices, laptops, and desktops.

Does Journaling Encourage Healthier Choices? Analyzing Healthy Eating Behaviors Of Food Journalers, Palakorn Achananuparp, Ee Peng Lim, Vibhanshu Abhishek

Research Collection School Of Computing and Information Systems

Past research has shown the benefits of food journaling in promoting mindful eating and healthier food choices. However, the links between journaling and healthy eating have not been thoroughly examined. Beyond caloric restriction, do journalers consistently and sufficiently consume healthful diets? How different are their eating habits compared to those of average consumers who tend to be less conscious about health? In this study, we analyze the healthy eating behaviors of active food journalers using data from MyFitnessPal. Surprisingly, our findings show that food journalers do not eat as healthily as they should despite their proclivity to health eating and …

Eat & Tell: A Randomized Trial Of Random-Loss Incentive To Increase Dietary Self-Tracking Compliance, Palakorn Achananuparp, Ee Peng Lim, Vibhanshu Abhishek, Tianjiao Yun

Research Collection School Of Computing and Information Systems

A growing body of evidence has shown that incorporating behavioral economics principles into the design of financial incentive programs helps improve their cost-effectiveness, promote individuals' short-term engagement, and increase compliance in health behavior interventions. Yet, their effects on long-term engagement have not been fully examined. In study designs where repeated administration of incentives is required to ensure the regularity of behaviors, the effectiveness of subsequent incentives may decrease as a result of the law of diminishing marginal utility. In this paper, we introduce random-loss incentive-a new financial incentive based on loss aversion and unpredictability principles-to address the problem of individuals' …

Foundations Of Health Information Technology (Undergraduate) Course Materials, Chi Zhang

Computer Science and Information Technology Ancillary Materials

This is a collection of all materials used in Health Information Technology by Dr. Chi Zhang at Kennesaw State University, including lecture slides, assignments, and assessments, including a question bank.

Topics covered include:

• Clinical Financial Records
• Evidence-Based Medicine
• e-Prescribing
• Patient Bedside Systems
• Telemedicine
• Health Information Networks
• Cryptography
• Accreditation
• HIPAA Privacy and Security

The Role Of Ehealth In Disasters: A Strategy For Education, Training And Integration In Disaster Medicine, Anthony C. Norris, Jose J. Gonzalez, David T. Parry, Richard E. Scott, Julie Dugdale, Deepak Khazanchi

Information Systems and Quantitative Analysis Faculty Publications

This paper describes the origins and progress of an international project to advance disaster eHealth (DEH) – the application of eHealth technologies to enhance the delivery of healthcare in disasters. The study to date has focused on two major themes; the role of DEH in facilitating inter-agency communication in disaster situations, and the fundamental need to promote awareness of DEH in the education of disaster managers and health professionals. The paper deals mainly with on-going research on the second of these themes, surveying the current provision of disaster medicine education, the design considerations for a DEH programme for health professionals, …

The Pharmacogene Variation (Pharmvar) Consortium: Incorporation Of The Human Cytochrome P450 (Cyp) Allele Nomenclature Database, Andrea Gaedigk, Magnus Ingelman-Sundberg, Neil A. Miller, J Steven Leeder, Michelle Whirl-Carrillo, Teri E. Klein

Manuscripts, Articles, Book Chapters and Other Papers

The Human Cytochrome P450 (CYP) Allele Nomenclature Database, a critical resource to the pharmacogenetics and genomics communities, will be transitioning to the Pharmacogene Variation (PharmVar) Consortium. In this report we provide a summary of the current database, provide an overview of the PharmVar consortium and highlight the PharmVar database which will serve as the new home for pharmacogene nomenclature.

Staff Education Module For Bar Code Medication Administration, Francoise Juste

Walden Dissertations and Doctoral Studies

Bar Code Medication Administration (BCMA) is a technology-supported nursing tool that has become the standard of practice for medication administration. When used effectively and efficiently, this tool has the potential to reduce medication errors in acute care settings. In a pediatric unit at a major urban hospital in the northeast region of the United States, the absence of a BCMA nursing staff educational module affected the use of this safety tool leading to an increase of medication errors. The purpose of this DNP project was to develop a comprehensive educational module to promote BCMA in the pediatric unit of the …

Strategies For Healthcare Payer Information Technology Integration After Mergers And Acquisitions, Kishore Maranganti

Walden Dissertations and Doctoral Studies

Despite the high rate of failure in merger and acquisition (M&A) transactions, many organizations continue to rely on M&As as their primary growth strategy and to address market competition. The purpose of this qualitative single case study was to explore strategies managers from a large healthcare payer in the midwestern United States used to achieve operational and strategic synergies during the postacquisition information technology (IT) integration phase. Haspeslagh and Jemison's acquisition integration approaches model was the conceptual framework for the study. Methodological triangulation was established by analyzing the data from the semistructured interviews of 6 senior executives and 6 IT …

Technology Acceptance And Compliance In Obstructive Sleep Apnea Patients, Asif Kidwai

Walden Dissertations and Doctoral Studies

The focus of this study is the problem of declining trend in obstructive sleep apnea (OSA) patient compliance. Studies reported improved compliance in patients with chronic diseases due to technology-based interventions. However, researchers have not investigated the advantages of technology to improve the compliance of OSA patients in detail. The specific problem was the lack of engagement between patients and healthcare managers, resulting in low compliance within OSA patients. The purpose of this qualitative study was to evaluate how technology-based interventions can improve OSA patient engagement with the healthcare managers resulting in improved compliance with treatment procedures. In this study, …

Leveraging Artificial Intelligence To Improve Provider Documentation In Patient Medical Records, Evangeline C. Ozurigbo

Walden Dissertations and Doctoral Studies

Clinical documentation is at the center of a patient's medical record; this record contains all the information applicable to the care a patient receives in the hospital. The practice problem addressed in this project was the lack of clear, consistent, accurate, and complete patient medical records in a pediatric hospital. Although the occurrence of incomplete medical records has been a known issue for the project hospital, the issue was further intensified following the implementation of the 10th revision of International Classification of Diseases (ICD-10) standard for documentation, which resulted in gaps in provider documentation that needed to be filled. Based …

Public Health Providers' Perceptions Of Electronic Health Records In A Disaster, Sherhonda Yvette Harper

Walden Dissertations and Doctoral Studies

The introduction of federal initiatives and incentives regarding health information technology fostered a movement towards the adoption of electronic health records (EHR). Implementation of EHRs sparked discussions among healthcare providers, patients, and others about the benefits or challenges of the move from the traditional paper method to the electronic version in healthcare settings. A knowledge gap in research involving the usefulness of EHRs and their impact to the delivery of care in other settings exists. The purpose of this qualitative study was to explore public health providers' perceptions of the meaningful use of EHRs in a disaster setting. Study participants …

Exploring Management Practices Of The Health Care System For Contractors, Gary L. Williams

Walden Dissertations and Doctoral Studies

Researchers have found that military members serving in war experienced changes in physical and mental health. Military members' healthcare is managed by the Department of Defense. The problem was that management practices of the system for providing long-term healthcare for employees of a contracting company working in foreign combat zones is either minimal or nonexistent. The purpose of this case study was to explore ways that contractor managers and government managers can work together to provide healthcare for those contract employees who will be deployed with the U.S. military. The primary research question was to determine what managers of contractors …

Strategies For Applying Electronic Health Records To Achieve Cost Saving Benefits, Daniel Kanyi Ngunyu

Walden Dissertations and Doctoral Studies

The American Recovery and Reinvestment Act (ARRA) of 2009 authorized the distribution of about $30 billion incentive funds to accelerate electronic health record (EHR) applications to improve the quality of care, safety, privacy, care coordination, and patients' involvement in healthcare. EHR use has the potential of saving $731 in costs for hospitals per patient admission; however, most hospitals are not applying EHR to reach the level at which cost savings are possible. The purpose of this single case study was to explore strategies that IT leaders in hospitals can use to apply EHR to achieve the cost saving benefits. The …

The Efficacy Of An Emr-Enabled Text Messaging System To The Expanded Health Beliefs, Diabetes Care Profile And Hba1c Of Diabetes Mellitus Patients, Ma. Regina Justina E. Estuar, John Noel Victorino, Razel Custodio

Department of Information Systems & Computer Science Faculty Publications

As diabetes mellitus (DM) becomes a global emergency, there is a need to explore novel interventions to address problems in self – management. Literature agree in the potential of mobile phones to carry-out self-care for a wide-array of disease conditions. Diabetes Self – Management Support and Education Through Text – Messaging (DSMSET) is a low-cost, two-way text messaging system designed to deliver self - help, educational messages based on the nine (9) dimensions of health management. DSMSET serves as a plugin to SHINE OS+, an open – source electronic medical record (EMR) system. The research is also based on the …

Research Agenda In Developing Core Reference Ontology For Human Intelligence/Machine-Intelligence Electronic Medical Records System, Ziniya Zahedi, Teddy Steven Cotter

Engineering Management & Systems Engineering Faculty Publications

Beginning around 1990, efforts were initiated in the medical profession by the U.S. government to transition from paper based medical records to electronic medical records (EMR). By the late 1990s, EMR implementation had already encountered multiple barriers and failures. Then President Bush set forth the goal of implementing electronic health records (EHRs), nationwide within ten years. Again, progress toward EMR implementation was not realized. President Obama put new emphasis on promoting EMR and health care technology. The renewed emphasis did not overcome many of the original problems and induced new failures. Retrospective analyses suggest that failures were induced because programmers …