Health Information Technology Commons^™

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 …

Smartphone Mobile Application To Enhance Diagnosis Of Skin Cancer: A Guide For The Rural Practitioner, Shane E. Cook, Louis C. Palmer Md, Franklin D. Shuler Md, Phd

MIIR Faculty Research

Primary care physicians occupy a vital position to impact many devastating conditions, especially those dependent upon early diagnosis, such as skin cancer. Skin cancer is the most common cancer in the United States and despite improvements in skin cancer therapy, patients with a delay in diagnosis and advanced disease continue to have a grave prognosis. Due to a variety of barriers, advanced stages of skin cancer are more prominent in rural populations. In order to improve early diagnosis four things are paramount: increased patient participation in prevention methods, establishment of screening guidelines, increased diagnostic accuracy of malignant lesions, and easier …

Development Of A Technology-Based Behavioral Vaccine To Prevent Adolescent Depression: A Health System Integration Model, Benjamin W. Van Voorhees, Tracy Gladstone, Stephanie Cordel, Monika Marko-Holguin, William Beardslee, Sachiko Kuwabara, Mark Allan Kaplan, Joshua Fogel, Anne Diehl, Chris Hansen, Carl Bell

Publications and Research

Efforts to prevent depression have become a key health system priority. Currently, there is a high prevalence of depression among adolescents, and treatment has become costly due to the recurrence patterns of the illness, impairment among patients, and the complex factors needed for a treatment to be effective. Primary care may be the optimal location to identify those at risk by offering an Internet-based preventive intervention to reduce costs and improve outcomes. Few practical interventions have been developed. The models for Internet intervention development that have been put forward focus primarily on the Internet component rather than how the program …

Data Governance In Electronic Health Records: A Systematic Review, Rawan Adel Alsharida

Theses and Dissertations

Data governance as a discipline is applicable to encompass in any organization. For this thesis, the focus of our research setting is the data governance in electronic health records (EHR). This thesis presents a literature survey by analyzing 87 articles through over ten years period (from January 2004 – December 2014) related to EHRs. We found our articles written in English language from database MEDLINE that have indexing journals in all fields of medicine and related topics. For several years EHRs have been developed by different providers and researchers, who in turn, put patients’ health in danger. IBM data governance …

Electronic Health Record Optimization For Cardiac Care, Lisa A. Grabenbauer

Theses & Dissertations

Electronic health record (EHR) systems have been studied for over 30 years, and despite the benefits of information technology in other knowledge domains, progress has been slow in healthcare. A growing body of evidence suggests that dissatisfaction with EHR systems was not simply due to resistance to adoption of new technology but also due to real concerns about the adverse impact of EHRs on the delivery of patient care. Solutions for EHR improvement require an approach that combines an understanding of technology adoption with the complexity of the social and technical elements of the US healthcare system. Several studies are …

Implementation Of Electronic Disease Reporting Systems By Local Health Departments, Gulzar H. Shah, Karmen Williams, Bushra G. Shah

Frontiers in Public Health Services and Systems Research

Background: Electronic disease reporting systems (EDRSs) are imperative for local health departments (LHDs) operating in the post-H1N1 and evidence-based public health practice era. Studies regarding functionality and factors responsible for variation in implementation are important but rare.

Purpose: This primary objective for this study was to provide evidence regarding the level to which LHDs have implemented electronic disease reporting systems and factors associated with variation in implementation of electronic disease reporting systems.

Methods: A quantitative analysis was performed of the 2013 Profile of Local Health Departments Survey conducted by the National Association of County and City Health Officials (NACCHO). The …

Fusing Heterogeneous Data For Alzheimer's Disease Classification, P. S. Pillai, Tze-Yun Leong

Research Collection School Of Computing and Information Systems

In multi-view learning, multimodal representations of a real world object or situation are integrated to learn its overall picture. Feature sets from distinct data sources carry different, yet complementary, information which, if analysed together, usually yield better insights and more accurate results. Neuro-degenerative disorders such as dementia are characterized by changes in multiple biomarkers. This work combines the features from neuroimaging and cerebrospinal fluid studies to distinguish Alzheimer's disease patients from healthy subjects. We apply statistical data fusion techniques on 101 subjects from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database. We examine whether fusion of biomarkers helps to improve diagnostic …

Concussion Awareness And Educational Outreach Through A Website And Mobile Application, Daniel J. Brogan

Neuroscience Summer Fellows

In recent years concussions have become a more apparent problem in youth and adolescent sports. 1 in 5 high school students will sustain a concussion during the season. Due to medical and scientific advances, the diagnosis of concussions is becoming much simpler with key markers that are signs for an injury. Returning to play too soon before an athlete is fully recovered increases the likelihood that serious and irreversible neurological deficits can occur. Symptoms for concussions are necessary to track in order for an athlete to properly report their recovery to a physician. Doctors primarily rely on a patient’s report …

Evidence-Based Practice In The New Millenium, Nicholus H. Yee

Clinical Research in Practice: The Journal of Team Hippocrates

A reflection on learning and education in practice.

Tweeting And Treating: How Hospitals Use Twitter To Improve Care, Christian Gomes, Alberto Coustasse

Management Faculty Research

Introduction: Hospitals that have adopted Twitter primarily use it to share organizational news, provide general healthcare information, advertise upcoming community events, and foster networking. The purpose of this study was to explore the benefits that Twitter utilization has had in improving quality of care, access to care, patient satisfaction, and community footprint while assessing the barriers to its implementation.

Methodology: The methodology used in this study was a qualitative study with a semi structure interview combined with a literature review which followed the basic principles of a systematic review.

Results: The utilization of Twitter by hospitals suggest that it leads …