Health Information Technology Commons^™

A Balanced Perspective To Perioperative Process Management Aligned To Hospital Strategy, Jim Ryan, Barbara Doster, Sandra Daily, Carmen Lewis

Transactions of the International Conference on Health Information Technology Advancement

Dynamic technological activities of analysis, evaluation, and synthesis can highlight complex relationships within integrated processes to target improvement and ultimately yield improved processes. Likewise, the identification of existing process limitations, potential capabilities, and subsequent contextual understanding are contributing factors that yield measured improvement. This case study examines process management practices of balanced scorecard and dashboards to monitor and improve the perioperative process, aligned to overall hospital goals at strategic, tactical, and operational levels. Based on a 120-month longitudinal study of an academic medical center, this study investigates how integrated information systems and business analytics can improve perioperative efficiency and effectiveness …

Michigan Health Information Network (Mihin) Shared Services Vs. The Hie Shared Services In Other States, Devon K. O'Toole, Sean M. O'Toole, Logan Steely

Transactions of the International Conference on Health Information Technology Advancement

This paper explores selected states health information exchanges in regards to how they are implemented and used. Health information exchanges are broken down and a concise background is given for a better understanding of how states are implementing their health information exchanges. This paper not only examines states use of their health information exchange, but how they will connect to create a nationwide health information network.

Message From The Transactions Editor, Huei Lee

Transactions of the International Conference on Health Information Technology Advancement

No abstract provided.

Monitoring And Assisting Maternity-Infant Care In Rural Areas (Mamicare), Juan C. Lavariega Dr., Gustavo Córdova, Lorena G. Gómez, Alfonso Avila Dr.

Transactions of the International Conference on Health Information Technology Advancement

We present our project called MAMICare that is motivated by the alarming number of maternity and infant deaths in rural areas due mainly to a poor monitoring of pregnancy progress and lack of appropriate alerting mechanism in case of abnormal gestation evolution. We are proposing an information technology solution based on mobile devices, and health sensors such as ECG (electrocardiogram), stethoscope, pulse-oximeter, and blood-glucose meter to automatically collect relevant health data for a better monitoring of pregnant women. In this paper we address the current status of the maternity infant death problem especially in rural areas of Mexico. We review …

Impact Of Radio-Frequency Identification (Rfid) Technologies On The Hospital Supply Chain: A Literature Review, Alberto Coustasse, Shane Tomblin, Chelsea Slack

Management Faculty Research

Supply costs account for more than one-third of the average operating budget and constitute the second largest expenditure in hospitals. As hospitals have sought to reduce these costs, radio-frequency identification (RFID) technology has emerged as a solution. This study reviews existing literature to gauge the recent and potential impact and direction of the implementation of RFID in the hospital supply chain to determine current benefits and barriers of adoption. Findings show that the application of RFID to medical equipment and supplies tracking has resulted in efficiency increases in hospitals with lower costs and increased service quality. RFID technology can reduce …

The Impact Of Big Data On The Healthcare Information Systems, Kuo Lane Chen, Huei Lee

Transactions of the International Conference on Health Information Technology Advancement

This article explores the possible impact of big data on healthcare information systems. Possible research issues include: 1). What applications in healthcare information systems are impacted most? 2). What algorithm/programs will be used for big data? 3). What privacy, security, and ethical issues are there for big data? In the biology area, big data becomes the newest technology for genomics. Other possible areas include pharmacovigilance, patient care, and medical supply chain management.

Managing Government Regulatory Requirements For Security And Privacy Using Existing Standard Models, Gregory Schymik, Dan Shoemaker

Transactions of the International Conference on Health Information Technology Advancement

This paper posits the use of a well-established standard approach to Federal compliance, which can be easily adapted to satisfy all legal and regulatory requirements for protection of patient personally identifiable information (PII) in health organizations. This approach is embodied in the three standards that dictate how to comply with the Federal Information Security Management Act (FISMA). These standards also provide an excellent foundation for organizing a secure operation anywhere. The discussion revolves around the application of the FIPS 199 and FIPS 200/NIST 800-53(4) standard approach to the satisfaction of the present and upcoming legal and regulatory requirements for health …

Hdqm2: Healthcare Data Quality Maturity Model, Javier Mauricio Pinto-Valverde, Miguel Ángel Pérez-Guardado, Lorena Gomez-Martinez, Martha Corrales-Estrada, Juan Carlos Lavariega-Jarquín

Transactions of the International Conference on Health Information Technology Advancement

Data Quality is a central issue within the development of Healthcare Systems, for both the delivery of the service as well as for the establishment of public policies. Public and private Healthcare Systems in Latin America do not have a framework of reference which allows them to have knowledge of the level of Data Quality (DQ). In other frameworks found within literature the evaluation of DQ has been centered within the dimensions. The intention of this research is to build an evaluation model for DQ based on maturity. This research contributes an innovating and comprehensive model, based on the data …

The Role Of Mobile Technology In Enhancing The Use Of Personal Health, Mohamed Abouzahra, Joseph Tan

Transactions of the International Conference on Health Information Technology Advancement

Healthcare industry is essential for the wellbeing of society members, however this industry is characterized by high cost and by plagued by serious medical errors. Personal health records (PHR) can play an important role in solving healthcare problems by enhancing patients’ involvement in their treatment, and improving patient-provider communication. Despite the potential importance of PHR systems, they suffer from low adoption rate because of several factors such as digital divide and lack of training. In this paper we propose that mobile PHR systems (MPHR) can aid in overcoming barriers to adopt PHR. We present a theoretical model based on theory …

A Study On Generic Prescription Substitution Policy As A Cost Containment Approach For Michigan’S Medicaid System, Khandaker Nayeemul Islam

Transactions of the International Conference on Health Information Technology Advancement

High health care costs have left millions of people unable to buy health insurance and has broadened the state’s responsibility to protect low-income families through Medicaid programs. Increasing health care costs have created severe toll on fiscal management of federal and state governments. Prescription drugs are a significant part of Michigan’s Medicaid costs. Due to the economic recession and the downsizing of auto sector the number of Medicaid beneficiaries in Michigan has increased over the years. Thus it has increased Medicaid prescription drugs program costs at a fast pace, which creates fiscal burden on Michigan in administering the program and …

Challenges Of Mobile Healthcare Application Security, Alan Rea

Transactions of the International Conference on Health Information Technology Advancement

Healthcare information technology has overcome many of the Web application security challenges in the past decade. We can now access information more securely and incidents of unintentional data loss are on the decline. However, more must be done to ensure the confidentiality, integrity, and availability of mobile applications in the healthcare field. Whether it is physicians using iPads to access treatment histories or patients managing healthcare options via smart phones, the proposed CAP framework (checks, assurances, protection) adds additional security and privacy layers to our modern mobile medical needs.

A Threat Table Based Approach To Telemedicine Security, John C. Pendergrass, Karen Heart, C. Ranganathan, V.N. Venkatakrishnan

Transactions of the International Conference on Health Information Technology Advancement

Information security within healthcare is paramount and telemedicine applications present unique security challenges. Technology is giving rise to new and advanced telemedicine applications and understanding the security threats to these applications is needed to ensure, among other things, the privacy of patient information. This paper presents a high level analysis of a telemedicine application in order to better understand the security threats to this unique and vulnerable environment. This risk analysis is performed using the concept of threat tables. This case study focuses on the capture and representation of salient security threats in telemedicine. To analyze the security threats to …

Standardization Needs For Effective Interoperability, Marilyn Skrocki

Transactions of the International Conference on Health Information Technology Advancement

The Electronic Health Record (EHR) has brought unique challenges in the effort to share information. How data is captured varies from institution to institution. In order for data to be well understood, data should have a definition that is consistent and comprehensively understood by all users of the data. Standardization of how data is captured is critical to allow the production and export of data needed to support quality assessment, decision support, exchange of data for patients with multiple health care providers and public health surveillance. Patient safety and quality improvement are dependent upon embedded clinical guidelines that promote standardized, …

An Empirical Study Of Home Healthcare Robots Adoption Using The Utuat Model, Ahmad Alaiad, Lina Zhou, Gunes Koru

Transactions of the International Conference on Health Information Technology Advancement

Home healthcare initiatives are aimed to reduce readmission costs, transportation costs, and hospital medical errors, and to improve post hospitalization healthcare quality, and enhance patient home independency. Today, it is almost unimaginable to consider this initiative without information technology. Home healthcare robots are one type of the emerging technologies that hold promise for making clinical information available at the right place and right time. Several robots have been developed to facilitate home healthcare such as remote presence robots (e.g., RP2) and Paro. Most previous research focus on technical and implementation issues of home healthcare robots, there is a need to …

Dia-Beat-It: An Online Game For Children And Teenagers With Type 1 Diabetes, Emily M. Stone

Honors Theses and Capstones

No abstract provided.

Predicting Hospital Patients' Admission To Reduce Emergency Department Boarding, Mohammadmahdi Moqri

Graduate Masters Theses

Emergency Department (ED) boarding - the inability to transfer emergency patients to inpatient beds- is a key factor contributing to ED overcrowding. This paper presents a novel approach to improving hospital operational efficiency and, therefore, to decreasing ED boarding. Using the historic data of 15,000 patients, admission results and patient information are correlated in order to identify important admission predictor factors. For example, the type of radiology exams prescribed by the ED physician is identified as among the most important predictors of admission. Based on these factors, a real-time prediction model is developed which is able to correctly predict the …

Actualizing A Mobile Integrated System For Geriatric Care, Han Ei Chew, Johannes Faber, Zhiming Liu, Vanessa Madera, Nafees Qamar

Research Collection Office of Impact

Population aging looms over countries all over the world. The social and economic implications of this phenomenon extend beyond the individual person and the immediate family, affecting broader society and the global community in profound ways. Aging populations increase pressure on already over-burdened public health care services and expenditures. To address this impending predicament, many health care providers and countries have turned to technological solutions. The near-ubiquity of mobile devices entails that mHealth will rapidly become a key component of technologically-enabled health care delivery services. This poster presents research and engineering challenges for a sustainable ICT solution that supports information …

Online Healthy Lifestyle Support In The Perinatal Period: What Do Women Want And Do They Use It?, Lydia A. Hearn, Margaret R. Miller, Anna Fletcher

Research outputs 2013

Unhealthy weight gain and retention during pregnancy and postpartum is detrimental to mother and child. Although various barriers limit the capacity for perinatal health care providers (PHCPs) to offer healthy lifestyle counselling, they could guide women to appropriate online resources. This paper presents a project designed to provide online information to promote healthy lifestyles in the perinatal period. Focus groups or interviews were held with 116 perinatal women and 76 PHCPs to determine what online information perinatal women and PHCPs want, in what form, and how best it should be presented. The results indicated that women wanted smartphone applications (apps) …

Telepsychiatry In Correctional Facilities: Using Technology To Improve Access And Decrease Costs Of Mental Health Care In Underserved Populations, Stacie Anne Deslich, Timothy Thistlethwaite, Alberto Coustasse

Management Faculty Research

Objective: It is unclear if telepsychiatry, a subset of telemedicine, increases access to mental health care for inmates in correctional facilities or decreases costs for clinicians or facility administrators. The purpose of this investigation was to determine how utilization of telepsychiatry affected access to care and costs of providing mental health care in correctional facilities.

Methods: A literature review complemented by a semistructured interview with a telepsychiatry practitioner. Five electronic databases, the National Bureau of Justice, and the American Psychiatric Association Web sites were searched for this research, and 49 sources were referenced. The literature review examined implementation of telepsychiatry …

Telepsychiatry In The 21st Century: Transforming Healthcare With Technology, Stacie Deslich, Bruce Stec, Shane Tomblin, Alberto Coustasse

Management Faculty Research

This article describes the benefits and constraints of telemedicine, focusing primarily on the field of psychiatry in the United States with the current system of healthcare. Telepsychiatry is believed to provide better access and higher-quality care to patients who need psychiatric care and cost savings to providers of such care. Telemedicine has been successfully integrated into psychiatric facilities reaching rural areas, prisons, and urban facilities. It has increased the volume of patients that physicians can reach and diagnose, as well as allowing them to treat patients with limitations in mobility. While telepsychiatry has been shown to be beneficial, this technology …