IT Architectures and Implementations in Healthcare Environments

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    Assessing the impact of Physicians’ Virtual Communities on their medical Decision Making quality
    ( 2018-01-03) Razzaque, Anjum ; Eldabi, Tillal
    Medical decision making is daunting to physicians of its unclear benefits for improving patient care while such decisions are evidence based and also are from the social capital of resources of the advises shared between their peers. Past scholars have reported great deal of medical errors and misdiagnoses caused by physicians: a situation that is degrading healthcare quality. It is not surprising why past research also stressed on the importance to empirically explore the effect of physicians’ virtual community on their medical decision making quality. Virtual communities are a promising initiative in the healthcare sector. This paper describes how the participation of VC members is possible through the application of the Social Capital Theory’s three dimensions in order to assess the effectiveness of physicians’ virtual community so they can make better quality of medical decisions. Such is depicted in this paper’s conceptual model. The model was empirically tested for its validity and reliability using an adapted survey for which data was collected from 204 SurveyMonkey virtual community physician members. The empirical evidence supports the hypothesis of the conceptual model through physicians’ identification and shared vision, i.e. two pre-requisites for medical DM.
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    Exploring Multi-Modal Communication Approach for Young Children with Spinal Muscular Atrophy (SMA)
    ( 2018-01-03) Miao, Sheng ; Tang, Ziying ; Feng, Jinjuan ; Jozkowski, Amanda
    Spinal Muscular Atrophy (SMA) is a rare genetic disease affecting approximately 1 in 10,000 babies, yet it is the number 1 genetic killer of infants and toddlers. Individuals with SMA, especially the most serve type I, can face great challenges in communication, environment control, and learning knowledge. Since most hildren with type I SMA have extremely limit muscular functionality, they cannot use regular interactive devices. In this study, we propose a multi-modal communication approach and explore various sensors and switches for SMA users. Specifically, we propose a light-weight and wireless microcontroller to process electric signals from sensors and switches. It can be paired and used in any devices which supports Bluetooth. Moreover, an interactive game and a three-phase pilot study are designed for assessing usability of various input devices.
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    Improving Perioperative Data Integrity and Quality via Electronic Medical Record Reconciliation
    ( 2018-01-03) Ryan, Jim ; Doster, Barbara ; Daily, Sandra ; Lewis, Carmen
    This case study investigates data integrity and quality within the perioperative process via embedded quality control check (QCC) rules, used within a business process management framework to support patient care documentation, performance reporting, patient billing, data analysis, and regulatory agency audits. The study identifies specific perioperative nursing care documentation as electronic medical records and demonstrates how QCC rules, an embedded QCC process, and QCC rule violation reconciliation is applicable to ensuring data integrity and quality within integrated hospital information systems. Based on a 166-month longitudinal study of a large 1,157 registered-bed academic medical center, this study provides a priori business process management examples of data integrity and quality within the perioperative process. Recognizing existing limitations, potential capabilities, and the subsequent contextual understanding are contributing factors that yield measured improvement. Theoretical and practical implications and/or limitations of this study’s results are also discussed.
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    Software Architectures for Smart Applications in the Management of Chronic Diseases: A Study of Reversibility of Diabetes 2
    ( 2018-01-03) Tarabi, Mehdi ; Juric, Radmila
    The paper proposes a software architecture for applications which use the reasoning upon SWRL enabled OWL ontologies and SQL like retrievals as core computational models. The application assists patients affected by diabetes 2, to personalize the reversibility of the condition through the diet and life style changes. The novelty is in (a) the deployment of SWRL enabled OWL ontologies in the management of data related to the personalisation of reversibility of diabetes 2 and in (b) the proposed software architecture, which contains and manipulates the SWRL enabled OWL ontology and SQL databases at the same time and transparently. The application, which has been implemented within the Java environment and NetBeans, is reusable in any other problem domain when the personalization of healthcare delivery is required. The proposed architecture also generates applications within Android environments without changing its style and the computational models.
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    A Workaround of EHR - A Logistics/Reporting System Development
    ( 2018-01-03) Hsu, Sonya HY ; Dick, Steven
    This project presents a use case - The Lab (TL) services multiple hospitals, medical centers, and physicians’ offices in the southern area of the United States. Applying systematic methods of business process management, the project manager and development team clarify requirements, analyze the processes, develop logistics and create a reporting system for TL. The system must be designed to retrieve data with limited time and costs for an inundated EHR system. In this project, the authors try to define the logistic requirements of TL and the needs an electronic form for an information management system. For example, automate processes and eliminate waste. Besides the EHR software, the goal of this project is to improve web-based logistics and reporting system while maintaining HIPAA compliant controls. The project achieves the goals, but the workaround system is still cumbersome yet workable.