Focusing on the patient: mHealth, social media, electronic health records, and decision support systems.
PMID: 25301806 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 16, 2014 Category: Information Technology Authors: Ohno-Machado L Tags: J Am Med Inform Assoc Source Type: research

Disseminating informatics knowledge and training the next generation of leaders.
PMID: 25301807 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 16, 2014 Category: Information Technology Authors: Ohno-Machado L Tags: J Am Med Inform Assoc Source Type: research

'N-of-1-pathways' unveils personal deregulated mechanisms from a single pair of RNA-Seq samples: towards precision medicine.
CONCLUSIONS: The N-of-1-pathways framework provides a robust statistical and relevant biological interpretation of individual disease-free survival that is often overlooked in conventional cross-patient studies. It enables mechanism-level classifiers with smaller cohorts as well as N-of-1 studies. SOFTWARE: http://lussierlab.org/publications/N-of-1-pathways. PMID: 25301808 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 16, 2014 Category: Information Technology Authors: Gardeux V, Achour I, Li J, Maienschein-Cline M, Li H, Pesce L, Parinandi G, Bahroos N, Winn R, Foster I, Garcia JG, Lussier YA Tags: J Am Med Inform Assoc Source Type: research

Evaluation of a pictograph enhancement system for patient instruction: a recall study.
In this study, we evaluated the ability of the Glyph system to illustrate a set of actual patient instructions, and tested patient recall of the original and Glyph illustrated instructions. METHODS: We used Glyph to illustrate 49 patient instructions representing 10 different discharge templates from the University of Utah Cardiology Service. 84 participants were recruited through convenience sampling. To test the recall of illustrated versus non-illustrated instructions, participants were asked to review and then recall a set questionnaires that contained five pictograph-enhanced and five non-pictograph-enhanced item...
Source: Journal of the American Medical Informatics Association - October 16, 2014 Category: Information Technology Authors: Zeng-Treitler Q, Perri S, Nakamura C, Kuang J, Hill B, Bui DD, Stoddard GJ, Bray BE Tags: J Am Med Inform Assoc Source Type: research

Chairman's column: health informatics and healthcare transformation-entering the post-EMR era.
PMID: 25301810 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 16, 2014 Category: Information Technology Authors: Middleton B Tags: J Am Med Inform Assoc Source Type: research

Health IT and clinical decision support systems: human factors and successful adoption.
PMID: 25200586 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 14, 2014 Category: Information Technology Authors: Ohno-Machado L Tags: J Am Med Inform Assoc Source Type: research

Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.
Abstract Reporting of hospital adverse events relies on Patient Safety Indicators (PSIs) using International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) codes. The US transition to ICD-10-CM in 2015 could result in erroneous comparisons of PSIs. Using the General Equivalent Mappings (GEMs), we compared the accuracy of ICD-9-CM coded PSIs against recommended ICD-10-CM codes from the Centers for Medicaid/Medicare Services (CMS). We further predict their impact in a cohort of 38 644 patients (1 446 581 visits and 399 hospitals). We compared the predicted results to the published ...
Source: Journal of the American Medical Informatics Association - September 3, 2014 Category: Information Technology Authors: Boyd AD, Yang YM, Li J, Kenost C, Burton MD, Becker B, Lussier YA Tags: J Am Med Inform Assoc Source Type: research

Structuring text and standardizing data for clinical and population health applications.
PMID: 25117592 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 19, 2014 Category: Information Technology Authors: Ohno-Machado L Tags: J Am Med Inform Assoc Source Type: research

2014 AMIA Annual Symposium.
PMID: 25117593 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 19, 2014 Category: Information Technology Authors: Westra BL Tags: J Am Med Inform Assoc Source Type: research

Transforming consumer health informatics through a patient work framework: connecting patients to context.
Abstract Designing patient-centered consumer health informatics (CHI) applications requires understanding and creating alignment with patients' and their family members' health-related activities, referred to here as 'patient work'. A patient work approach to CHI draws on medical social science and human factors engineering models and simultaneously attends to patients, their family members, activities, and context. A patient work approach extends existing approaches to CHI design that are responsive to patients' biomedical realities and personal skills and behaviors. It focuses on the embeddedness of patients' he...
Source: Journal of the American Medical Informatics Association - August 14, 2014 Category: Information Technology Authors: Valdez RS, Holden RJ, Novak LL, Veinot TC Tags: J Am Med Inform Assoc Source Type: research

Reducing caregiver stress with internet-based interventions: a systematic review of open-label and randomized controlled trials.
DISCUSSION: Internet-based interventions were mostly effective in reducing aspects of caregiver stress and improving their well-being. Further studies to assess outcomes for caregivers and their recipients' health, different technology delivery methods, and the cost of such interventions are needed. PMID: 25125686 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 14, 2014 Category: Information Technology Authors: Hu C, Kung S, Rummans TA, Clark MM, Lapid MI Tags: J Am Med Inform Assoc Source Type: research

Registration of whole immunohistochemical slide images: an efficient way to characterize biomarker colocalization.
CONCLUSIONS: The method proposed in this work enables accurate registration (on the scale of a few cells) of virtual slides of adjacent tissue sections on which the expression of different proteins is evidenced by standard IHC. Furthermore, combining our method with a sequential labeling and erasing technique enables cell-scale colocalization. PMID: 25125687 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 14, 2014 Category: Information Technology Authors: Moles Lopez X, Barbot P, Van Eycke YR, Verset L, Trépant AL, Larbanoix L, Salmon I, Decaestecker C Tags: J Am Med Inform Assoc Source Type: research

Effects of computer-aided clinical decision support systems in improving antibiotic prescribing by primary care providers: a systematic review.
CONCLUSIONS: CDSS show promising effectiveness in improving antibiotic prescribing behavior in primary care. Magnitude of effects compared to no intervention, appeared to be similar to other moderately effective single interventions directed at primary care providers. Additional research is warranted to determine CDSS characteristics crucial to triggering high adoption by providers as a perquisite of clinically relevant improvement of antibiotic prescribing. PMID: 25125688 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 14, 2014 Category: Information Technology Authors: Holstiege J, Mathes T, Pieper D Tags: J Am Med Inform Assoc Source Type: research

The potential for community-based health information exchange systems to reduce hospital readmissions.
CONCLUSIONS: These findings indicate that usage of an electronic HIE system in the ambulatory setting within 30 days after hospital discharge may effectively prevent hospital readmissions, thereby supporting the need for ongoing HIE efforts. PMID: 25100447 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 6, 2014 Category: Information Technology Authors: Vest JR, Kern LM, Silver MD, Kaushal R, for the HITEC investigators Tags: J Am Med Inform Assoc Source Type: research

The use of crowdsourcing for dietary self-monitoring: crowdsourced ratings of food pictures are comparable to ratings by trained observers.
This study assessed how closely crowdsourced ratings of foods and beverages contained in 450 pictures from the Eatery mobile app as rated by peer users (fellow Eatery app users) (n=5006 peers, mean 18.4 peer ratings/photo) using a simple 'healthiness' scale were related to the ratings of the same pictures by trained observers (raters). In addition, the foods and beverages present in each picture were categorized and the impact on the peer rating scale by food/beverage category was examined. Raters were trained to provide a 'healthiness' score using criteria from the 2010 US Dietary Guidelines. RESULTS: The average of ...
Source: Journal of the American Medical Informatics Association - August 4, 2014 Category: Information Technology Authors: Turner-McGrievy GM, Helander EE, Kaipainen K, Perez-Macias JM, Korhonen I Tags: J Am Med Inform Assoc Source Type: research

Birth of identity: understanding changes to birth certificates and their value for identity resolution.
CONCLUSIONS: Identities represented in birth certificates change over time. Specific events that cause changes to birth certificates also fluctuate over time. Understanding these changes can help in the development of automated strategies to improve identity resolution. PMID: 25080533 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 30, 2014 Category: Information Technology Authors: Duncan J, Narus SP, Clyde S, Eilbeck K, Thornton S, Staes C Tags: J Am Med Inform Assoc Source Type: research

Can older people remember medication reminders presented using synthetic speech?
Abstract Reminders are often part of interventions to help older people adhere to complicated medication regimes. Computer-generated (synthetic) speech is ideal for tailoring reminders to different medication regimes. Since synthetic speech may be less intelligible than human speech, in particular under difficult listening conditions, we assessed how well older people can recall synthetic speech reminders for medications. 44 participants aged 50-80 with no cognitive impairment recalled reminders for one or four medications after a short distraction. We varied background noise, speech quality, and message design. R...
Source: Journal of the American Medical Informatics Association - July 30, 2014 Category: Information Technology Authors: Wolters MK, Johnson C, Campbell PE, DePlacido CG, McKinstry B Tags: J Am Med Inform Assoc Source Type: research

Temporal and other factors that influence the time doctors take to prescribe using an electronic prescribing system.
Abstract BACKGROUND: A computerized physician order entry (CPOE) system with embedded clinical decision support can reduce medication errors in hospitals, but might increase the time taken to generate orders. AIMS: We aimed to quantify the effects of temporal (month, day of week, hour of shift) and other factors (grade of doctor, prior experience with the system, alert characteristics, and shift type) on the time taken to generate a prescription order. SETTING: A large university teaching hospital using a locally developed CPOE system with an extensive audit database. DESIGN: We retrospectively anal...
Source: Journal of the American Medical Informatics Association - July 29, 2014 Category: Information Technology Authors: Coleman JJ, Hodson J, Thomas SK, Brooks HL, Ferner RE Tags: J Am Med Inform Assoc Source Type: research

The double-edged sword of electronic health records: implications for patient disclosure.
CONCLUSIONS: Clinicians should leverage the EHR's value in quality of care and discuss patients' privacy concerns during clinic visits, while policy makers should consider how to address the real and perceived privacy and security risks of EHRs. PMID: 25059953 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 24, 2014 Category: Information Technology Authors: Campos-Castillo C, Anthony DL Tags: J Am Med Inform Assoc Source Type: research

Validating drug repurposing signals using electronic health records: a case study of metformin associated with reduced cancer mortality.
CONCLUSIONS: EHR data suggested that the use of metformin was associated with decreased mortality after a cancer diagnosis compared with diabetic and non-diabetic cancer patients not on metformin, indicating its potential as a chemotherapeutic regimen. This study serves as a model for robust and inexpensive validation studies for drug repurposing signals using EHR data. PMID: 25053577 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 22, 2014 Category: Information Technology Authors: Xu H, Aldrich MC, Chen Q, Liu H, Peterson NB, Dai Q, Levy M, Shah A, Han X, Ruan X, Jiang M, Li Y, Julien JS, Warner J, Friedman C, Roden DM, Denny JC Tags: J Am Med Inform Assoc Source Type: research

Assessment of administrative claims data for public health reporting of Salmonella in Tennessee.
Abstract In the USA, approximately 4% of the estimated 1 million Salmonella infections occurring annually are reported to public health. Administrative claims data from large health insurance companies capture disease-specific data which could potentially enhance public health surveillance. To determine the utility of medical claims data for public health reporting of Salmonella, we assessed medical claims data from BlueCross BlueShield of Tennessee (BCBST) members compared to Tennessee Department of Health (TDH) surveillance data. BCBST Salmonella cases diagnosed during 2007-2011 were matched to TDH Salmonella ca...
Source: Journal of the American Medical Informatics Association - July 22, 2014 Category: Information Technology Authors: Marder E, Garman K, Jones TF, Dunn J, Jones S Tags: J Am Med Inform Assoc Source Type: research

An integrative framework for sensor-based measurement of teamwork in healthcare.
This article describes the potential value of sensor-based technology as a methodology to measure and evaluate teamwork in healthcare. The article summarizes the teamwork literature within healthcare, including team improvement interventions and measurement. Current applications of sensor-based measurement of teamwork are reviewed to assess the feasibility of employing this approach in healthcare. The article concludes with a discussion highlighting current application needs and gaps and relevant analytical techniques to overcome the challenges to implementation. Compelling studies exist documenting the feasibility of capt...
Source: Journal of the American Medical Informatics Association - July 22, 2014 Category: Information Technology Authors: Rosen MA, Dietz AS, Yang T, Priebe CE, Pronovost PJ Tags: J Am Med Inform Assoc Source Type: research

Directing the public to evidence-based online content.
Abstract To direct online users searching for gynecologic cancer information to accurate content, the Centers for Disease Control and Prevention's (CDC) 'Inside Knowledge: Get the Facts About Gynecologic Cancer' campaign sponsored search engine advertisements in English and Spanish. From June 2012 to August 2013, advertisements appeared when US Google users entered search terms related to gynecologic cancer. Users who clicked on the advertisements were directed to relevant content on the CDC website. Compared with the 3 months before the initiative (March-May 2012), visits to the CDC web pages linked to the adve...
Source: Journal of the American Medical Informatics Association - July 22, 2014 Category: Information Technology Authors: Cooper CP, Gelb CA, Vaughn AN, Smuland J, Hughes AG, Hawkins NA Tags: J Am Med Inform Assoc Source Type: research

Towards creating the perfect electronic prescription.
Abstract Significant strides have been made in electronic (e)-prescribing standards and software applications that have further fueled the adoption and use of e-prescribing. However, for e-prescribing to realize its full potential for improving the safety, effectiveness, and efficiency of prescription drug delivery, important work remains to be carried out. This perspective describes the ultimate goal of all e-prescribing stakeholders including prescribers and dispensing pharmacists: a clear, complete, and unambiguous e-prescription order that can be seamlessly received, processed, and fulfilled at the dispensing ...
Source: Journal of the American Medical Informatics Association - July 18, 2014 Category: Information Technology Authors: Dhavle AA, Rupp MT Tags: J Am Med Inform Assoc Source Type: research

A methodology for a minimum data set for rare diseases to support national centers of excellence for healthcare and research.
CONCLUSIONS: The French F-MDS-RD was defined through national consensus. It can foster better care coordination and facilitate determining rare disease patients' eligibility for research studies, trials, or cohorts. Since other countries will need to develop their own standards for rare disease data collection, they might benefit from the methods presented here. PMID: 25038198 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 18, 2014 Category: Information Technology Authors: Choquet R, Maaroufi M, de Carrara A, Messiaen C, Luigi E, Landais P Tags: J Am Med Inform Assoc Source Type: research

Automated clinical trial eligibility prescreening: increasing the efficiency of patient identification for clinical trials in the emergency department.
CONCLUSION: By exploiting the text of trial criteria and the content of EHRs, we demonstrated that NLP-, IE-, and ML-based automated ES could successfully identify patients for clinical trials. PMID: 25030032 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 16, 2014 Category: Information Technology Authors: Ni Y, Kennebeck S, Dexheimer JW, McAneney CM, Tang H, Lingren T, Li Q, Zhai H, Solti I Tags: J Am Med Inform Assoc Source Type: research

Health information technology interventions enhance care completion, engagement in HIV care and treatment, and viral suppression among HIV-infected patients in publicly funded settings.
We examined the effect of six health information technology (HIT) interventions in a Ryan White-funded Special Projects of National Significance (SPNS) on care completion services, engagement in HIV care, and viral suppression. METHODS: Interventions included use of surveillance data to identify out-of-care individuals, extending access to electronic health records to support service providers, use of electronic laboratory ordering and prescribing, and development of a patient portal. Data from a sample of electronic patient records from each site were analyzed to assess changes in utilization of comprehensive care (p...
Source: Journal of the American Medical Informatics Association - July 16, 2014 Category: Information Technology Authors: Shade SB, Steward WT, Koester KA, Chakravarty D, Myers JJ Tags: J Am Med Inform Assoc Source Type: research

The National Institutes of Health's Big Data to Knowledge (BD2K) initiative: capitalizing on biomedical big data.
Abstract Biomedical research has and will continue to generate large amounts of data (termed 'big data') in many formats and at all levels. Consequently, there is an increasing need to better understand and mine the data to further knowledge and foster new discovery. The National Institutes of Health (NIH) has initiated a Big Data to Knowledge (BD2K) initiative to maximize the use of biomedical big data. BD2K seeks to better define how to extract value from the data, both for the individual investigator and the overall research community, create the analytic tools needed to enhance utility of the data, provide the...
Source: Journal of the American Medical Informatics Association - July 9, 2014 Category: Information Technology Authors: Margolis R, Derr L, Dunn M, Huerta M, Larkin J, Sheehan J, Guyer M, Green ED Tags: J Am Med Inform Assoc Source Type: research

Transfer and transport: incorporating causal methods for improving predictive models.
PMID: 25008007 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 9, 2014 Category: Information Technology Authors: Singleton KW, Bui AA, Hsu W Tags: J Am Med Inform Assoc Source Type: research

The influence of social networking sites on health behavior change: a systematic review and meta-analysis.
CONCLUSIONS: Our study showed a positive effect of SNS interventions on health behavior-related outcomes, but there was considerable heterogeneity. PROTOCOL REGISTRATION: The protocol for this systematic review is registered at http://www.crd.york.ac.uk/PROSPERO with the number CRD42013004140. PMID: 25005606 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 8, 2014 Category: Information Technology Authors: Laranjo L, Arguel A, Neves AL, Gallagher AM, Kaplan R, Mortimer N, Mendes GA, Lau AY Tags: J Am Med Inform Assoc Source Type: research

Impact of clinical decision support on receipt of antibiotic prescriptions for acute bronchitis and upper respiratory tract infection.
CONCLUSIONS: The overall effect of decision support suggests an important role for technology in reducing non-indicated prescriptions. Decision support alone may not be sufficient to eliminate non-indicated prescriptions given secular trends. PMID: 25002458 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 7, 2014 Category: Information Technology Authors: McCullough JM, Zimmerman FJ, Rodriguez HP Tags: J Am Med Inform Assoc Source Type: research

Knowledge boosting: a graph-based integration approach with multi-omics data and genomic knowledge for cancer clinical outcome prediction.
CONCLUSIONS: Integrating multi-omics data and genomic knowledge to improve understanding of molecular pathogenesis and underlying biology in cancer should improve diagnostic and prognostic indicators and the effectiveness of therapies. PMID: 25002459 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 7, 2014 Category: Information Technology Authors: Kim D, Joung JG, Sohn KA, Shin H, Park YR, Ritchie MD, Kim JH Tags: J Am Med Inform Assoc Source Type: research

A patient-centered longitudinal care plan: vision versus reality.
CONCLUSIONS: The use of LCPs to support care transitions is suboptimal. Strategies are needed to transform the LCP from vision to reality. PMID: 24996874 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 4, 2014 Category: Information Technology Authors: Dykes PC, Samal L, Donahue M, Greenberg JO, Hurley AC, Hasan O, O'Malley TA, Venkatesh AK, Volk LA, Bates DW Tags: J Am Med Inform Assoc Source Type: research

Using the CER Hub to ensure data quality in a multi-institution smoking cessation study.
Abstract Comparative effectiveness research (CER) studies involving multiple institutions with diverse electronic health records (EHRs) depend on high quality data. To ensure uniformity of data derived from different EHR systems and implementations, the CER Hub informatics platform developed a quality assurance (QA) process using tools and data formats available through the CER Hub. The QA process, implemented here in a study of smoking cessation services in primary care, used the 'emrAdapter' tool programmed with a set of quality checks to query large samples of primary care encounter records extracted in accord ...
Source: Journal of the American Medical Informatics Association - July 3, 2014 Category: Information Technology Authors: Walker KL, Kirillova O, Gillespie SE, Hsiao D, Pishchalenko V, Kalsanka Pai A, Puro JE, Plumley R, Kudyakov R, Hu W, Allisany A, McBurnie M, Kurtz SE, Hazlehurst BL Tags: J Am Med Inform Assoc Source Type: research

Lessons learned in detailed clinical modeling at Intermountain Healthcare.
CONCLUSIONS: We assert that detailed clinical models can advance interoperability and sharing, and that our guidelines, an implementation layer, and an iso-semantic framework will support our progress toward that goal. PMID: 24993546 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 3, 2014 Category: Information Technology Authors: Oniki TA, Coyle JF, Parker CG, Huff SM Tags: J Am Med Inform Assoc Source Type: research

BigMouth: a multi-institutional dental data repository.
Abstract Few oral health databases are available for research and the advancement of evidence-based dentistry. In this work we developed a centralized data repository derived from electronic health records (EHRs) at four dental schools participating in the Consortium of Oral Health Research and Informatics. A multi-stakeholder committee developed a data governance framework that encouraged data sharing while allowing control of contributed data. We adopted the i2b2 data warehousing platform and mapped data from each institution to a common reference terminology. We realized that dental EHRs urgently need to adopt ...
Source: Journal of the American Medical Informatics Association - July 3, 2014 Category: Information Technology Authors: Walji MF, Kalenderian E, Stark PC, White JM, Kookal KK, Phan D, Tran D, Bernstam EV, Ramoni R Tags: J Am Med Inform Assoc Source Type: research

Toward personalizing treatment for depression: predicting diagnosis and severity.
CONCLUSIONS: It is possible to use EHR data to predict a diagnosis of depression up to 12 months in advance and to differentiate between extreme baseline levels of depression. The models use commonly available data on diagnosis, medication, and clinical progress notes, making them easily portable. The ability to automatically determine severity can facilitate assembly of large patient cohorts with similar severity from multiple sites, which may enable elucidation of the moderators of treatment response in the future. PMID: 24988898 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 2, 2014 Category: Information Technology Authors: Huang SH, LePendu P, Iyer SV, Tai-Seale M, Carrell D, Shah NH Tags: J Am Med Inform Assoc Source Type: research

Networking the country to promote health and scientific discovery.
PMID: 24908676 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 12, 2014 Category: Information Technology Authors: Ohno-Machado L Tags: J Am Med Inform Assoc Source Type: research

Correction.
Authors: PMID: 24908677 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 12, 2014 Category: Information Technology Tags: J Am Med Inform Assoc Source Type: research

A large-scale quantitative analysis of latent factors and sentiment in online doctor reviews.
We report both qualitative and quantitative results. Model output correlates with state-level measures of quality healthcare, including patient likelihood of visiting their primary care physician within 14 days of discharge (p=0.03), and using the proposed model better predicts this outcome (p=0.10). We find similar results for healthcare expenditure. Generative models of text can recover important information from online physician reviews, facilitating large-scale analyses of such reviews. PMID: 24918109 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 10, 2014 Category: Information Technology Authors: Wallace BC, Paul MJ, Sarkar U, Trikalinos TA, Dredze M Tags: J Am Med Inform Assoc Source Type: research

How is the electronic health record being used? Use of EHR data to assess physician-level variability in technology use.
CONCLUSIONS: Providers using the same EHR developed personalized patterns of use of EHR features. We conclude that physician-level usage of EHR features may be a valuable additional predictor in research on the effects of EHRs on healthcare quality and costs. PMID: 24914013 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 9, 2014 Category: Information Technology Authors: Ancker JS, Kern LM, Edwards A, Nosal S, Stein DM, Hauser D, Kaushal R, with the HITEC Investigators Tags: J Am Med Inform Assoc Source Type: research

Electronic medical record systems are associated with appropriate placement of HIV patients on antiretroviral therapy in rural health facilities in Kenya: a retrospective pre-post study.
Abstract BACKGROUND AND OBJECTIVE: There is little evidence that electronic medical record (EMR) use is associated with better compliance with clinical guidelines on initiation of antiretroviral therapy (ART) among ART-eligible HIV patients. We assessed the effect of transitioning from paper-based to an EMR-based system on appropriate placement on ART among eligible patients. METHODS: We conducted a retrospective, pre-post EMR study among patients enrolled in HIV care and eligible for ART at 17 rural Kenyan clinics and compared the: (1) proportion of patients eligible for ART based on CD4 count or WHO staging...
Source: Journal of the American Medical Informatics Association - June 9, 2014 Category: Information Technology Authors: Oluoch T, Katana A, Ssempijja V, Kwaro D, Langat P, Kimanga D, Okeyo N, Abu-Hanna A, de Keizer N Tags: J Am Med Inform Assoc Source Type: research

Effects of librarian-provided services in healthcare settings: a systematic review.
CONCLUSIONS: Librarian-provided services directed to participants in training programs (eg, students, residents) improve skills in searching the literature to facilitate the integration of research evidence into clinical decision-making. Services provided to clinicians were shown to be effective in saving time for health professionals and providing relevant information for decision-making. Two studies indicated patient length of stay was reduced when clinicians requested literature searches related to a patient's case. PMID: 24872341 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 28, 2014 Category: Information Technology Authors: Perrier L, Farrell A, Ayala AP, Lightfoot D, Kenny T, Aaronson E, Allee N, Brigham T, Connor E, Constantinescu T, Muellenbach J, Epstein HA, Weiss A Tags: J Am Med Inform Assoc Source Type: research

Evaluating and classifying the readiness of technology specifications for national standardization.
Abstract The American Recovery and Reinvestment Act (ARRA) of 2009 clearly articulated the central role that health information technology (HIT) standards would play in improving healthcare quality, safety, and efficiency through the meaningful use of certified, standards based, electronic health record (EHR) technology. In 2012, the Office of the National Coordinator (ONC) asked the Nationwide Health Information Network (NwHIN) Power Team of the Health Information Technology Standards Committee (HITSC) to develop comprehensive, objective, and, to the extent practical, quantitative criteria for evaluating technica...
Source: Journal of the American Medical Informatics Association - May 28, 2014 Category: Information Technology Authors: Baker DB, Perlin JB, Halamka J Tags: J Am Med Inform Assoc Source Type: research

Bringing science to medicine: an interview with Larry Weed, inventor of the problem-oriented medical record.
Abstract Larry Weed, MD is widely known as the father of the problem-oriented medical record and inventor of the now-ubiquitous SOAP (subjective/objective/assessment/plan) note, for developing an electronic health record system (Problem-Oriented Medical Information System, PROMIS), and for founding a company (since acquired), which developed problem-knowledge couplers. However, Dr Weed's vision for medicine goes far beyond software-over the course of his storied career, he has relentlessly sought to bring the scientific method to medical practice and, where necessary, to point out shortcomings in the system and ad...
Source: Journal of the American Medical Informatics Association - May 28, 2014 Category: Information Technology Authors: Wright A, Sittig DF, McGowan J, Ash JS, Weed LL Tags: J Am Med Inform Assoc Source Type: research

Patient-initiated electronic health record amendment requests.
CONCLUSIONS: The low number of amendment requests may be due to inadequate awareness by patients about how to make changes to their records. To make this approach effective, it will be important to inform patients of their right to view and amend records and about the process for doing so. Increasing patient access to medical records could encourage patient participation in improving the accuracy of medical records; however, caution should be used. PMID: 24863430 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 26, 2014 Category: Information Technology Authors: Hanauer DA, Preib R, Zheng K, Choi SW Tags: J Am Med Inform Assoc Source Type: research

mHealth interventions for weight loss: a guide for achieving treatment fidelity.
We describe strategies used to assess treatment fidelity in mobile health (mHealth) interventions aimed at sustaining healthy behaviors in weight loss. We reviewed treatment fidelity recommendations for mHealth-based behavioral interventions and described how these recommendations were applied in three recent weight loss studies. We illustrate how treatment fidelity can be supported during study design, training of providers, treatment delivery, receipt of treatment, and enactment of treatment skills. Pre-planned strategies to ensure the treatment fidelity of mHealth interventions will help counter doubts concerning valid ...
Source: Journal of the American Medical Informatics Association - May 22, 2014 Category: Information Technology Authors: Shaw RJ, Steinberg DM, Zullig LL, Bosworth HB, Johnson CM, Davis LL Tags: J Am Med Inform Assoc Source Type: research

Sequencing of EHR adoption among US hospitals and the impact of meaningful use.
CONCLUSIONS: While there is a common sequence underlying adoption of EHR functions, the degree of adherence to the sequence varies by key hospital characteristics. Stage 1 meaningful use likely alters the sequence. PMID: 24853066 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 22, 2014 Category: Information Technology Authors: Adler-Milstein J, Everson J, Lee SY Tags: J Am Med Inform Assoc Source Type: research

Supervised machine learning and active learning in classification of radiology reports.
CONCLUSIONS: The most important practical application of the reportability classifier is that it can dramatically reduce human effort in identifying relevant reports from the large imaging pool for further investigation of cancer. The classifier is built on a large real-world dataset and can achieve high performance in filtering relevant reports to support cancer registries. PMID: 24853067 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 22, 2014 Category: Information Technology Authors: Nguyen DH, Patrick JD Tags: J Am Med Inform Assoc Source Type: research

Semantic analysis of SNOMED CT for a post-coordinated database of histopathology findings.
CONCLUSIONS: Because information gathered during microscopic histopathology examination provides the basis of pathology diagnoses, additional concept definitions for tissue morphometries and modifications to the SNOMED CT concept model are needed and suggested to represent detailed histopathologic findings in computable fashion for purposes of patient information exchange and research. TRIAL REGISTRATION NUMBER: UNMC Institutional Review Board ID# 342-11-EP. PMID: 24833774 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 15, 2014 Category: Information Technology Authors: Campbell WS, Campbell JR, West WW, McClay JC, Hinrichs SH Tags: J Am Med Inform Assoc Source Type: research