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Journal of Innovation in Health Informatics

Afeezat Olajumoke Oyeyemi, Philip Scott
A great asset of any healthcare system is "information" which includes, but not limited to patient data, clinical history and treatments. It is no secret that there is a growing demand for healthcare, however, this demand is yet to be achieved due to the challenge in the limitation of resources and the complexity of the problem area.
October 31, 2018: Journal of Innovation in Health Informatics
Simon Antranik Sarkisian, Andrew Kagel
No abstract text is available yet for this article.
October 31, 2018: Journal of Innovation in Health Informatics
Jennifer Mannik, Andrea Figol, Vanessa Churchill, James Aw, Stacy Francis, Ezekiel Karino, Julius Kibet Chesire, Danet Opot, Benard Ochieng, Michael Thomas Hawkes
BACKGROUND: An increasing burden of cardiovascular disease (CVD) in low-resource settings demands innovative public health approaches. OBJECTIVES: To design and test a novel mHealth tool for use by community health workers (CHWs) to identify individuals at high CVD risk who would benefit from education and/or pharmacologic interventions. METHODS: We designed and implemented a novel two-way mobile phone application, "AFYACHAT," to rapidly screen for CVD risk in rural Kenya...
October 31, 2018: Journal of Innovation in Health Informatics
Tanisha Tate Woodson, Rose Gunn, Khaya D Clark, Bijal A Balasubramanian, Katelyn K Jetelina, Brianna Muller, Benjamin F Miller, Timothy E Burdick, Deborah J Cohen
BACKGROUND: Electronic health records (EHRs) are a key tool for primary care practice. However, EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioral health clinicians (BHCs) working on integrated teams. OBJECTIVE: Describe workflows and tasks of BHCs working with integrated teams, identify their health information technology needs, and develop EHR tools to address them. METHOD: A mixed-methods, comparative-case study of six community health centers (CHCs) in Oregon, each with at least one BHC integrated in their primary care team...
October 31, 2018: Journal of Innovation in Health Informatics
Simon De Lusignan
 In this issue we publish articles about how digital health and the skills needed to use it may increase disparities.
October 31, 2018: Journal of Innovation in Health Informatics
Srinivas Emani, Ellen Peters, Sonali Desai, Andrew S Karson, Stuart R Lipsitz, Rajani LaRocca, John Stone, Vlas Suric, Jonathan S Wald, Amy Wheeler, Deborah H Williams, David W Bates
BACKGROUND: Patient portals have emerged as an important tool through which patients can access online health information and engage in their health care. However, we know little about how patients perceive portals and whether patient perceptions might influence portal adoption. OBJECTIVE: Apply the diffusion of innovation (DOI) theory to assess perceptions of adopters and non-adopters of a patient portal. METHODS: We conducted a cross-sectional survey of adopters and non-adopters of the portal...
October 25, 2018: Journal of Innovation in Health Informatics
Ian Litchfield, Alice Turner, Ruth Backman, João Bosco Ferreira Filho, Mark Lee
BACKGROUND: The number of people in the UK with three or more long-term conditions continues to grow and the management of patients with co-morbidities is complex. In treating patients with multimorbidities, a fundamental problem is understanding and detecting points of conflict between different guidelines which to date has relied on individual clinicians collating disparate information. OBJECTIVE: We will develop a framework for modelling a diverse set of care pathways, and investigate how conflicts can be detected and resolved automatically...
October 25, 2018: Journal of Innovation in Health Informatics
Richard Williams, Richard Keers, Wouter T Gude, Mark Jeffries, Colin Davies, Benjamin Brown, Evangelos Kontopantelis, Anthony J Avery, Darren M Ashcroft, Niels Peek
BACKGROUND: Patient safety is vital to well-functioning health systems. A key component is safe prescribing, particularly in primary care where most medications are prescribed. Previous research demonstrated that the number of patients exposed to potentially hazardous prescribing can be reduced by interrogating the electronic health record (EHR) database of general practices and providing feedback to general practitioners in a pharmacist-led intervention. We aimed to develop and roll out an online dashboard application that delivers this audit and feedback intervention in a continuous fashion...
October 18, 2018: Journal of Innovation in Health Informatics
Naren Gunja, Ian Dunlop, Milan Vaghasiya, Kevin Kuan, Simon Poon
BACKGROUND: Traditional implementations of electronic medication management (EMM) systems have involved two common formats - a 'big bang' approach on the day of go-live, or a phased ward-by-ward approach over months. OBJECTIVE: To describe the patient-centric roll-out, a novel implementation model in converting from paper to EMM. METHOD: This model iteratively converted a large tertiary teaching hospital to electronic from paper medication charts, commencing the roll-out in the emergency department (ED)...
October 18, 2018: Journal of Innovation in Health Informatics
Muzawir Arief, Sari Rissanen, Kaija Saranto
BACKGROUND: Internet use among the elderly is influenced by various demographic backgrounds, social life and health factors. OBJECTIVE: This study aims to identify the impact of several demographic features on 60- to 79-year-old individuals' intention to use the Internet. METHOD: Finland population data (N = 2508) from the 2012 IKIPOSA project was used with two cohorts: 60s group (n = 1515) and 70s group (n = 990). Descriptive statistic and two binomial logistic regressions have been used with the unadjusted effect and Forward LR method to measure each predictor's contribution to the model...
October 18, 2018: Journal of Innovation in Health Informatics
Mark Chun Moon, Rebecca Hills, George Demiris
BACKGROUND: Little is known about optimization of electronic health records (EHR) systems in the hospital setting while adoption of EHR systems continues in the United States. OBJECTIVE: To understand optimization processes of EHR systems undertaken in leading healthcare organizations in the United States. METHODS: Informed by grounded theory approach, a qualitative study was undertaken that involved 11 in-depth interviews and a focus group with the EHR experts from the high performing healthcare organizations across the United States...
June 30, 2018: Journal of Innovation in Health Informatics
Piers Gatenby
No abstract text is available yet for this article.
June 30, 2018: Journal of Innovation in Health Informatics
Gianluca Merlo, Giuseppe Chiazzese, Manuela Sanches-Ferreira, Antonella Chifari, Luciano Seta, Colin McGee, Alberto Mirisola, Isabella Giammusso
BACKGROUND: The most recent computing technologies can promote the application of evidence-based practice (EBP) in the field of Applied Behavior Analysis (ABA). OBJECTIVE: The study describes how the use of technology can simplify the application of evidence-based practices in applied behaviour analysis. METHODS: The WHAAM application demonstrates this in the following two case studies. We are monitoring dysfunctional behaviours, collecting behavioural data, performing systematic direct observations, creating a visual baseline and intervention charts and evaluating the planned interventions using the TAU-U statistical index...
June 29, 2018: Journal of Innovation in Health Informatics
Philip Scott
No abstract text is available yet for this article.
June 28, 2018: Journal of Innovation in Health Informatics
Philip Scott, Rachel Dunscombe, David Evans, Mome Mukherjee, Jeremy Wyatt
Background UK health research policy and plans for population health management are predicated upon transformative knowledge discovery from operational "Big Data". Learning health systems require not only data, but feedback loops of knowledge into changed practice. This depends on knowledge management and application, which in turn depend upon effective system design and implementation. Biomedical informatics is the interdisciplinary field at the intersection of health science, social science and information science and technology that spans this entire scope...
June 15, 2018: Journal of Innovation in Health Informatics
Pablo Millares Martin
BACKGROUND: Considerable interest exists on using general practice electronic health records (EHR) for research and other uses. There is also concern on their quality. AIM: We suggest a simple test to assess errors of commission and in consequence overall EHR data quality that can be done on a periodical basis. METHOD: Patient records with simultaneous entries of three different stages on smoking were studied. The codes "Never smoked tobacco", "smoker" and "ex-smoker" should follow this chronological order...
June 15, 2018: Journal of Innovation in Health Informatics
Ward Priestman, Shankar Sridharan, Helen Vigne, Richard Collins, Loretta Seamer, Neil J Sebire
BACKGROUND:  Numerous studies have examined specific factors related to success, failure and implications of Electronic patient record (EPR) system implementations, but usually limited to specific aspects.  Objective: To review the published peer-reviewed literature and present findings regarding factors important in relation to successful EPR implementations and likely impact on subsequent clinical activity. METHOD:  Literature reviewResults: 312 potential articles were identified on initial search of which 117 were relevant and included in the review...
June 15, 2018: Journal of Innovation in Health Informatics
Shankar Sridharan, Ward Priestman, Neil J Sebire
BACKGROUND:  The Chief Information Officer (CIO) and Chief Clinical Information Officer (CCIO) are now established senior roles in hospital practice. With increasing emphasis on optimising use of routine health data for secondary purposes and research, additional skills are required as part of the senior information officer team, particularly in academic health care institutions. OBJECTIVE: Here we present the role of the Chief Research Information Officer (CRIO), as an emerging, and important, component of the senior information team...
June 15, 2018: Journal of Innovation in Health Informatics
Scott McLachlan, Henry W W Potts, Kudakwashe Dube, Derek Buchanan, Stephen Lean, Thomas Gallagher, Owen Johnson, Bridget Daley, William Marsh, Norman Fenton
BACKGROUND: Learning Health Systems (LHS) can focus population medicine and Evidence Based Practice; smart technology delivering the next generation of improved healthcare described as Precision Medicine, and yet researchers in the LHS domain presently lack the ability to recognise their relevant works as falling within this domain. OBJECTIVE: To review LHS literature and develop a framework describing the domain that can be used as a tool to analyse the literature and support researchers to identify health informatics investigations as falling with the domain of LHS...
June 15, 2018: Journal of Innovation in Health Informatics
Alireza Atashi, Zahra Rahmatinejad, Leila Ahmadian, Mirmohammad Miri, Najmeh Nazeri, Saeid Eslami
OBJECTIVE: To define a core dataset for ICU Patients Outcome Prediction in Iran. This core data set will lead us to design ICU outcome prediction models with the most effective parameters. METHODS: A combination of literature review, national survey and expert consensus meetings were used. First, a literature review was performed by a general search in PubMed to find the most appropriate models for intensive care mortality prediction and their parameters. Secondly, in a national survey, experts from a couple of medical centers in all parts of Iran were asked to comment on a list of items retrieved from the earlier literature review study...
June 15, 2018: Journal of Innovation in Health Informatics
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