Transactions of 2019 International Conference on Health Information Technology Advancement Vol. 4 No. 1

The Fourth International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 31 - Nov. 1, 2019. Conference Co-Chairs Bernard T. Han and Muhammad Razi, Department of Business Information Systems, Haworth College of Business, Western Michigan University Kalamazoo, MI 49008 Transaction Editor Dr. Huei Lee, Professor, Department of Computer Information Systems, Eastern Michigan University Ypsilanti, MI 48197 Volume 4, No. 1 Hosted by The Center for Health Information Technology Advancement, WM

The Second International Conference on Health Information Technology Advancement

TABLE OF CONTENTS I. Message from the Conference Co-Chairs B. Han and S. Falan …………………………....….……………. 5 II. Message from the Transactions Editor H. Lee …...………..………….......………….……….………….... 7 III. Referred Papers A. Emerging Health Information Technology and Applications The Role of Mobile Technology in Enhancing the Use of Personal Health Records Mohamed Abouzahra and Joseph Tan………………….……………. 9 Mobile Health Information Technology and Patient Care: Methods, Themes, and Research Gaps Bahae Samhan, Majid Dadgar, and K. D. Joshi…………..…. 18 A Balanced Perspective to Perioperative Process Management Jim Ryan, Barbara Doster, Sandra Daily, and Carmen Lewis…..….…………… 30 The Impact of Big Data on the Healthcare Information Systems Kuo Lane Chen and Huei Lee………….…………… 43 B. Health Care Communication, Literacy, and Patient Care Quality Digital Illness Narratives: A New Form of Health Communication Jofen Han and Jo Wiley…..….……..…. 47 Relationships, Caring, and Near Misses: Michael’s Story Sharie Falan and Bernard Han……………….…..…. 53 What is Your Informatics Skills Level? -- The Reliability of an Informatics Competency Measurement Tool Xiaomeng Sun and Sharie Falan.….….….….….….…. 61 C. Health Information Standardization and Interoperability Standardization Needs for Effective Interoperability Marilyn Skrocki…………………….…….………….… 76 Data Interoperability and Information Security in Healthcare Reid Berryman, Nathan Yost, Nicholas Dunn, and Christopher Edwards.…. 84 Michigan Health Information Network (MiHIN) Shared Services vs. the HIE Shared Services in Other States Devon O’Toole, Sean O’Toole, and Logan Steely…..……….…… 94 D. Health information Security and Regulation A Threat Table Based Approach to Telemedicine Security John C. Pendergrass, Karen Heart, C. Ranganathan, and V.N. Venkatakrishnan …. 104 Managing Government Regulatory Requirements for Security and Privacy Using Existing Standard Models Gregory Schymik and Dan Shoemaker…….…….….….… 112 Challenges of Mobile Healthcare Application Security Alan Rea………………………….……………. 118 E. Healthcare Management and Administration Analytical Methods for Planning and Scheduling Daily Work in Inpatient Care Settings: Opportunities for Research and Practice Laila Cure….….……………..….….….….… 121 Predictive Modeling in Post-reform Marketplace Wu-Chyuan Gau, Andrew France, Maria E. Moutinho, Carl D. Smith, and Morgan C. Wang…………...…. 131 A Study on Generic Prescription Substitution Policy as a Cost Containment Approach for Michigan’s Medicaid System Khandaker Nayeemul Islam…….…...……...………………….… 140 F. Health Information Technology Quality Assessment and Medical Service Delivery Theoretical, Methodological and Practical Challenges in Designing Formative Evaluations of Personal eHealth Tools Michael S. Dohan and Joseph Tan……………….……. 150 The Principles of Good Health Care in the U.S. in the 2010s Andrew Targowski…………………….……. 161 Health Information Technology in American Medicine: A Historical Perspective Kenneth A. Fisher………………….……. 171 G. Health Information Technology and Medical Practice Monitoring and Assisting Maternity-Infant Care in Rural Areas (MAMICare) Juan C. Lavariega, Gustavo Córdova, Lorena G Gómez, Alfonso Avila….… 175 An Empirical Study of Home Healthcare Robots Adoption Using the UTUAT Model Ahmad Alaiad, Lina Zhou, and Gunes Koru.…………………….….………. 185 HDQM2: Healthcare Data Quality Maturity Model Javier Mauricio Pinto-Valverde, Miguel Ángel Pérez-Guardado, Lorena Gomez-Martinez, Martha Corrales-Estrada, and Juan Carlos Lavariega-Jarquín.… 199 IV. A List of Reviewers …………………………..…….………………………208 V. WMU – IT Forum 2014 Call for Papers …..…….…………………20

Transactions of 2015 International Conference on Health Information Technology Advancement Vol.3, No. 1

The Third International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 30-31, 2015 Conference Chair Bernard Han, Ph.D., HIT Pro Department of Business Information Systems Haworth College of Business Western Michigan University Kalamazoo, MI 49008 Transactions Editor Dr. Huei Lee, Professor Department of Computer Information Systems Eastern Michigan University Ypsilanti, MI 48197 Volume 3, No. 1 Hosted by The Center for Health Information Technology Advancement, WM

DoNCP: Incorporating step two of the Nutrition Care Process into hospital dietetic practice using an implementation package

The Nutrition Care Process (NCP) and accompanying International Dietetic and Nutrition Terminology (IDNT) has been endorsed internationally as the standard model for nutrition care. However, there is limited published Australian literature on the implementation of the NCP and IDNT including the attitudes, knowledge and support requirements of dietitians to facilitate this. This study aimed to develop and test a survey to assess attitudes, support and knowledge of NCP and use the findings in conjunction with literature to design and implement a NCP package and evaluate the package. The research was conducted in two phases: (1) formative research to inform development of the implementation package, and (2) implementation and evaluation. Phase One involved dietitians from two hospitals who had undergone informal NCP implementation in Queensland (termed “postimplementers”) and three hospitals in Western Australia who were yet to implement the NCP (termed “pre-implementers”) completing an online questionnaire, Attitudes Support Knowledge NCP survey (ASK NCP). This questionnaire surveyed demographics, knowledge, familiarity, confidence, support, value, barriers and training requirements for NCP. From this a NCP implementation package and resources were developed for the implementation of step two of the NCP specifically, in conjunction with literature and a change management framework. In Phase Two, the NCP implementation package was implemented over a 5-month period at two test hospitals that were yet to undergo implementation, whilst a control hospital did not receive the package. Evaluation occurred by re-administering the ASK NCP survey to the test and control sites and by conducting focus groups at the test sites. The fist phase of the study demonstrated that post-implementers had higher knowledge scores, were more familiar with NCP and more confident to implement then pre-implementers. Time required to implement was a concern for all participants. Lack of knowledge, training/support and resources were barriers to implementation for the pre-implementers. Post implementers identified that dedicated time to practice and regular tutorials; support and leadership from management; and professional growth through understanding how change could benefit practice were keys to successful implementation. Phase Two showed that the resulting NCP implementation package led to significantly higher NCP knowledge scores and confidence to use step two in practice within the test group. Emerging themes from focus groups included the usefulness of the package to build confidence, the value of education and resources, peer support and leadership team establishment. This research has resulted in the development of a structured NCP implementation package focusing on step two of the NCP, for hospital dietitians that utilises a change management framework to support NCP in practice. The evaluation of the package provides support for future implementation of NCP in clinical dietetic practic

AN EXPLORATORY STUDY OF REGISTERED NURSES’ EXPERIENCES IN PATIENT INFORMATION PRIVACY AND SECURITY WITHIN THE PROVINCES OF ALBERTA(AB) AND SASKATCHEWAN(SK)

The purpose of this qualitative research was to gain a better understanding of the experiences of registered nurses in patient information privacy and security in Alberta (AB) and Saskatchewan (SK) health regions. Studies of this nature are rarely if ever conducted as topics like ethics, breaches, and self-reflection of our own professional practices are sensitive in nature to all health care professionals. Exploring patient information security/privacy falls into this delicate and complex category. As an outsider to the nursing profession/discipline,I had the privilege of conducting this study.Surprisingly, twenty nurses from the medical/surgical/critical care specialties did agree to participate in this study. Interpretive Description (ID) was the methodology chosen for this study. Face to face interviews were conducted with twelve nurses from large and small cities in each of two neighboring Prairie provinces in Canada. Nine nurses from AB and eleven nurses from SK shared their experiences of compliance to their regulatory health information Acts in each province: The Alberta Health Information Act (HIA), and the Saskatchewan Health Information Protection Act (HIPA). Unexpectedly, new definitions of what constitutes patient information privacy and security, and what comprises a breach of patient information occurring was interpreted from the data.These new key definitions were interpreted from the described experiences of the nurses themselves, as the trusted protector of patient information. Comparisons were made between the two provinces on the perceptions/experiences of nurses with regard to the security and privacy of electronic records compared to paper records.A trusted relationship builds between the nurse and the patient with regard to patient or health information. Family relationships were to be among the most challenging. Breaches were found to occur intentionally or unintentionally.Findings and recommendations from this study will add to the knowledge-base of nursing and health care professional practice, ethics and informatics. The findings could also positively influence the personal attitudes of nurses towards patient information privac

Generating learning from patient safety incident reports from general practice

Internationally, there is an emerging interest in the inadvertent harm caused to patients by the provision of healthcare services. Since the publication of the Institute of Medicine’s report, To Err is Human, in 1999, research and policy directives have predominantly focused on patient safety in hospital settings. More recently, the World Health Organization has highlighted 2-3% of primary care encounters result in a patient safety incident. Given around 330 million general practice consultations occur in the UK each year, unsafe primary care is a poorly understood, major threat to public health. In 2003, a major investment was made in the National Reporting and Learning System to better understand patient safety incidents occurring in England and Wales. Over 40,000 incident reports have arisen from general practice. These have never been systematically analysed, and a key challenge to exploiting these data has been to generate learning from the largely unstructured, free-text descriptions of incidents. My thesis describes the empirical development and application of methods to classify (structure) incident report data. This includes the development of coding frameworks specific to primary care, aligned to the WHO International Classification for Patient Safety, to describe the incident, contributory factors and incident outcomes. I have developed a mixed-methods approach which combines a structured process for coding reports and an exploratory data analysis with subsequent thematic analysis. Analyses of reports can generate hypotheses about priorities for systems improvement in primary care at a local and national level. Existing interventions or initiatives to minimise or mitigate patient safety risks can be identified through scoping reviews. Future research and quality improvement activities should deepen understanding about the risks to patients, and generate knowledge about how interventions made in practice can improve safety

The Impact of Electronic Health Records Meaningful Use on Patient Safety and Satisfaction

AbstractThe widespread adoption of electronic health records (EHRs) is encouraged because of their potential to improve the quality of care provided. It was unknown to what extent the meaningful use of EHRs would impact patient safety and satisfaction in general and specialty hospitals. The researcher’s purpose for this quantitative correlational research was to examine the impact of meaningful EHR use of EHRs on patient safety and satisfaction outcomes in general and specialty hospitals in Philadelphia (PA). The constructs of the institutional theory guided the study. The hypotheses that guided the study included (a) Meaningful EHR use positively influences patient satisfaction scores, (b) Meaningful EHR use positively influences patient safety scores, and (c) Meaningful EHR use positively influences patient recommendation scores. A quantitative methodology with a correlational study design was applied. Purposive sampling was used to sample 131 general and specialty hospitals in PA. The inclusion criteria for the facilities were health care institutions enrolled in the EHR Incentive Program. Simple descriptive statistics and independent t-tests were conducted using Statistical Package for Social Sciences (SPSS) version 26. The findings did not reveal a statistically significant correlation between the two variables. However, past research and studies have shown the association of the correlation from a negative and positive perspective. The potential positive changes include improving the patient\u27s safety and satisfaction levels by encouraging training healthcare providers on the meaningful use of EHR will help increase nurses\u27 and healthcare providers\u27 knowledge, resulting in improved patient safety and satisfaction

Patient Safety and Quality: An Evidence-Based Handbook for Nurses

Compiles peer-reviewed research and literature reviews on issues regarding patient safety and quality of care, ranging from evidence-based practice, patient-centered care, and nurses' working conditions to critical opportunities and tools for improvement