A study of health services provided the Stockton Unified School District by the San Joaquin Local Health District

The purposes of the study are to learn what the general areas of services are that the San Joaquin Health District is providing to the Stockton Unified School District, and to consider the fundamentals of organization and their application to the health services d related to teaching. To understand the problem of the study more completely, the investigator studied the roles of the Stockton Unified School District health personnel

Application of TRIZ to develop an in-service diagnostic system for a synchronous belt transmission for automotive application

Development of robust diagnostic solutions to monitor the health of systems and components to ensure through life cost effectiveness is often technically difficult, requiring an effective integration of design development with research and innovation. This paper presents a structured application of TRIZ and USIT (Unified Structured Inventive Thinking) to generate concept solutions for an in-service diagnostic system for a synchronous belt drive system for an automotive application. The systematic exploration through TRIZ and USIT methods has led to the development of six concept solution ideas directed at the functional requirement to determine the state or condition of the belt. The paper demonstrates that the combined deployment of TRIZ and USIT frameworks is a valuable approach addressing difficult design problem

Designing community care systems with AUML

This paper describes an approach to developing an appropriate agent environment appropriate for use in community care applications. Key to its success is that software designers collaborate with environment builders to provide the levels of cooperation and support required within an integrated agent–oriented community system. Agent-oriented Unified Modeling Language (AUML) is a practical approach to the analysis, design, implementation and management of such an agent-based system, whilst providing the power and expressiveness necessary to support the specification, design and organization of a health care service. The background of an agent-based community care application to support the elderly is described. Our approach to building agent–oriented software development solutions emphasizes the importance of AUML as a fundamental initial step in producing more general agent–based architectures. This approach aims to present an effective methodology for an agent software development process using a service oriented approach, by addressing the agent decomposition, abstraction, and organization characteristics, whilst reducing its complexity by exploiting AUML’s productivity potential. </p

Utilizing RxNorm to Support Practical Computing Applications: Capturing Medication History in Live Electronic Health Records

RxNorm was utilized as the basis for direct-capture of medication history data in a live EHR system deployed in a large, multi-state outpatient behavioral healthcare provider in the United States serving over 75,000 distinct patients each year across 130 clinical locations. This tool incorporated auto-complete search functionality for medications and proper dosage identification assistance. The overarching goal was to understand if and how standardized terminologies like RxNorm can be used to support practical computing applications in live EHR systems. We describe the stages of implementation, approaches used to adapt RxNorm's data structure for the intended EHR application, and the challenges faced. We evaluate the implementation using a four-factor framework addressing flexibility, speed, data integrity, and medication coverage. RxNorm proved to be functional for the intended application, given appropriate adaptations to address high-speed input/output (I/O) requirements of a live EHR and the flexibility required for data entry in multiple potential clinical scenarios. Future research around search optimization for medication entry, user profiling, and linking RxNorm to drug classification schemes holds great potential for improving the user experience and utility of medication data in EHRs.Comment: Appendix (including SQL/DDL Code) available by author request. Keywords: RxNorm; Electronic Health Record; Medication History; Interoperability; Unified Medical Language System; Search Optimizatio

Personality and technology: Big five personality traits as descriptors of universal acceptance and usage of technology UTAUT.

Presently, information professionals are progressively dependent on information and communication technologies to complete their everyday tasks. As, result dependence on PC frameworks, programming and data innovation-related technologies are increasing for better working and providing quality services. Therefore, to understand, analyze and evaluate the acceptance and use of this technology several models of technology acceptance and use have been formulated in information science literature. Using eight such models, Venkatesh, Morris, Davis and Davis proposed a unified model called the Unified Theory of Acceptance and Use of Technology or (UTAUT) model. The UTAUT model has been studied and analyzed in various spheres including education, banking, health, tourism, e-government services and its recent application in the personality studies. The application of UTAUT model to the core constructs of big five personality traits have been utilized to predict the adoption and usage of technology according to different personality types such as neurotic, open to experience, extravert, conscientious and agreeabl

Designing Traceability into Big Data Systems

Providing an appropriate level of accessibility and traceability to data or process elements (so-called Items) in large volumes of data, often Cloud-resident, is an essential requirement in the Big Data era. Enterprise-wide data systems need to be designed from the outset to support usage of such Items across the spectrum of business use rather than from any specific application view. The design philosophy advocated in this paper is to drive the design process using a so-called description-driven approach which enriches models with meta-data and description and focuses the design process on Item re-use, thereby promoting traceability. Details are given of the description-driven design of big data systems at CERN, in health informatics and in business process management. Evidence is presented that the approach leads to design simplicity and consequent ease of management thanks to loose typing and the adoption of a unified approach to Item management and usage.Comment: 10 pages; 6 figures in Proceedings of the 5th Annual International Conference on ICT: Big Data, Cloud and Security (ICT-BDCS 2015), Singapore July 2015. arXiv admin note: text overlap with arXiv:1402.5764, arXiv:1402.575

Learning to Address Health Inequality in the United States with a Bayesian Decision Network

Life-expectancy is a complex outcome driven by genetic, socio-demographic, environmental and geographic factors. Increasing socio-economic and health disparities in the United States are propagating the longevity-gap, making it a cause for concern. Earlier studies have probed individual factors but an integrated picture to reveal quantifiable actions has been missing. There is a growing concern about a further widening of healthcare inequality caused by Artificial Intelligence (AI) due to differential access to AI-driven services. Hence, it is imperative to explore and exploit the potential of AI for illuminating biases and enabling transparent policy decisions for positive social and health impact. In this work, we reveal actionable interventions for decreasing the longevity-gap in the United States by analyzing a County-level data resource containing healthcare, socio-economic, behavioral, education and demographic features. We learn an ensemble-averaged structure, draw inferences using the joint probability distribution and extend it to a Bayesian Decision Network for identifying policy actions. We draw quantitative estimates for the impact of diversity, preventive-care quality and stable-families within the unified framework of our decision network. Finally, we make this analysis and dashboard available as an interactive web-application for enabling users and policy-makers to validate our reported findings and to explore the impact of ones beyond reported in this work.Comment: 8 pages, 4 figures, 1 table (excluding the supplementary material), accepted for publication in AAAI 201

Building an On-Ramp to Children's Health Coverage: A Report on California's Express Lane Eligibility Program

Documents the successes and current policy and procedural barriers to enrolling eligible but uninsured children through California's Express Lane Eligibility initiative, which has been piloted in 72 schools in five school districts across California