The Case for Improving U.S. Computer Science Education

Despite the growing use of computers and software in every facet of our economy, not until recently has computer science education begun to gain traction in American school systems. The current focus on improving science, technology, engineering, and mathematics (STEM) education in the U.S. school system has disregarded differences within STEM fields. Indeed, the most important STEM field for a modern economy is not only one that is not represented by its own initial in "STEM" but also the field with the fewest number of high school students taking its classes and by far has the most room for improvement—computer science

Development and validation of a pragmatic natural language processing approach to identifying falls in older adults in the emergency department

BACKGROUND: Falls among older adults are both a common reason for presentation to the emergency department, and a major source of morbidity and mortality. It is critical to identify fall patients quickly and reliably during, and immediately after, emergency department encounters in order to deliver appropriate care and referrals. Unfortunately, falls are difficult to identify without manual chart review, a time intensive process infeasible for many applications including surveillance and quality reporting. Here we describe a pragmatic NLP approach to automating fall identification. METHODS: In this single center retrospective review, 500 emergency department provider notes from older adult patients (age 65 and older) were randomly selected for analysis. A simple, rules-based NLP algorithm for fall identification was developed and evaluated on a development set of 1084 notes, then compared with identification by consensus of trained abstractors blinded to NLP results. RESULTS: The NLP pipeline demonstrated a recall (sensitivity) of 95.8%, specificity of 97.4%, precision of 92.0%, and F1 score of 0.939 for identifying fall events within emergency physician visit notes, as compared to gold standard manual abstraction by human coders. CONCLUSIONS: Our pragmatic NLP algorithm was able to identify falls in ED notes with excellent precision and recall, comparable to that of more labor-intensive manual abstraction. This finding offers promise not just for improving research methods, but as a potential for identifying patients for targeted interventions, quality measure development and epidemiologic surveillance

Designing Effective Health Care Quality Transparency Initiatives

Profiles two well-designed healthcare quality transparency initiatives from California and Massachusetts. Examines key design and implementation elements, including provider engagement, reliable data, consumer-friendliness, and feedback to providers

Identification of drivers, benefits, and challenges of ISO 50001 through case study content analysis

An expanding body of research is defining drivers, benefits, and challenges of adopting ISO 50001 energy management systems. The Clean Energy Ministerial's Energy Management Leadership Awards program requires ISO 50001-certified organizations to develop case studies of their implementation experience. 72 recent case studies spanning multiple economic sectors provide a unique global look at implementation from certified organizations' perspectives. This dataset was investigated through content analysis of phrases related to motivations and goals, the role of management and the organization, benefits achieved, keys to success, and challenges. This paper presents findings from this quantitative analysis of “codes” assigned to phrases that capture their meaning. While organizations adopted ISO 50001 for different motives and saw myriad benefits beyond energy savings and associated greenhouse gas emissions reductions, commonalities exist. The most frequently identified drivers are existing values and goals, environmental sustainability, and government incentives or regulations. Findings also include: obtaining and sustaining top management support is critical; top benefits mentioned are cost savings, productivity, and operational improvements; and the primary barrier is lacking a culture of energy management. Policymakers and others looking to accelerate ISO 50001 uptake can use these findings to highlight benefits and incentives that will resonate with corporate decisionmakers worldwide