A Core Reference Hierarchical Primitive Ontology for Electronic Medical Records Semantics Interoperability

Currently, electronic medical records (EMR) cannot be exchanged among hospitals, clinics, laboratories, pharmacies, and insurance providers or made available to patients outside of local networks. Hospital, laboratory, pharmacy, and insurance provider legacy databases can share medical data within a respective network and limited data with patients. The lack of interoperability has its roots in the historical development of electronic medical records. Two issues contribute to interoperability failure. The first is that legacy medical record databases and expert systems were designed with semantics that support only internal information exchange. The second is ontological commitment to the semantics of a particular knowledge representation language formalism. This research seeks to address these interoperability failures through demonstration of the capability of a core reference, hierarchical primitive ontological architecture with concept primitive attributes definitions to integrate and resolve non-interoperable semantics among and extend coverage across existing clinical, drug, and hospital ontologies and terminologies

Research Agenda in Developing Core Reference Ontology for Human Intelligence/Machine-Intelligence Electronic Medical Records System

Beginning around 1990, efforts were initiated in the medical profession by the U.S. government to transition from paper based medical records to electronic medical records (EMR). By the late 1990s, EMR implementation had already encountered multiple barriers and failures. Then President Bush set forth the goal of implementing electronic health records (EHRs), nationwide within ten years. Again, progress toward EMR implementation was not realized. President Obama put new emphasis on promoting EMR and health care technology. The renewed emphasis did not overcome many of the original problems and induced new failures. Retrospective analyses suggest that failures were induced because programmers did not consider the medical socio-technical communications structures that had evolved around paper records. Transition to electronic records caused breakdowns in the medical socio-technical communications systems; induced inconsistencies in information exchanges among clinics, physicians, hospitals, laboratories, pharmacies, and health insurance providers; and resulted in the incorrect administration of prescriptions, errors in patient care, and unnecessary treatments and surgeries. With the rapid integration of machine intelligence (MI) in medical socio-technical systems, there is a potential to repeat the failures of EMR implementation. To address the MI integration issue, this paper reports research design into the development of a human-intelligent/machine intelligent (HI-MI) EMR core reference ontology around which EMR-MI knowledge can be encoded to form the basis for informed transition to artificially intelligent electronic medical records

Systemic Risk Management Plan for Electronic Medical Records (EMR): Why and How?

Electronic patient data use and handling are critical issues in terms of privacy, confidentiality, security, and the Health Insurance Portability and Accountability Act (HIPAA) regulations. The risks associated with electronic patient data are not limited to identity theft but rather include a person’s social, economic, and psychological well-being. However, there have not been many studies that have focused on the associated risk factors that could lead to these situations. This paper identifies those risks related to electronic patient data breaches by means of a grounded theory approach and develops a systemic risk management plan that enables engineering managers and risk managers to more effectively and efficiently overcome risks associated with electronic patient data

2018 State of the Commonwealth Report

This is Old Dominion University\u27s fourth State of the Commonwealth Report. While it represents the work of many people connected in various ways to the university, the report does not constitute an official viewpoint of Old Dominion, its president, John R. Broderick, the Board of Visitors, the Strome College of Business or the generous donors who support the activities of the Dragas Center for Economic Analysis and Policy. The report maintains the goal of stimulating thought and discussion that ultimately will make Virginia an even better place to live. The recent improvements in the Commonwealth\u27s economic performance present an opportunity to make wise investments to sustain the long-term economic health of Virginia

2017 State of the Commonwealth Report

This is the third State of the Commonwealth Report produced by the Center for Economic Analysis and Policy at Old Dominion University. The report is sponsored, in part, by ODU\u27s Strome College of Business. While the report represents the work of many people connected in various ways to the university, it does not constitute an official viewpoint of Old Dominion, its president, John R. Broderick, or the Board of Visitors. This report maintains the goal of stimulating thought and discussion that ultimately will make the Commonwealth of Virginia an even better place to live, work, and do business. We are proud of Virginia\u27s many successes, but realize it is possible to improve our performance. To do so, we must have accurate and objective information about where we are and a sound understanding of the policy options open to us

The State of the Region: Hampton Roads 2017

This is Old Dominion University\u27s 18th annual State of the Region report. While it represents the work of many people connected in various ways to the university, the report does not constitute an official viewpoint of Old Dominion, or its president, John R. Broderick. The report maintains the goal of stimulating thought and discussion that ultimately will make Hampton Roads an even better place to live. We are proud of our regions many successes, but realize that it is possible to improve our performance. In order to do so, we must have accurate information about where we are and a sound understanding of the policy options open to us.https://digitalcommons.odu.edu/economics_books/1021/thumbnail.jp

The State of the Region: Hampton Roads 2018

[From the introductory material] This is Old Dominion University’s 19th annual State of the Region report. While it represents the work of many people connected in various ways to the university, the report does not constitute an official viewpoint of Old Dominion, its president, John R. Broderick, the Board of Visitors, the Strome College of Business or the generous donors who support the activities of the Dragas Center for Economic Analysis and Policy. The report maintains the goal of stimulating thought and discussion that will ultimately make Hampton Roads an even better place to live. We are proud of our region’s many successes and the key role we play in national security. We also realize that it is possible to improve our performance. To do so, we must have accurate, objective information about “where we stand” so we can move to “where we want to be.