Deep dive into “Privacy-preserving patient clustering for personalized federated learning” written by Ahmed Elhussein and Gamze Gursoy and presented at the Machine Learning for Healthcare 2023 conference
This document presents a systematic review of 254 publications that used data-driven methods to determine "de facto" patient care pathways from electronic health records and administrative data. The majority (217) derived pathways from administrative or clinical data. Most (173) applied additional analytical techniques, and many (131) combined pathways with other data for insights. The review found that these methods can provide useful empirical information for healthcare planning, management, and practice, though the topic is still emerging. Limitations include the broad scope limiting discussion of methodological issues.
The document discusses clinical informatics and how it can improve healthcare. It is presented by Iris Thiele Isip Tan, a professor and chief of the UP Medical Informatics Unit. Clinical informatics uses information and technology to enhance healthcare outcomes, improve patient care, and strengthen the clinician-patient relationship. It can assemble complete patient information, apply medical knowledge, and use decision support and other technologies to improve safety and prevent errors in healthcare delivery.
This document describes a scalable architecture to support the National Health Information Network (NHIN) concurrently for public health, research, and clinical care activities. The architecture is based on the Shared Pathology Informatics Network (SPIN) model which uses a distributed database approach across independent institutions to protect privacy and autonomy while allowing controlled data sharing. The SPIN model has been validated in cancer research and forms the basis of an architecture developed under the Office of the National Coordinator to fulfill the biosurveillance use case. This architecture supports real-time analysis of anonymized clinical records while enabling re-identification of potentially affected patients during public health investigations.
Great article on how to integrate machine learning and optimization technique.
One group of researchers was able to reduce heart failure readmissions by 35% by combining machine learning and decision science technique, see "Data-driven decisions for reducing readmissions for heart failure: general methodology and case study" (Bayati, et. al., 2014).
CANCER DATA COLLECTION6The Application of Data to Problem-SoTawnaDelatorrejs
CANCER DATA COLLECTION 6
The Application of Data to Problem-Solving PEER RESPONSES
PEER NUMBER 1: Luis Arencibia
Top of Form
Clinical data is fundamental in the medical field. It is from this data that change and efficiency are made possible. Clinical data forms the basis of clinical care given to patients and research studies and is also used by the administration for decision-making and influencing change (Deckro et al., 2021). Modernization has come up with better ways of processing and storing clinical data, popularly known as informatics. This has led to the increased utilization of computers and information technology in clinical data management. The informatics results have increased efficiency in managing patients' data (McGonigle & Mastrian, 2022). It is crucial to ensure proper data management because it is from clinical data that crucial decisions and problems are solved in healthcare.
An example of a scenario where data can be helpful in problem-solving is the case where a healthcare facility wants to determine the average number of patients they receive in a day and use that information to establish whether the staff to patient ratio is satisfactory. This data can be obtained by registering all patients who attend the facility for a certain period, for example, three months, and stored electronically. The average is then done to get the approximate number of clients in a day. Additionally, the data should capture the age of patients, significant complaints, and the departments where the patients were attended. It is vital to secure this data to avoid unauthorized access to promote patients' privacy and compliance with the HIPAA to avoid legal consequences.
The knowledge derived from the data described above is the number of patients visiting the facility and their health needs. From this, the healthcare center will be able to critically analyze and evaluate whether the facility's staffing and resources are enough to meet the patients' demands. Suppose the number of patients is higher compared to the resources. In that case, the facility will be able to tell there is a shortage and the staff is being overworked, which is likely to compromise the services given to the patients.
From the data, a nurse leader can use clinical reasoning and judgment to explain why the health facility could be performing less efficiently and not meeting its goal of providing optimum medical services to patients. Additionally, the nurse could judge that the patients are not satisfied with the services provided from the data (Zhu et al., 2019). With that information, a nurse leader can successfully convince the management that there is a need for more staffing and resources to meet the patients' needs more successfully.
In conclusion, data management is crucial in the healthcare practice. With proper informatics, nurses and other healthcare providers will function optimally, and the results will be better quality ...
Clinical data science is a rapidly evolving field that utilizes advanced analytics and machine learning techniques to extract meaningful insights from large scale healthcare data. In recent years, there has been a significant increase in the availability of electronic health records, genomic data, wearable devices, and other digital health technologies, generating vast amounts of data. This article presents a comprehensive review of the current state of clinical data science and its future prospects. The review begins by providing an overview of the foundational concepts and methodologies employed in clinical data science. It explores various data sources, including structured and unstructured data, and highlights the challenges associated with data quality, privacy, and interoperability. The role of artificial intelligence and machine learning algorithms in data analysis and prediction is examined, along with the importance of data preprocessing and feature selection techniques. G. Dileepkumar | Nimisha Prajapati | Simhavalli Godavarthi "Clinical Data Science and its Future" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-3 , June 2023, URL: https://www.ijtsrd.com.com/papers/ijtsrd58588.pdf Paper URL: https://www.ijtsrd.com.com/pharmacy/pharmacy-practice/58588/clinical-data-science-and-its-future/g-dileepkumar
Role of Health Information Systems in Health CareIn the articl.docxhealdkathaleen
Role of Health Information Systems in Health Care
In the article, Robert Fichman, Rajiv Kohli, and Ranjani Krishnan discussed the role of the Health Information System in Health Care on the medical, social, and economic points related to the diagnosis providing and financial transactions. The main argument of the article indicates the future indispensability of the IS utilization in Health Care system regarding the optimization of the medical process, which will benefit the medical staff and clients’ recuperation. The authors support the claim stating that the involvement of the IS promotes the reduction of treatment costs caused by the mechanized data recording. Moreover, the adaptation of IS leads to the successful outperformance of the challenges related to the hierarchical nature of healthcare, which implies the physicians’ appropriate implementation of technology for the process of examination, treatment, and rehabilitation program elaboration, which intensifies the adherence of the medical professional to the client-centered orientation. Finally, IS deals with the privacy concern, which presents the obligation of the medical professional to ensure the security of the patient’s data to avoid the leakage of information as the issue of data loss deals with PHI, which can follow the court procedures. Hence, the authors lead to the point that the utilization of the Information Systems will optimize the quality of medical service due to the improvement of the data transfer, diagnosis and treatment program creation, and reduction of the cost of service.
Recommendations
1. According to Fichman, Kohli, and Krishnan (2011), the utilization of IS enhances the risk of patients’ data leakage, which captures media attention and violates security regulations. Regarding the presented perspective the recommendation implies ensuring IS with encryption, which will provide anonymity of the clients’ data and its automatic deletion in case of hacking attack. In this case, addressing the program of the identity based anonymization represents a reasonable solution of the privacy preservation as it encodes and removes patients’ identifiable information from the data set and means that the necessary information is visible for the clients/medical professionals and deleted for the hackers (Abouelmehdi, Beni Hessane, & Khaloufi, 2018).
2. Fichman, Kohli, and Krishnan (2011) state that the medical professionals apply IS during the process of treatment program creation, which aims to enhance patients’ satisfaction. However, the principal challenge of the presented point specifies the necessity of the correct assessment of the clients’ clinical history. Regarding the mentioned perspective, the recommendation means the elaboration of the separate Patient Data Analysis information system. PDA-IS utilizes the query engine, that implies the generation of standard and ad-hoc analytical patient and service-centric queries, which promotes the qualified analysis of the pati ...
Josephine Briggs, MD
Director
National Center for Complementary and Alternative Medicine
National Institutes of Health
Opening Keynote "Research in an IT Connected World: Building Better Partnerships – NIH and Health Care Systems"
The era of ‘Big Data’ has arrived for biomedical research, bringing with it immense challenges as well as spectacular opportunities. NIH is establishing major programs with the potential to transform the future of US biomedical research by building the capacities necessary for these challenges. These programs will strengthen research partnerships with health care systems and the IT networks that support them.
The Big Data to Knowledge (BD2K) initiative, to be launched in 2014, will implement a set of recommendations from the Data and Informatics Working Group to the Advisory Committee to the Director. Investments are planned to meet scientific needs to manage and utilize large complex datasets, including strengthening training, and investing in improved analysis methods and software development and dissemination. NIH is also evaluating strengthening data and software sharing policies, and the potential creation of catalogs of research data, and data/metadata standards.
The Common Fund’s Health Care Systems (HCS) Research Collaboratory program has the goal to strengthen the national capacity to implement cost-effective large-scale research studies by engaging major health care delivery organizations as research partners. The aim of the program is to provide a framework of implementation methods and best practices that will enable the participation of many health care systems in clinical research. Research conducted in partnership with health care systems is essential to strengthen the relevance of research results to health practice. Seven demonstration projects, currently in a feasibility phase, are developing detailed methods to implement rigorous randomized studies of questions of major public health impact. These studies, and the IT infrastructure that will make them possible, will be described in detail.
This document presents a systematic review of 254 publications that used data-driven methods to determine "de facto" patient care pathways from electronic health records and administrative data. The majority (217) derived pathways from administrative or clinical data. Most (173) applied additional analytical techniques, and many (131) combined pathways with other data for insights. The review found that these methods can provide useful empirical information for healthcare planning, management, and practice, though the topic is still emerging. Limitations include the broad scope limiting discussion of methodological issues.
The document discusses clinical informatics and how it can improve healthcare. It is presented by Iris Thiele Isip Tan, a professor and chief of the UP Medical Informatics Unit. Clinical informatics uses information and technology to enhance healthcare outcomes, improve patient care, and strengthen the clinician-patient relationship. It can assemble complete patient information, apply medical knowledge, and use decision support and other technologies to improve safety and prevent errors in healthcare delivery.
This document describes a scalable architecture to support the National Health Information Network (NHIN) concurrently for public health, research, and clinical care activities. The architecture is based on the Shared Pathology Informatics Network (SPIN) model which uses a distributed database approach across independent institutions to protect privacy and autonomy while allowing controlled data sharing. The SPIN model has been validated in cancer research and forms the basis of an architecture developed under the Office of the National Coordinator to fulfill the biosurveillance use case. This architecture supports real-time analysis of anonymized clinical records while enabling re-identification of potentially affected patients during public health investigations.
Great article on how to integrate machine learning and optimization technique.
One group of researchers was able to reduce heart failure readmissions by 35% by combining machine learning and decision science technique, see "Data-driven decisions for reducing readmissions for heart failure: general methodology and case study" (Bayati, et. al., 2014).
CANCER DATA COLLECTION6The Application of Data to Problem-SoTawnaDelatorrejs
CANCER DATA COLLECTION 6
The Application of Data to Problem-Solving PEER RESPONSES
PEER NUMBER 1: Luis Arencibia
Top of Form
Clinical data is fundamental in the medical field. It is from this data that change and efficiency are made possible. Clinical data forms the basis of clinical care given to patients and research studies and is also used by the administration for decision-making and influencing change (Deckro et al., 2021). Modernization has come up with better ways of processing and storing clinical data, popularly known as informatics. This has led to the increased utilization of computers and information technology in clinical data management. The informatics results have increased efficiency in managing patients' data (McGonigle & Mastrian, 2022). It is crucial to ensure proper data management because it is from clinical data that crucial decisions and problems are solved in healthcare.
An example of a scenario where data can be helpful in problem-solving is the case where a healthcare facility wants to determine the average number of patients they receive in a day and use that information to establish whether the staff to patient ratio is satisfactory. This data can be obtained by registering all patients who attend the facility for a certain period, for example, three months, and stored electronically. The average is then done to get the approximate number of clients in a day. Additionally, the data should capture the age of patients, significant complaints, and the departments where the patients were attended. It is vital to secure this data to avoid unauthorized access to promote patients' privacy and compliance with the HIPAA to avoid legal consequences.
The knowledge derived from the data described above is the number of patients visiting the facility and their health needs. From this, the healthcare center will be able to critically analyze and evaluate whether the facility's staffing and resources are enough to meet the patients' demands. Suppose the number of patients is higher compared to the resources. In that case, the facility will be able to tell there is a shortage and the staff is being overworked, which is likely to compromise the services given to the patients.
From the data, a nurse leader can use clinical reasoning and judgment to explain why the health facility could be performing less efficiently and not meeting its goal of providing optimum medical services to patients. Additionally, the nurse could judge that the patients are not satisfied with the services provided from the data (Zhu et al., 2019). With that information, a nurse leader can successfully convince the management that there is a need for more staffing and resources to meet the patients' needs more successfully.
In conclusion, data management is crucial in the healthcare practice. With proper informatics, nurses and other healthcare providers will function optimally, and the results will be better quality ...
Clinical data science is a rapidly evolving field that utilizes advanced analytics and machine learning techniques to extract meaningful insights from large scale healthcare data. In recent years, there has been a significant increase in the availability of electronic health records, genomic data, wearable devices, and other digital health technologies, generating vast amounts of data. This article presents a comprehensive review of the current state of clinical data science and its future prospects. The review begins by providing an overview of the foundational concepts and methodologies employed in clinical data science. It explores various data sources, including structured and unstructured data, and highlights the challenges associated with data quality, privacy, and interoperability. The role of artificial intelligence and machine learning algorithms in data analysis and prediction is examined, along with the importance of data preprocessing and feature selection techniques. G. Dileepkumar | Nimisha Prajapati | Simhavalli Godavarthi "Clinical Data Science and its Future" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-3 , June 2023, URL: https://www.ijtsrd.com.com/papers/ijtsrd58588.pdf Paper URL: https://www.ijtsrd.com.com/pharmacy/pharmacy-practice/58588/clinical-data-science-and-its-future/g-dileepkumar
Role of Health Information Systems in Health CareIn the articl.docxhealdkathaleen
Role of Health Information Systems in Health Care
In the article, Robert Fichman, Rajiv Kohli, and Ranjani Krishnan discussed the role of the Health Information System in Health Care on the medical, social, and economic points related to the diagnosis providing and financial transactions. The main argument of the article indicates the future indispensability of the IS utilization in Health Care system regarding the optimization of the medical process, which will benefit the medical staff and clients’ recuperation. The authors support the claim stating that the involvement of the IS promotes the reduction of treatment costs caused by the mechanized data recording. Moreover, the adaptation of IS leads to the successful outperformance of the challenges related to the hierarchical nature of healthcare, which implies the physicians’ appropriate implementation of technology for the process of examination, treatment, and rehabilitation program elaboration, which intensifies the adherence of the medical professional to the client-centered orientation. Finally, IS deals with the privacy concern, which presents the obligation of the medical professional to ensure the security of the patient’s data to avoid the leakage of information as the issue of data loss deals with PHI, which can follow the court procedures. Hence, the authors lead to the point that the utilization of the Information Systems will optimize the quality of medical service due to the improvement of the data transfer, diagnosis and treatment program creation, and reduction of the cost of service.
Recommendations
1. According to Fichman, Kohli, and Krishnan (2011), the utilization of IS enhances the risk of patients’ data leakage, which captures media attention and violates security regulations. Regarding the presented perspective the recommendation implies ensuring IS with encryption, which will provide anonymity of the clients’ data and its automatic deletion in case of hacking attack. In this case, addressing the program of the identity based anonymization represents a reasonable solution of the privacy preservation as it encodes and removes patients’ identifiable information from the data set and means that the necessary information is visible for the clients/medical professionals and deleted for the hackers (Abouelmehdi, Beni Hessane, & Khaloufi, 2018).
2. Fichman, Kohli, and Krishnan (2011) state that the medical professionals apply IS during the process of treatment program creation, which aims to enhance patients’ satisfaction. However, the principal challenge of the presented point specifies the necessity of the correct assessment of the clients’ clinical history. Regarding the mentioned perspective, the recommendation means the elaboration of the separate Patient Data Analysis information system. PDA-IS utilizes the query engine, that implies the generation of standard and ad-hoc analytical patient and service-centric queries, which promotes the qualified analysis of the pati ...
Josephine Briggs, MD
Director
National Center for Complementary and Alternative Medicine
National Institutes of Health
Opening Keynote "Research in an IT Connected World: Building Better Partnerships – NIH and Health Care Systems"
The era of ‘Big Data’ has arrived for biomedical research, bringing with it immense challenges as well as spectacular opportunities. NIH is establishing major programs with the potential to transform the future of US biomedical research by building the capacities necessary for these challenges. These programs will strengthen research partnerships with health care systems and the IT networks that support them.
The Big Data to Knowledge (BD2K) initiative, to be launched in 2014, will implement a set of recommendations from the Data and Informatics Working Group to the Advisory Committee to the Director. Investments are planned to meet scientific needs to manage and utilize large complex datasets, including strengthening training, and investing in improved analysis methods and software development and dissemination. NIH is also evaluating strengthening data and software sharing policies, and the potential creation of catalogs of research data, and data/metadata standards.
The Common Fund’s Health Care Systems (HCS) Research Collaboratory program has the goal to strengthen the national capacity to implement cost-effective large-scale research studies by engaging major health care delivery organizations as research partners. The aim of the program is to provide a framework of implementation methods and best practices that will enable the participation of many health care systems in clinical research. Research conducted in partnership with health care systems is essential to strengthen the relevance of research results to health practice. Seven demonstration projects, currently in a feasibility phase, are developing detailed methods to implement rigorous randomized studies of questions of major public health impact. These studies, and the IT infrastructure that will make them possible, will be described in detail.
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
This document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on this topic. The articles found that clinical information systems can help reduce medical errors, improve care quality by enhancing workflow and access to patient information, and engage patients more in their care when interactive technology is used. However, challenges remain around data integration across healthcare systems and technical, human, and organizational constraints. The document concludes that clinical information systems provide opportunities to improve care but must be effectively implemented and upgraded so nurses can benefit from these technologies.
The document describes how decision trees can be used to predict hospital readmission risk for patients with acute myocardial infarction (AMI), heart failure (HF), or pneumonia (PN). Decision trees were trained on 2010 California hospital data and tested on 2011 data. The decision trees achieved AUC scores of 0.612 for AMI, 0.583 for HF, and 0.650 for PN, indicating moderate predictive ability. However, decision trees provide the advantage of transparent, clinically relevant rules that can help hospitals target high-risk patient groups and design interventions to reduce readmissions.
INTEGRATING MACHINE LEARNING IN CLINICAL DECISION SUPPORT SYSTEMShiij
This review article examines the role of machine learning (ML) in enhancing Clinical Decision Support
Systems (CDSSs) within the modern healthcare landscape. Focusing on the integration of various ML
algorithms, such as regression, random forest, and neural networks, the review aims to showcase their
potential in advancing patient care. A rapid review methodology was utilized, involving a survey of recent
articles from PubMed and Google Scholar on ML applications in healthcare. Key findings include the
demonstration of ML's predictive power in patient outcomes, its ability to augment clinician knowledge,
and the effectiveness of ensemble algorithmic approaches. The review highlights specific applications of
diverse ML models, including moment kernel machines in predicting surgical outcomes, k-means clustering
in simplifying disease phenotypes, and extreme gradient boosting in estimating injury risk. Emphasizing
the potential of ML to tackle current healthcare challenges, the article highlights the critical role of ML in
evolving CDSSs for improved clinical decision-making and patient care. This comprehensive review also
addresses the challenges and limitations of integrating ML into healthcare systems, advocating for a
collaborative approach to refine these systems for safety, efficacy, and equity.
INTEGRATING MACHINE LEARNING IN CLINICAL DECISION SUPPORT SYSTEMShiij
This review article examines the role of machine learning (ML) in enhancing Clinical Decision Support
Systems (CDSSs) within the modern healthcare landscape. Focusing on the integration of various ML
algorithms, such as regression, random forest, and neural networks, the review aims to showcase their
potential in advancing patient care. A rapid review methodology was utilized, involving a survey of recent
articles from PubMed and Google Scholar on ML applications in healthcare. Key findings include the
demonstration of ML's predictive power in patient outcomes, its ability to augment clinician knowledge,
and the effectiveness of ensemble algorithmic approaches. The review highlights specific applications of
diverse ML models, including moment kernel machines in predicting surgical outcomes, k-means clustering
in simplifying disease phenotypes, and extreme gradient boosting in estimating injury risk. Emphasizing
the potential of ML to tackle current healthcare challenges, the article highlights the critical role of ML in
evolving CDSSs for improved clinical decision-making and patient care. This comprehensive review also
addresses the challenges and limitations of integrating ML into healthcare systems, advocating for a
collaborative approach to refine these systems for safety, efficacy, and equity.
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
The document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on the topic. The articles found that clinical information systems can improve workflow and reduce medical errors. However, challenges remain around data integration and sharing patient data across healthcare systems. The document concludes that clinical systems provide opportunities to improve care if effectively implemented and regularly updated to support nurses.
Informatics and nursing 2015 2016.odette richardsOdette Richards
This document summarizes a literature review of research papers in clinical informatics and digital health in nursing from 2015-2016. It describes the search strategy and criteria for including papers, which resulted in 73 papers being shortlisted. Of these, 5 top papers were chosen that either identified gaps in the literature or demonstrated improved patient care through digital health innovations. The document discusses each of these 5 papers and their relevance. It concludes with recommendations and limitations of the literature review.
Chapter 4 Knowledge Discovery, Data Mining, and Practice-Based Evi.docxchristinemaritza
Chapter 4 Knowledge Discovery, Data Mining, and Practice-Based Evidence
Mollie R. Cummins
Ginette A. Pepper
Susan D. Horn
The next step to comparative effectiveness research is to conduct more prospective large-scale observational cohort studies with the rigor described here for knowledge discovery and data mining (KDDM) and practice-based evidence (PBE) studies.
Objectives
At the completion of this chapter the reader will be prepared to:
1.Define the goals and processes employed in knowledge discovery and data mining (KDDM) and practice-based evidence (PBE) designs
2.Analyze the strengths and weaknesses of observational designs in general and of KDDM and PBE specifically
3.Identify the roles and activities of the informatics specialist in KDDM and PBE in healthcare environments
Key Terms
Comparative effectiveness research, 69
Confusion matrix, 62
Data mining, 61
Knowledge discovery and data mining (KDDM), 56
Machine learning, 56
Natural language processing (NLP), 58
Practice-based evidence (PBE), 56
Preprocessing, 56
Abstract
The advent of the electronic health record (EHR) and other large electronic datasets has revolutionized efficient access to comprehensive data across large numbers of patients and the concomitant capacity to detect subtle patterns in these data even with missing or less than optimal data quality. This chapter introduces two approaches to knowledge building from clinical data: (1) knowledge discovery and data mining (KDDM) and (2) practice-based evidence (PBE). The use of machine learning methods in retrospective analysis of routinely collected clinical data characterizes KDDM. KDDM enables us to efficiently and effectively analyze large amounts of data and develop clinical knowledge models for decision support. PBE integrates health information technology (health IT) products with cohort identification, prospective data collection, and extensive front-line clinician and patient input for comparative effectiveness research. PBE can uncover best practices and combinations of treatments for specific types of patients while achieving many of the presumed advantages of randomized controlled trials (RCTs).
Introduction
Leaders need to foster a shared learning culture for improving healthcare. This extends beyond the local department or institution to a value for creating generalizable knowledge to improve care worldwide. Sound, rigorous methods are needed by researchers and health professionals to create this knowledge and address practical questions about risks, benefits, and costs of interventions as they occur in actual clinical practice. Typical questions are as follows:
•Are treatments used in daily practice associated with intended outcomes?
•Can we predict adverse events in time to prevent or ameliorate them?
•What treatments work best for which patients?
•With limited financial resources, what are the best interventions to use for specific types of patients?
•What types of indi ...
Real world Evidence and Precision medicine bridging the gapClinosolIndia
Real-world evidence and precision medicine represent complementary forces reshaping the healthcare landscape. The synergy between these realms offers a pathway to more personalized, effective, and patient-centered care. As technology, data analytics, and collaborative initiatives advance, the integration of real-world evidence into precision medicine practices holds the promise of revolutionizing how healthcare is delivered, ensuring that treatments are not only scientifically sound but also tailored to the unique characteristics and experiences of individual patients.
By administering assessments and analyzing the results, targeted aTawnaDelatorrejs
By administering assessments and analyzing the results, targeted and individualized interventions can be determined to best serve the needs of students with disabilities. The actual implementation of the interventions provides teachers opportunities to collect data and gauge the effectiveness of the interventions in addressing documented student needs. Teachers can also gain important skills and knowledge on how to best advocate for practical classroom interventions. Teachers will also be able to collaborate with colleagues and families in mentoring students to take ownership of learning strategies.
Allocate at least 2 hours in the field to support this field experience,
Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
Part 2: Reflection
In 250-500 words, summarize and reflect upon the following:
· Describe each intervention, including teacher, student, and family roles, where applicable.
· Your experiences administering the assessment, analyzing the results, and providing the student feedback on his or her performance.
· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
Machine Learning Algorithms for Predictive Analytics in Precision MedicineClinosolIndia
The integration of machine learning algorithms for predictive analytics in precision medicine represents a powerful tool for extracting meaningful insights from diverse and complex datasets. As the field continues to evolve, these algorithms play a crucial role in advancing our understanding of individualized treatment strategies, improving patient outcomes, and ultimately shaping the future of personalized healthcare.
Enabling Analytics on Sensitive Medical Data with Secure Multiparty ComputationWessel Kraaij
This document discusses how secure multiparty computation (MPC) can enable analytics on sensitive medical data by allowing multiple data owners to perform analysis and machine learning without disclosing private data. MPC uses cryptography protocols for parties to jointly compute a function without revealing their private inputs. The document outlines several pilot projects using MPC, including tracking hospital staff and patients locations privately, analyzing population health across different regions, and combining clinical, study, and insurance data for risk prediction. Challenges discussed include scaling MPC to large datasets, compliance with privacy regulations, and gaining trust from stakeholders. MPC has potential to improve healthcare by enabling learning from sensitive data in a privacy-preserving manner.
Improving health care outcomes with responsible data scienceWessel Kraaij
Keynote presentation by Wessel Kraaij at the Dutch pattern recognition and impage processing society (NVPBV) 29/5/2018, Eindhoven.
This talk discusses
1. trends in health care and respondible data science and their intersection
2. Secure federated analytics on distributed data repositories
3. Generating clinically relevant hypotheses from patient forum discussions.
The Use of Health Information Technology to Improve Care and .docxpelise1
The Use of Health Information Technology to Improve Care and
Outcomes for Older Adults
Kathryn H. Bowles, PhD, FAAN, FACMI,
van Ameringen Professor in Nursing Excellence, Director of the Center for Integrative Science in
Aging, University of Pennsylvania School of Nursing, Philadelphia, PA
Patricia Dykes, PhD, FAAN, FACMI, and
Senior Nurse Scientist, Director of the Center for Patient Safety Research and Practice; Director
of the Center for Nursing Excellence, Brigham and Women’s Hospital, Boston, MA
George Demiris, PhD, FACMI
Alumni Endowed Professor in Nursing; Professor in Biomedical and Health Informatics, School of
Medicine; Director, Clinical Informatics and Patient Centered Technologies; Graduate Program
Director, Biomedical and Health Informatics University of Washington, Seattle, Washington
Introduction
Using health information technology (HIT) to improve care and outcomes for older adults is
a growing program of research propelled by recent transformative policies such as the
Health Information Technology for Economic and Clinical Health (HITECH) Act
(Blumenthal, 2010; Institute of Medicine, 2011) and the Institute of Medicine report, "The
Future of Nursing: Leading Change, Advancing Health." (Institute of Medicine, 2010). Both
documents call for the implementation of electronic health records (EHR) and HIT solutions
to improve the safety, quality and efficiency of care. Several nurse scientists are at the
forefront of advancing this work, particularly using electronic health records, decision
support and telehealth. This commentary highlights examples of recent research (2010–
2014) led by nurse scientists using HIT to improve patient safety, and the quality and
efficiency of patient care. We also discuss future opportunities for Gerontological nurse
scientists interested in blending the care of older adults and HIT and suggest strategies to
increase our capacity to engage in such innovative research.
Using the EHR to improve outcomes for older adults
Recent incentives provided by the HITECH Act have resulted in rapid growth in the
development and implementation of the EHR. Nurse led studies are beginning to
demonstrate that effective use of the EHR can improve outcomes of relevance to older
adults such as pressure ulcers and falls. Dowding and colleagues evaluated the impact of an
integrated EHR in 29 Kaiser Permanente hospitals on process and outcome indicators for
patient falls and hospital acquired pressure ulcers (Dowding, Turley, & Garrido, 2012).
They found that the EHR system was associated with improved documentation of both fall
and pressure ulcer risk assessments and statistically significant improvements for pressure
ulcer risk assessment documentation. They demonstrated that improved documentation
using the EHR was associated with a 13% decrease in hospital acquired pressure ulcer rates.
HHS Public Access
Author manuscript
Res Gerontol Nurs. Author manuscript; avai.
This document summarizes a research paper on using Markov Decision Processes (MDPs) to improve inpatient hospital care. It discusses challenges in the current healthcare system and how machine learning and artificial intelligence could help address issues like overtreatment, inconsistent care quality, and high costs. The paper proposes using MDPs and other algorithms to analyze patient electronic health record data, detect abnormal care patterns, and make real-time predictions to optimize treatment and resource allocation. A web application with modules for patients, doctors and administrators is designed to facilitate this approach. Simulation results suggest it could increase care efficiency by better connecting patients and doctors. Future work may expand this to personalized treatment planning, diagnostic testing optimization and knowledge discovery from medical literature.
Nicholas Tenhue completed his Master's degree in MSc ICT Innovation at University College London, this document is his thesis on Making Sense of Risk by Visualizing Complex Health Data.
Find out more about Nicholas at http://nicholastenhue.com
This document discusses outcomes research which focuses on the effects of care and treatments on individuals and populations. Outcomes research uses scientific evidence to determine the positive or negative impact of new treatments or interventions, and takes patient preferences and values into account when gathering data. It also lists several examples of outcomes research studies conducted by private and government agencies related to improving patient safety, shared decision making, telemedicine, stroke prevention, insurance risk adjustment, and privacy-preserving record linkage.
A Large-Scale Informatics Database to Advance Research and Discovery of the E...Jesus J Caban, PhD
This document describes the development of a large-scale informatics database to support research on mild traumatic brain injury (mTBI) within the Department of Defense (DoD). The database was built to standardize and integrate clinical data from multiple sources within the DoD healthcare system on service members diagnosed with mTBI. It aims to facilitate collection of standardized clinical data elements and enable analysis of longitudinal outcomes. The database currently contains millions of clinical data points from across the DoD and includes built-in analytical applications to allow interactive exploration and analysis of the data.
826 Unertl et al., Describing and Modeling WorkflowResearch .docxevonnehoggarth79783
826 Unertl et al., Describing and Modeling Workflow
Research Paper �
Describing and Modeling Workflow and Information Flow in
Chronic Disease Care
KIM M. UNERTL, MS, MATTHEW B. WEINGER, MD, KEVIN B. JOHNSON, MD, MS,
NANCY M. LORENZI, PHD, MA, MLS
A b s t r a c t Objectives: The goal of the study was to develop an in-depth understanding of work practices,
workflow, and information flow in chronic disease care, to facilitate development of context-appropriate
informatics tools.
Design: The study was conducted over a 10-month period in three ambulatory clinics providing chronic disease
care. The authors iteratively collected data using direct observation and semi-structured interviews.
Measurements: The authors observed all aspects of care in three different chronic disease clinics for over 150
hours, including 157 patient-provider interactions. Observation focused on interactions among people, processes,
and technology. Observation data were analyzed through an open coding approach. The authors then developed
models of workflow and information flow using Hierarchical Task Analysis and Soft Systems Methodology. The
authors also conducted nine semi-structured interviews to confirm and refine the models.
Results: The study had three primary outcomes: models of workflow for each clinic, models of information flow
for each clinic, and an in-depth description of work practices and the role of health information technology (HIT)
in the clinics. The authors identified gaps between the existing HIT functionality and the needs of chronic disease
providers.
Conclusions: In response to the analysis of workflow and information flow, the authors developed ten guidelines
for design of HIT to support chronic disease care, including recommendations to pursue modular approaches to
design that would support disease-specific needs. The study demonstrates the importance of evaluating workflow
and information flow in HIT design and implementation.
� J Am Med Inform Assoc. 2009;16:826 – 836. DOI 10.1197/jamia.M3000.
Introduction
Health information technology (HIT) can enhance efficiency,
increase patient safety, and improve patient outcomes.1,2
However, features of HIT intended to improve patient care
can lead to rejection of HIT,3 or can produce unexpected
negative consequences or unsafe workarounds if poorly
aligned with workflow.4,5
More than 90 million people in the United States, or 30% of
the population, have chronic diseases.6 HIT can assist with
longitudinal management of chronic disease by, for exam-
Affiliations of the authors: Department of Biomedical Informatics
(KMU, MBW, KBJ, NML), Center for Perioperative Research in
Quality (KMU, MBW, KBJ), Institute of Medicine and Public Health,
VA Tennessee Valley Healthcare System and the Departments of
Anesthesiology and Medical Education (MBW), Department of
Pediatrics (KBJ), Vanderbilt University, Nashville, TN.
This research was supported by a National Library of Medicine
Training Grant, Number T15 .
Module 5 (week 9) - InterventionAs you continue to work on your .docxroushhsiu
This document provides guidance for a week 9 assignment on recommending an evidence-based practice change. It instructs students to identify a current problem from their week 2 assignment, propose an intervention derived from literature reviewed in previous assignments, and present this as an 8-9 slide PowerPoint. The document reviews what content should be drawn from past assignments and what will be new. It directs students to review full assignment details and offers assistance for any questions.
Automated Generation Of Synoptic Reports From Narrative Pathology Reports In ...Kaela Johnson
This document presents a study that developed a rule-based natural language processing (NLP) algorithm to automatically generate structured synoptic pathology reports from narrative breast pathology reports. The algorithm was trained on 415 pathology reports from University Malaya Medical Centre and evaluated on 178 additional reports. Key data elements were identified by a pathologist and the NLP algorithm used predefined rules and lists to extract these elements with high accuracy, achieving a micro-F1 score of 99.50% and macro-F1 score of 98.97% on the test set. The structured synoptic reports generated by the algorithm are intended to improve information extraction for clinical decision making and research.
Predictably Improve Your B2B Tech Company's Performance by Leveraging DataKiwi Creative
Harness the power of AI-backed reports, benchmarking and data analysis to predict trends and detect anomalies in your marketing efforts.
Peter Caputa, CEO at Databox, reveals how you can discover the strategies and tools to increase your growth rate (and margins!).
From metrics to track to data habits to pick up, enhance your reporting for powerful insights to improve your B2B tech company's marketing.
- - -
This is the webinar recording from the June 2024 HubSpot User Group (HUG) for B2B Technology USA.
Watch the video recording at https://youtu.be/5vjwGfPN9lw
Sign up for future HUG events at https://events.hubspot.com/b2b-technology-usa/
Global Situational Awareness of A.I. and where its headedvikram sood
You can see the future first in San Francisco.
Over the past year, the talk of the town has shifted from $10 billion compute clusters to $100 billion clusters to trillion-dollar clusters. Every six months another zero is added to the boardroom plans. Behind the scenes, there’s a fierce scramble to secure every power contract still available for the rest of the decade, every voltage transformer that can possibly be procured. American big business is gearing up to pour trillions of dollars into a long-unseen mobilization of American industrial might. By the end of the decade, American electricity production will have grown tens of percent; from the shale fields of Pennsylvania to the solar farms of Nevada, hundreds of millions of GPUs will hum.
The AGI race has begun. We are building machines that can think and reason. By 2025/26, these machines will outpace college graduates. By the end of the decade, they will be smarter than you or I; we will have superintelligence, in the true sense of the word. Along the way, national security forces not seen in half a century will be un-leashed, and before long, The Project will be on. If we’re lucky, we’ll be in an all-out race with the CCP; if we’re unlucky, an all-out war.
Everyone is now talking about AI, but few have the faintest glimmer of what is about to hit them. Nvidia analysts still think 2024 might be close to the peak. Mainstream pundits are stuck on the wilful blindness of “it’s just predicting the next word”. They see only hype and business-as-usual; at most they entertain another internet-scale technological change.
Before long, the world will wake up. But right now, there are perhaps a few hundred people, most of them in San Francisco and the AI labs, that have situational awareness. Through whatever peculiar forces of fate, I have found myself amongst them. A few years ago, these people were derided as crazy—but they trusted the trendlines, which allowed them to correctly predict the AI advances of the past few years. Whether these people are also right about the next few years remains to be seen. But these are very smart people—the smartest people I have ever met—and they are the ones building this technology. Perhaps they will be an odd footnote in history, or perhaps they will go down in history like Szilard and Oppenheimer and Teller. If they are seeing the future even close to correctly, we are in for a wild ride.
Let me tell you what we see.
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
This document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on this topic. The articles found that clinical information systems can help reduce medical errors, improve care quality by enhancing workflow and access to patient information, and engage patients more in their care when interactive technology is used. However, challenges remain around data integration across healthcare systems and technical, human, and organizational constraints. The document concludes that clinical information systems provide opportunities to improve care but must be effectively implemented and upgraded so nurses can benefit from these technologies.
The document describes how decision trees can be used to predict hospital readmission risk for patients with acute myocardial infarction (AMI), heart failure (HF), or pneumonia (PN). Decision trees were trained on 2010 California hospital data and tested on 2011 data. The decision trees achieved AUC scores of 0.612 for AMI, 0.583 for HF, and 0.650 for PN, indicating moderate predictive ability. However, decision trees provide the advantage of transparent, clinically relevant rules that can help hospitals target high-risk patient groups and design interventions to reduce readmissions.
INTEGRATING MACHINE LEARNING IN CLINICAL DECISION SUPPORT SYSTEMShiij
This review article examines the role of machine learning (ML) in enhancing Clinical Decision Support
Systems (CDSSs) within the modern healthcare landscape. Focusing on the integration of various ML
algorithms, such as regression, random forest, and neural networks, the review aims to showcase their
potential in advancing patient care. A rapid review methodology was utilized, involving a survey of recent
articles from PubMed and Google Scholar on ML applications in healthcare. Key findings include the
demonstration of ML's predictive power in patient outcomes, its ability to augment clinician knowledge,
and the effectiveness of ensemble algorithmic approaches. The review highlights specific applications of
diverse ML models, including moment kernel machines in predicting surgical outcomes, k-means clustering
in simplifying disease phenotypes, and extreme gradient boosting in estimating injury risk. Emphasizing
the potential of ML to tackle current healthcare challenges, the article highlights the critical role of ML in
evolving CDSSs for improved clinical decision-making and patient care. This comprehensive review also
addresses the challenges and limitations of integrating ML into healthcare systems, advocating for a
collaborative approach to refine these systems for safety, efficacy, and equity.
INTEGRATING MACHINE LEARNING IN CLINICAL DECISION SUPPORT SYSTEMShiij
This review article examines the role of machine learning (ML) in enhancing Clinical Decision Support
Systems (CDSSs) within the modern healthcare landscape. Focusing on the integration of various ML
algorithms, such as regression, random forest, and neural networks, the review aims to showcase their
potential in advancing patient care. A rapid review methodology was utilized, involving a survey of recent
articles from PubMed and Google Scholar on ML applications in healthcare. Key findings include the
demonstration of ML's predictive power in patient outcomes, its ability to augment clinician knowledge,
and the effectiveness of ensemble algorithmic approaches. The review highlights specific applications of
diverse ML models, including moment kernel machines in predicting surgical outcomes, k-means clustering
in simplifying disease phenotypes, and extreme gradient boosting in estimating injury risk. Emphasizing
the potential of ML to tackle current healthcare challenges, the article highlights the critical role of ML in
evolving CDSSs for improved clinical decision-making and patient care. This comprehensive review also
addresses the challenges and limitations of integrating ML into healthcare systems, advocating for a
collaborative approach to refine these systems for safety, efficacy, and equity.
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
The document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on the topic. The articles found that clinical information systems can improve workflow and reduce medical errors. However, challenges remain around data integration and sharing patient data across healthcare systems. The document concludes that clinical systems provide opportunities to improve care if effectively implemented and regularly updated to support nurses.
Informatics and nursing 2015 2016.odette richardsOdette Richards
This document summarizes a literature review of research papers in clinical informatics and digital health in nursing from 2015-2016. It describes the search strategy and criteria for including papers, which resulted in 73 papers being shortlisted. Of these, 5 top papers were chosen that either identified gaps in the literature or demonstrated improved patient care through digital health innovations. The document discusses each of these 5 papers and their relevance. It concludes with recommendations and limitations of the literature review.
Chapter 4 Knowledge Discovery, Data Mining, and Practice-Based Evi.docxchristinemaritza
Chapter 4 Knowledge Discovery, Data Mining, and Practice-Based Evidence
Mollie R. Cummins
Ginette A. Pepper
Susan D. Horn
The next step to comparative effectiveness research is to conduct more prospective large-scale observational cohort studies with the rigor described here for knowledge discovery and data mining (KDDM) and practice-based evidence (PBE) studies.
Objectives
At the completion of this chapter the reader will be prepared to:
1.Define the goals and processes employed in knowledge discovery and data mining (KDDM) and practice-based evidence (PBE) designs
2.Analyze the strengths and weaknesses of observational designs in general and of KDDM and PBE specifically
3.Identify the roles and activities of the informatics specialist in KDDM and PBE in healthcare environments
Key Terms
Comparative effectiveness research, 69
Confusion matrix, 62
Data mining, 61
Knowledge discovery and data mining (KDDM), 56
Machine learning, 56
Natural language processing (NLP), 58
Practice-based evidence (PBE), 56
Preprocessing, 56
Abstract
The advent of the electronic health record (EHR) and other large electronic datasets has revolutionized efficient access to comprehensive data across large numbers of patients and the concomitant capacity to detect subtle patterns in these data even with missing or less than optimal data quality. This chapter introduces two approaches to knowledge building from clinical data: (1) knowledge discovery and data mining (KDDM) and (2) practice-based evidence (PBE). The use of machine learning methods in retrospective analysis of routinely collected clinical data characterizes KDDM. KDDM enables us to efficiently and effectively analyze large amounts of data and develop clinical knowledge models for decision support. PBE integrates health information technology (health IT) products with cohort identification, prospective data collection, and extensive front-line clinician and patient input for comparative effectiveness research. PBE can uncover best practices and combinations of treatments for specific types of patients while achieving many of the presumed advantages of randomized controlled trials (RCTs).
Introduction
Leaders need to foster a shared learning culture for improving healthcare. This extends beyond the local department or institution to a value for creating generalizable knowledge to improve care worldwide. Sound, rigorous methods are needed by researchers and health professionals to create this knowledge and address practical questions about risks, benefits, and costs of interventions as they occur in actual clinical practice. Typical questions are as follows:
•Are treatments used in daily practice associated with intended outcomes?
•Can we predict adverse events in time to prevent or ameliorate them?
•What treatments work best for which patients?
•With limited financial resources, what are the best interventions to use for specific types of patients?
•What types of indi ...
Real world Evidence and Precision medicine bridging the gapClinosolIndia
Real-world evidence and precision medicine represent complementary forces reshaping the healthcare landscape. The synergy between these realms offers a pathway to more personalized, effective, and patient-centered care. As technology, data analytics, and collaborative initiatives advance, the integration of real-world evidence into precision medicine practices holds the promise of revolutionizing how healthcare is delivered, ensuring that treatments are not only scientifically sound but also tailored to the unique characteristics and experiences of individual patients.
By administering assessments and analyzing the results, targeted aTawnaDelatorrejs
By administering assessments and analyzing the results, targeted and individualized interventions can be determined to best serve the needs of students with disabilities. The actual implementation of the interventions provides teachers opportunities to collect data and gauge the effectiveness of the interventions in addressing documented student needs. Teachers can also gain important skills and knowledge on how to best advocate for practical classroom interventions. Teachers will also be able to collaborate with colleagues and families in mentoring students to take ownership of learning strategies.
Allocate at least 2 hours in the field to support this field experience,
Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
Part 2: Reflection
In 250-500 words, summarize and reflect upon the following:
· Describe each intervention, including teacher, student, and family roles, where applicable.
· Your experiences administering the assessment, analyzing the results, and providing the student feedback on his or her performance.
· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
Machine Learning Algorithms for Predictive Analytics in Precision MedicineClinosolIndia
The integration of machine learning algorithms for predictive analytics in precision medicine represents a powerful tool for extracting meaningful insights from diverse and complex datasets. As the field continues to evolve, these algorithms play a crucial role in advancing our understanding of individualized treatment strategies, improving patient outcomes, and ultimately shaping the future of personalized healthcare.
Enabling Analytics on Sensitive Medical Data with Secure Multiparty ComputationWessel Kraaij
This document discusses how secure multiparty computation (MPC) can enable analytics on sensitive medical data by allowing multiple data owners to perform analysis and machine learning without disclosing private data. MPC uses cryptography protocols for parties to jointly compute a function without revealing their private inputs. The document outlines several pilot projects using MPC, including tracking hospital staff and patients locations privately, analyzing population health across different regions, and combining clinical, study, and insurance data for risk prediction. Challenges discussed include scaling MPC to large datasets, compliance with privacy regulations, and gaining trust from stakeholders. MPC has potential to improve healthcare by enabling learning from sensitive data in a privacy-preserving manner.
Improving health care outcomes with responsible data scienceWessel Kraaij
Keynote presentation by Wessel Kraaij at the Dutch pattern recognition and impage processing society (NVPBV) 29/5/2018, Eindhoven.
This talk discusses
1. trends in health care and respondible data science and their intersection
2. Secure federated analytics on distributed data repositories
3. Generating clinically relevant hypotheses from patient forum discussions.
The Use of Health Information Technology to Improve Care and .docxpelise1
The Use of Health Information Technology to Improve Care and
Outcomes for Older Adults
Kathryn H. Bowles, PhD, FAAN, FACMI,
van Ameringen Professor in Nursing Excellence, Director of the Center for Integrative Science in
Aging, University of Pennsylvania School of Nursing, Philadelphia, PA
Patricia Dykes, PhD, FAAN, FACMI, and
Senior Nurse Scientist, Director of the Center for Patient Safety Research and Practice; Director
of the Center for Nursing Excellence, Brigham and Women’s Hospital, Boston, MA
George Demiris, PhD, FACMI
Alumni Endowed Professor in Nursing; Professor in Biomedical and Health Informatics, School of
Medicine; Director, Clinical Informatics and Patient Centered Technologies; Graduate Program
Director, Biomedical and Health Informatics University of Washington, Seattle, Washington
Introduction
Using health information technology (HIT) to improve care and outcomes for older adults is
a growing program of research propelled by recent transformative policies such as the
Health Information Technology for Economic and Clinical Health (HITECH) Act
(Blumenthal, 2010; Institute of Medicine, 2011) and the Institute of Medicine report, "The
Future of Nursing: Leading Change, Advancing Health." (Institute of Medicine, 2010). Both
documents call for the implementation of electronic health records (EHR) and HIT solutions
to improve the safety, quality and efficiency of care. Several nurse scientists are at the
forefront of advancing this work, particularly using electronic health records, decision
support and telehealth. This commentary highlights examples of recent research (2010–
2014) led by nurse scientists using HIT to improve patient safety, and the quality and
efficiency of patient care. We also discuss future opportunities for Gerontological nurse
scientists interested in blending the care of older adults and HIT and suggest strategies to
increase our capacity to engage in such innovative research.
Using the EHR to improve outcomes for older adults
Recent incentives provided by the HITECH Act have resulted in rapid growth in the
development and implementation of the EHR. Nurse led studies are beginning to
demonstrate that effective use of the EHR can improve outcomes of relevance to older
adults such as pressure ulcers and falls. Dowding and colleagues evaluated the impact of an
integrated EHR in 29 Kaiser Permanente hospitals on process and outcome indicators for
patient falls and hospital acquired pressure ulcers (Dowding, Turley, & Garrido, 2012).
They found that the EHR system was associated with improved documentation of both fall
and pressure ulcer risk assessments and statistically significant improvements for pressure
ulcer risk assessment documentation. They demonstrated that improved documentation
using the EHR was associated with a 13% decrease in hospital acquired pressure ulcer rates.
HHS Public Access
Author manuscript
Res Gerontol Nurs. Author manuscript; avai.
This document summarizes a research paper on using Markov Decision Processes (MDPs) to improve inpatient hospital care. It discusses challenges in the current healthcare system and how machine learning and artificial intelligence could help address issues like overtreatment, inconsistent care quality, and high costs. The paper proposes using MDPs and other algorithms to analyze patient electronic health record data, detect abnormal care patterns, and make real-time predictions to optimize treatment and resource allocation. A web application with modules for patients, doctors and administrators is designed to facilitate this approach. Simulation results suggest it could increase care efficiency by better connecting patients and doctors. Future work may expand this to personalized treatment planning, diagnostic testing optimization and knowledge discovery from medical literature.
Nicholas Tenhue completed his Master's degree in MSc ICT Innovation at University College London, this document is his thesis on Making Sense of Risk by Visualizing Complex Health Data.
Find out more about Nicholas at http://nicholastenhue.com
This document discusses outcomes research which focuses on the effects of care and treatments on individuals and populations. Outcomes research uses scientific evidence to determine the positive or negative impact of new treatments or interventions, and takes patient preferences and values into account when gathering data. It also lists several examples of outcomes research studies conducted by private and government agencies related to improving patient safety, shared decision making, telemedicine, stroke prevention, insurance risk adjustment, and privacy-preserving record linkage.
A Large-Scale Informatics Database to Advance Research and Discovery of the E...Jesus J Caban, PhD
This document describes the development of a large-scale informatics database to support research on mild traumatic brain injury (mTBI) within the Department of Defense (DoD). The database was built to standardize and integrate clinical data from multiple sources within the DoD healthcare system on service members diagnosed with mTBI. It aims to facilitate collection of standardized clinical data elements and enable analysis of longitudinal outcomes. The database currently contains millions of clinical data points from across the DoD and includes built-in analytical applications to allow interactive exploration and analysis of the data.
826 Unertl et al., Describing and Modeling WorkflowResearch .docxevonnehoggarth79783
826 Unertl et al., Describing and Modeling Workflow
Research Paper �
Describing and Modeling Workflow and Information Flow in
Chronic Disease Care
KIM M. UNERTL, MS, MATTHEW B. WEINGER, MD, KEVIN B. JOHNSON, MD, MS,
NANCY M. LORENZI, PHD, MA, MLS
A b s t r a c t Objectives: The goal of the study was to develop an in-depth understanding of work practices,
workflow, and information flow in chronic disease care, to facilitate development of context-appropriate
informatics tools.
Design: The study was conducted over a 10-month period in three ambulatory clinics providing chronic disease
care. The authors iteratively collected data using direct observation and semi-structured interviews.
Measurements: The authors observed all aspects of care in three different chronic disease clinics for over 150
hours, including 157 patient-provider interactions. Observation focused on interactions among people, processes,
and technology. Observation data were analyzed through an open coding approach. The authors then developed
models of workflow and information flow using Hierarchical Task Analysis and Soft Systems Methodology. The
authors also conducted nine semi-structured interviews to confirm and refine the models.
Results: The study had three primary outcomes: models of workflow for each clinic, models of information flow
for each clinic, and an in-depth description of work practices and the role of health information technology (HIT)
in the clinics. The authors identified gaps between the existing HIT functionality and the needs of chronic disease
providers.
Conclusions: In response to the analysis of workflow and information flow, the authors developed ten guidelines
for design of HIT to support chronic disease care, including recommendations to pursue modular approaches to
design that would support disease-specific needs. The study demonstrates the importance of evaluating workflow
and information flow in HIT design and implementation.
� J Am Med Inform Assoc. 2009;16:826 – 836. DOI 10.1197/jamia.M3000.
Introduction
Health information technology (HIT) can enhance efficiency,
increase patient safety, and improve patient outcomes.1,2
However, features of HIT intended to improve patient care
can lead to rejection of HIT,3 or can produce unexpected
negative consequences or unsafe workarounds if poorly
aligned with workflow.4,5
More than 90 million people in the United States, or 30% of
the population, have chronic diseases.6 HIT can assist with
longitudinal management of chronic disease by, for exam-
Affiliations of the authors: Department of Biomedical Informatics
(KMU, MBW, KBJ, NML), Center for Perioperative Research in
Quality (KMU, MBW, KBJ), Institute of Medicine and Public Health,
VA Tennessee Valley Healthcare System and the Departments of
Anesthesiology and Medical Education (MBW), Department of
Pediatrics (KBJ), Vanderbilt University, Nashville, TN.
This research was supported by a National Library of Medicine
Training Grant, Number T15 .
Module 5 (week 9) - InterventionAs you continue to work on your .docxroushhsiu
This document provides guidance for a week 9 assignment on recommending an evidence-based practice change. It instructs students to identify a current problem from their week 2 assignment, propose an intervention derived from literature reviewed in previous assignments, and present this as an 8-9 slide PowerPoint. The document reviews what content should be drawn from past assignments and what will be new. It directs students to review full assignment details and offers assistance for any questions.
Automated Generation Of Synoptic Reports From Narrative Pathology Reports In ...Kaela Johnson
This document presents a study that developed a rule-based natural language processing (NLP) algorithm to automatically generate structured synoptic pathology reports from narrative breast pathology reports. The algorithm was trained on 415 pathology reports from University Malaya Medical Centre and evaluated on 178 additional reports. Key data elements were identified by a pathologist and the NLP algorithm used predefined rules and lists to extract these elements with high accuracy, achieving a micro-F1 score of 99.50% and macro-F1 score of 98.97% on the test set. The structured synoptic reports generated by the algorithm are intended to improve information extraction for clinical decision making and research.
Similar to Short Story Assignment by Kelly Nguyen (20)
Predictably Improve Your B2B Tech Company's Performance by Leveraging DataKiwi Creative
Harness the power of AI-backed reports, benchmarking and data analysis to predict trends and detect anomalies in your marketing efforts.
Peter Caputa, CEO at Databox, reveals how you can discover the strategies and tools to increase your growth rate (and margins!).
From metrics to track to data habits to pick up, enhance your reporting for powerful insights to improve your B2B tech company's marketing.
- - -
This is the webinar recording from the June 2024 HubSpot User Group (HUG) for B2B Technology USA.
Watch the video recording at https://youtu.be/5vjwGfPN9lw
Sign up for future HUG events at https://events.hubspot.com/b2b-technology-usa/
Global Situational Awareness of A.I. and where its headedvikram sood
You can see the future first in San Francisco.
Over the past year, the talk of the town has shifted from $10 billion compute clusters to $100 billion clusters to trillion-dollar clusters. Every six months another zero is added to the boardroom plans. Behind the scenes, there’s a fierce scramble to secure every power contract still available for the rest of the decade, every voltage transformer that can possibly be procured. American big business is gearing up to pour trillions of dollars into a long-unseen mobilization of American industrial might. By the end of the decade, American electricity production will have grown tens of percent; from the shale fields of Pennsylvania to the solar farms of Nevada, hundreds of millions of GPUs will hum.
The AGI race has begun. We are building machines that can think and reason. By 2025/26, these machines will outpace college graduates. By the end of the decade, they will be smarter than you or I; we will have superintelligence, in the true sense of the word. Along the way, national security forces not seen in half a century will be un-leashed, and before long, The Project will be on. If we’re lucky, we’ll be in an all-out race with the CCP; if we’re unlucky, an all-out war.
Everyone is now talking about AI, but few have the faintest glimmer of what is about to hit them. Nvidia analysts still think 2024 might be close to the peak. Mainstream pundits are stuck on the wilful blindness of “it’s just predicting the next word”. They see only hype and business-as-usual; at most they entertain another internet-scale technological change.
Before long, the world will wake up. But right now, there are perhaps a few hundred people, most of them in San Francisco and the AI labs, that have situational awareness. Through whatever peculiar forces of fate, I have found myself amongst them. A few years ago, these people were derided as crazy—but they trusted the trendlines, which allowed them to correctly predict the AI advances of the past few years. Whether these people are also right about the next few years remains to be seen. But these are very smart people—the smartest people I have ever met—and they are the ones building this technology. Perhaps they will be an odd footnote in history, or perhaps they will go down in history like Szilard and Oppenheimer and Teller. If they are seeing the future even close to correctly, we are in for a wild ride.
Let me tell you what we see.
Analysis insight about a Flyball dog competition team's performanceroli9797
Insight of my analysis about a Flyball dog competition team's last year performance. Find more: https://github.com/rolandnagy-ds/flyball_race_analysis/tree/main
ViewShift: Hassle-free Dynamic Policy Enforcement for Every Data LakeWalaa Eldin Moustafa
Dynamic policy enforcement is becoming an increasingly important topic in today’s world where data privacy and compliance is a top priority for companies, individuals, and regulators alike. In these slides, we discuss how LinkedIn implements a powerful dynamic policy enforcement engine, called ViewShift, and integrates it within its data lake. We show the query engine architecture and how catalog implementations can automatically route table resolutions to compliance-enforcing SQL views. Such views have a set of very interesting properties: (1) They are auto-generated from declarative data annotations. (2) They respect user-level consent and preferences (3) They are context-aware, encoding a different set of transformations for different use cases (4) They are portable; while the SQL logic is only implemented in one SQL dialect, it is accessible in all engines.
#SQL #Views #Privacy #Compliance #DataLake
The Building Blocks of QuestDB, a Time Series Databasejavier ramirez
Talk Delivered at Valencia Codes Meetup 2024-06.
Traditionally, databases have treated timestamps just as another data type. However, when performing real-time analytics, timestamps should be first class citizens and we need rich time semantics to get the most out of our data. We also need to deal with ever growing datasets while keeping performant, which is as fun as it sounds.
It is no wonder time-series databases are now more popular than ever before. Join me in this session to learn about the internal architecture and building blocks of QuestDB, an open source time-series database designed for speed. We will also review a history of some of the changes we have gone over the past two years to deal with late and unordered data, non-blocking writes, read-replicas, or faster batch ingestion.
The Ipsos - AI - Monitor 2024 Report.pdfSocial Samosa
According to Ipsos AI Monitor's 2024 report, 65% Indians said that products and services using AI have profoundly changed their daily life in the past 3-5 years.
1. Revolutionizing
Patient Data Privacy:
Federated Learning & Clustering
in Healthcare
Deep dive into “Privacy-preserving patient clustering for
personalized federated learning” written by Ahmed
Elhussein and Gamze Gursoy and presented at the Machine
Learning for Healthcare 2023 conference
Presented by Kelly Nguyen
2. Research
Introduction to Healthcare Data Privacy
Deep Learning in Healthcare
Challenges in Patient Data Clustering
Federated Learning as a Privacy Beacon
Innovations of PCBFL
Methodology
Results and Significance
Conclusion
Personal Insights
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10.
Overview
3. Research
Paper: Privacy-preserving
patient clustering for
personalized federated learning
Written by Ahmed Elhussein and
Gamze Gursoy
Presented at Machine Learning for
Healthcare 2023
Focus on non-IID data and privacy
in federated learning
4. In the realm of healthcare, the sanctity of patient data is paramount
With the advent of digital record-keeping, the potential for sensitive information to be
compromised has escalated, necessitating robust solutions to ensure privacy.
The critical need for safeguarding healthcare data cannot be overstated
not just a matter of legal compliance, but of maintaining the trust at the very core of the
patient-provider relationship.
Introduction to Healthcare
Data Privacy
5. Enhances disease risk prediction,
diagnostic support
Relies on large EHR datasets
Limitations
overfitting and poor generalization in
small datasets
Deep
Learning in
Healthcare
7. A groundbreaking technique that promises to revolutionize the way medical data
is utilized for research and analysis
Approach allows for the development of powerful, predictive models by learning from
decentralized datasets, without ever compromising the privacy of the individual’s data.
By processing data locally and sharing only model updates instead of raw information,
federated learning provides a blueprint for harnessing the collective power of
healthcare data while upholding the inviolable principle of patient privacy.
Federated Learning as a
Privacy Beacon
10. In order to create a more realistic FL scenario, a
subsampling approach was used, where the size of the
dataset in each site was limited.
The study utilized the eICU collaborative research
database, comprising data from over 200,000 patients
across the U.S., to predict ICU mortality using variables like
diagnosis, medications, and physical exams within the first
48 hours of admission.
Focused primarily on patients with complete data to
avoid imputation bias, leading to a cohort of 5,000
patients from 20 sites, aligning with a realistic
federated learning scenario with limited site data.
Cohort and
Feature
Extraction
11. Creating Patient
Embeddings
Estimating Patient
Similarity Securely
Clustering Patients Predicting Mortality
PCBFL
Protocol
A federated autoencoder is
trained to obtain latent
variables for each feature
domain.
SMPC uses a secret sharing
scheme to jointly calculate
the dot product between
pairs of vectors
Spectral clustering to cluster
the patients using similarity
matrix generated from
pairwise cosine similarities
of embeddings
Cluster-based FL training.
Each model is separately
trained per cluster.
12. Feed Forward models were implemented with ReLU activation in the hidden
layers and sigmoid activation in the final output layers.
Model Training
13. Analyzed patient clusters formed by Privacy-
preserving Community-Based Federated
Learning (PCBFL) and Community-Based
Federated Learning (CBFL), assessing
mortality rates and feature distributions
Evaluation
The data was divided into training and testing
sets at a 70:30 ratio.
Given the imbalance in the dataset with only
20% positive labels, performance was
evaluated using both AUC and AUPRC scores.
The models were run 100 times to calculate
mean scores and determine 95% confidence
intervals with bootstrap estimation.
14. Results
Things that PCBFL provided includes
privacy-preserving and accurate
patient similarity scores using secure
multiparty computation, clinically
meaningful clusters, and an increase
in predictive performance.
15. All in all, the paper presents a personalized federated learning (FL) framework that
integrates data mining techniques like clustering to address data heterogeneity and
privacy in healthcare.
The study overall underscores PCBFL’s promise for collaborative healthcare data analysis
which enhances patient privacy and future research aims to assess its generalizability
across different healthcare datasets and domains
Conclusion
16. I found this research very interesting because not only does it explore traditional deep mining
tactics such as clustering, but it goes into advanced modernized solutions such as federated
learning.
With personal experience working in biotech, the rise of using data mining and deep learning in
healthcare is not only revolutionary, but also extraordinary in improving the quality of
healthcare itself.
I look forward to reading more research and articles on just that.
Personal Insights