Informatics research to enable clinically relevant, personalized genomic medicine.
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2012-000844
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2012-000844
Morphologic variations of disease are often linked to underlying molecular events and patient outcome, suggesting that quantitative morphometric analysis may provide further insight into disease mechanisms. In this paper a methodology for the subclassification of disease is developed using image analysis techniques. Morphologic signatures that represent patient-specific tumor morphology are derived from the analysis of hundreds of millions of cells in digitized whole slide images. Clustering these signatures aggregates tumors [...]
Author(s): Cooper, Lee A D, Kong, Jun, Gutman, David A, Wang, Fusheng, Gao, Jingjing, Appin, Christina, Cholleti, Sharath, Pan, Tony, Sharma, Ashish, Scarpace, Lisa, Mikkelsen, Tom, Kurc, Tahsin, Moreno, Carlos S, Brat, Daniel J, Saltz, Joel H
DOI: 10.1136/amiajnl-2011-000700
Since 2007, New York City's primary care information project has assisted over 3000 providers to adopt and use a prevention-oriented electronic health record (EHR). Participating practices were taught to re-adjust their workflows to use the EHR built-in population health monitoring tools, including automated quality measures, patient registries and a clinical decision support system. Practices received a comprehensive suite of technical assistance, which included quality improvement, EHR customization and configuration, privacy [...]
Author(s): Parsons, Amanda, McCullough, Colleen, Wang, Jason, Shih, Sarah
DOI: 10.1136/amiajnl-2011-000557
Little is known about physicians' perception of the ease or difficulty of implementing electronic health records (EHR). This study identified factors related to the perceived difficulty of implementing EHR. 163 physicians completed surveys before and after the implementation of EHR in an externally funded pilot program in three Massachusetts communities. Ordinal hierarchical logistic regression was used to identify baseline factors that correlated with physicians' report of difficulty with EHR implementation [...]
Author(s): Fleurant, Marshall, Kell, Rachel, Jenter, Chelsea, Volk, Lynn A, Zhang, Fang, Bates, David W, Simon, Steven R
DOI: 10.1136/amiajnl-2011-000689
Accurate clinical problem lists are critical for patient care, clinical decision support, population reporting, quality improvement, and research. However, problem lists are often incomplete or out of date.
Author(s): Wright, Adam, Pang, Justine, Feblowitz, Joshua C, Maloney, Francine L, Wilcox, Allison R, McLoughlin, Karen Sax, Ramelson, Harley, Schneider, Louise, Bates, David W
DOI: 10.1136/amiajnl-2011-000521
To assess behavioral health providers' beliefs about the benefits and barriers of health information exchange (HIE).
Author(s): Shank, Nancy
DOI: 10.1136/amiajnl-2011-000374
To evaluate the impact of electronic health record (EHR) implementation on nursing care processes and outcomes.
Author(s): Dowding, Dawn W, Turley, Marianne, Garrido, Terhilda
DOI: 10.1136/amiajnl-2011-000504
To describe the creation and evaluate the use of a wiki by medical residents, and to determine if a wiki would be a useful tool for improving the experience, efficiency, and education of housestaff.
Author(s): Crotty, Bradley H, Mostaghimi, Arash, Reynolds, Eileen E
DOI: 10.1136/amiajnl-2011-000391
Vanderbilt University has a widely adopted patient portal, MyHealthAtVanderbilt, which provides an infrastructure to deliver information that can empower patient decision making and enhance personalized healthcare. An interdisciplinary team has developed Flu Tool, a decision-support application targeted to patients with influenza-like illness and designed to be integrated into a patient portal. Flu Tool enables patients to make informed decisions about the level of care they require and guides them to [...]
Author(s): Rosenbloom, S Trent, Daniels, Titus L, Talbot, Thomas R, McClain, Taylor, Hennes, Robert, Stenner, Shane, Muse, Sue, Jirjis, Jim, Purcell Jackson, Gretchen
DOI: 10.1136/amiajnl-2011-000382
We sought to measure population-level adherence to antihyperlipidemics, antihypertensives, and oral hypoglycemics, and to develop a model for early identification of subjects at high risk of long-term poor adherence.
Author(s): Jonikas, Magdalena A, Mandl, Kenneth D
DOI: 10.1136/amiajnl-2011-000416