Design of ECG Workflow Integration Profile

2009 ◽  
Author(s):  
Zhen Hou ◽  
Huilong Duan ◽  
Xudong Lu
Keyword(s):  
Workflow Integration

Opportunities and challenges for telemedicine oncology: Perspectives from the frontline (Preprint)

2021 ◽  
Author(s):  
Kea Turner ◽  
Margarita Bobonis Babilonia ◽  
Cristina Naso ◽  
Oliver Nguyen ◽  
Brian D. Gonzalez ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Cancer Care ◽  
Healthcare Workers ◽  
Healthcare Delivery ◽  
Implementation Strategies ◽  
Structured Interviews ◽  
Biometric Data ◽  
Quality Costs ◽  
Workflow Integration ◽  
The Impact

BACKGROUND Rapid implementation of telemedicine for cancer care during COVID-19 required innovative and adaptive solutions among healthcare workers. OBJECTIVE The objective of this qualitative study was to explore healthcare workers’ experiences with telemedicine implementation during COVID-19. METHODS We conducted semi-structured interviews with 40 oncology healthcare workers who implemented telemedicine during COVID-19. The interviews were recorded, transcribed verbatim, and analyzed for themes using Dedoose software (Version 4.12). RESULTS Approximately half of participants were physicians (55%) and one quarter of participants were APPs (25%). Other participants included social workers (n=3), psychologists (n=2), dieticians (n=2), and a pharmacist. Five key themes were identified: 1) establishing and maintaining patient-provider relationships, 2) coordinating care with other providers and informal caregivers, 3) adapting in-person assessments for telemedicine, 4) developing workflows and allocating resources, and 5) future recommendations. Participants described innovative strategies for implementing telemedicine, such as coordinating inter-disciplinary visits with multiple providers. Healthcare workers discussed key challenges, such as workflow integration, lack of physical exam and biometric data, and overcoming the digital divide. Participants recommended policy advocacy to support telemedicine (e.g., medical licensure policies) and monitoring how telemedicine affects patient outcomes and healthcare delivery. CONCLUSIONS To support the growth of telemedicine, implementation strategies are needed to ensure providers and patients have the tools necessary to effectively engage in telemedicine. At the same time, cancer care organizations will need to engage in advocacy to ensure policies are supportive of oncology telemedicine and develop systems to monitor the impact of telemedicine on patient outcomes, healthcare quality, costs, and equity. CLINICALTRIAL N/A

Runtime Integration Capability for Distributed Model Driven Applications

2013 ◽  
pp. 147-180 ◽  
Author(s):  
Jon Davis
Keyword(s):  
Data Integration ◽  
Logic Model ◽  
Data Migration ◽  
Distributed Model ◽  
Enterprise Information ◽  
Model Driven ◽  
Application Logic ◽  
Shared Information ◽  
Workflow Integration ◽  
Geographically Distributed

Geographically distributed organizations face unique challenges to effectively implement shared information services across the enterprise. Traditional solutions require options such as establishing large centralized application and database servers, which simplifies some data integration issues but involves higher associated centralization risks with potential scalability limitations, or establishing multiple de-centralized application servers optionally arranged in hierarchical hubs, requiring significant customization and data migration functions to be developed, reducing the level of risk but incurring additional expenditure on data integration and transfer. Our ongoing development of a distributed temporal meta-data framework for Enterprise Information Systems (EIS) applications seeks to overcome these issues with the application logic model supporting the capability for direct integration with similar distributed application instances to readily provide: data replication, transfer, and transformations; centralized authorization and distribution of core identity data; sharing and deployment of modified logic model elements; and workflow integration between application instances.

Evaluation of DICOM viewer software for workflow integration in clinical trials

2015 ◽  
Author(s):  
Daniel Haak ◽  
Charles E. Page ◽  
Klaus Kabino ◽  
Thomas M. Deserno
Keyword(s):  
Clinical Trials ◽  
Dicom Viewer ◽  
Workflow Integration

scholarly journals Enabling health information exchange at a US Poison Control Center

2020 ◽  
Vol 27 (7) ◽  
pp. 1000-1006
Author(s):  
Mollie R Cummins ◽  
Guilherme Del Fiol ◽  
Barbara I Crouch ◽  
Pallavi Ranade-Kharkar ◽  
Aly Khalifa ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Poison Control ◽  
Poison Center ◽  
Poison Control Center ◽  
Control Center ◽  
Clinical Document ◽  
Informatics Infrastructure ◽  
Workflow Integration

Abstract Objective The objective of this project was to enable poison control center (PCC) participation in standards-based health information exchange (HIE). Previously, PCC participation was not possible due to software noncompliance with HIE standards, lack of informatics infrastructure, and the need to integrate HIE processes into workflow. Materials and Methods We adapted the Health Level Seven Consolidated Clinical Document Architecture (C-CDA) consultation note for the PCC use case. We used rapid prototyping to determine requirements for an HIE dashboard for use by PCCs and developed software called SNOWHITE that enables poison center HIE in tandem with a poisoning information system. Results We successfully implemented the process and software at the PCC and began sending outbound C-CDAs from the Utah PCC on February 15, 2017; we began receiving inbound C-CDAs on October 30, 2018. Discussion With the creation of SNOWHITE and initiation of an HIE process for sending outgoing C-CDA consultation notes from the Utah Poison Control Center, we accomplished the first participation of PCCs in standards-based HIE in the US. We faced several challenges that are also likely to be present at PCCs in other states, including the lack of a robust set of patient identifiers to support automated patient identity matching, challenges in emergency department computerized workflow integration, and the need to build HIE software for PCCs. Conclusion As a multi-disciplinary, multi-organizational team, we successfully developed both a process and the informatics tools necessary to enable PCC participation in standards-based HIE and implemented the process at the Utah PCC.

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