Haley Hoy, PhD, ACNP Susan Alexander, DNP, CNS, CRNP Manil Maskey, Research Scientist, ITSC
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Transcript of Haley Hoy, PhD, ACNP Susan Alexander, DNP, CNS, CRNP Manil Maskey, Research Scientist, ITSC
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Development of a Web-Based Mobile Technology
Application for Healthcare Providers in
Transplant CareHaley Hoy, PhD, ACNPSusan Alexander, DNP, CNS, CRNPManil Maskey, Research Scientist, ITSC
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Idea?
Clinical experience Education Opportunity Networking
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URII
UAHuntsville Research Infrastructure Investment Grant
Mobile Application Web Based Technology for Transplant
Nurses Survey will be administered on the site
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Transplantation
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Total adult kidney transplants
(includes kidney-pancreas)
SRTR, 2010
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Kidney transplant waiting list
activity among adult patients
SRTR, 2010
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Patients on the transplant waiting list on December
31st of the year 2010 (active listings only)
SRTR, 2010
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KI 4.1
Total adult kidney transplants
(includes kidney-pancreas)
SRTR, 2010
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Total adult lung transplants
SRTR, 2010
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Lung Transplant Evaluation
Chest CT EKG ECHO Right and Left
Heart Catheterization
VQ lung scan Panorex Family Evaluation Insurance
assessment
Serologies Sputum culture Six minute walk Skin Testing Gyn/Mammogram
for females PSA for men Psychosocial
assessment
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Time Scheme of Infections after
Renal Transplantation - Rubin
Rubin RH, Inf. Dis. Clinics, 1995
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Medications
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Web based portal In collaboration with Manil Maskey,
Dr. Susan Alexander, and Helen Conover, a prototype of the web-based portal has been developed (http://tpp.uah.edu/).
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Technological Concerns Why do I need healthcare
technology? Healthcare providers are busy people
and need tools that move with them How do I choose what to use?
Not all apps are created equal Is it really all that necessary?
Mobile devices can improve efficiency, coordination of care for the patient, and provider communicationsMichael, S. (2011). Making mobile health work for your medical practice: What is ‘mhealth’ and how to plug into
it. Accessed from: Mobilehttp://www.welldoc.com/LinkClick.aspx?fileticket=dN_kaDt8Eco%3D&tabid=104
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Healthcare Apps Electronic Health Record is the most
important application driving investment above 28% from HealthCare Industry. Next to it, Computerized Physician Order Entry and Medication Administration attracts investment above 13% individually (Source – Motorola)• Mobile Health Care applications will play vital role taking the Health Care systems to next level in future.
Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/
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Mobile Health Care market to hit $2.1 billion by end of this year – growth by 17% in each of the past two years (Source – ComputerWorld)• Health Care Application set to become hugely popular and above 500 million consumers will be using the application in next 5 years (Source – Research2guidance)• More than 1/3 of 1.4 billion smartphone users will use atleast one Mobile HealthCare Application by 2015 (Source – Global Mobile Health Market Report 2010-2015)
Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/
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Involve people, groups or teams to achieve common goals
Provide more effective ways to share ideas, documents, media, tools (not just emails, chats)
Allow users to submit or update contents Improve communication Control access Manage and index contents Categorize contents Integrate semantics Provide basis for Mobile App Knowledgebase Social Media Integration
Advantages of Collaborative Environments
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Technology Basics Refresher Course
Content Management System Drupal Feeds Resource Aggregation Forums Mobile Apps
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Drupal A popular Web Content Management
System (CMS), open source (GPL), ~10 years old (Dries Buytaert)
Large user and developer community, thousands of contributed modules, science applications
Modular and extensible Framework written in PHP, runs on
major OS platforms
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Core Features Content management
With admin user interface Custom content types Versioning Taxonomy support Search support
Template & theme system Separation of content from view* Many faces, same content
User management User authentication and role-based authorization Many extensions available, e.g., LDAP module
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Concepts Administration Interface: build and administer a
site Node: underline storage units for all types (“base
class”) Comments: comments on a node Users and Roles Theme: assembles HTML, scripts to display
content Block: information placed on a display location Publish contents to Social Media
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Collaborative Environment for Transplant Professional
Pub.workflow
Taxonomy
Search
RSS
Analytics
Blogs/Wikis
Forums/comments
Ratings
Tagging
Content Users
TransplantCases
ToolsCalculators
Mobile AppExtension
SEMANTIC LAYER
ContentMgmtSystem
SocialSoftwareTools
DRUPAL
TransplantProfessionalExtension
• UAH developed customizable “software appliance” to build collaborative portals for transplant professionals
• Leverages Drupal, an open architecture platform, to provide the core Content Management System capabilities required by an online collaborative portal
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Collaborative Environment - Web
Feed Aggregator
PostedContents
Tools
Events
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FeaturesCollaborate Using Forums
Resource Aggregation
CEU/Other Resources
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CMS Database
Architecture
CollaborativeEnvironment Services
authorize to update
authentication for add/update
ReportAnalysis
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Mobile AppANDROID
IOS
Mobile App functionalities
Calculators ForumsFeeds Events
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Mobile App Functionalities
Latest Publications – Categorized Calculators Calendars/Events Read Forums Post Comments/ Answers Forum
Questions Requires Login (Same login as the
Portal)
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Why use? Post a question about a case Automatic notification for questions
and responses Collaborative research projects One stop shop for all transplant
resources Curate the information Share the information
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Links Android App
https://play.google.com/store/apps/details?id=com.itsc.transplantpro
iPhone App http://itunes.apple.com/us/app/transplantpro/id512387289?ls
=1&mt=8
Collaborative Portal http://tpp.uah.edu
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Use Android 10 - 50 Installs iPhone Stat not available yet.
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Prior to production site Visits: 325 Unique Visitors: 148 Pageviews: 2,044 Pages/Visit: 6.29 Avg. Visit Duration: 00:08:17 % New Visits: 45.54
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Post production site conversion
Visits: 144 Unique Visitors: 58 Pageviews: 655 Pages/Visit: 5.77 Avg. Visit Duration: 00:06:09
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StatisticsSite demonstration
App demonstration
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Preliminary Resultsprior to beta testing:
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Preliminary Resultsafter beta testing:
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Preliminary Resultsprior to beta testing:
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Preliminary Results after beta testing:
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Use of Web-based mobile applications to reduce healthcare inefficiency
Real patient care and clinical benefits
Prevent medication errors Prevent communication errors Avoid Delays/Links ……….- the sky is the limit
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Acknowledgements Grant-North American Transplant
Coordinators Association Grant-UA Huntsville-JFDR Grant –UAHuntsville-URII Research Team:
Susan Alexander, DNP Karen Frith PhD Manil Maskey, Information Technology &
Systems Center
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Portal http://tpp.uah.edu/content/ua-system
-scholars-institute-presentation-2012-haley-and-manil
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Questions
?