Developments in Healthcare Information Systems and Technologies: Models and Methods

Developments in Healthcare Information Systems and Technologies: Models and Methods Joseph Tan McMaster University, Canada

Medical inforMation science reference Hershey • New York

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Published in the United States of America by Medical Information Science Reference (an imprint of IGI Global) 701 E. Chocolate Avenue Hershey PA 17033 Tel: 717-533-8845 Fax: 717-533-8661 E-mail: [email protected] Web site: http://www.igi-global.com Copyright © 2011 by IGI Global. All rights reserved. No part of this publication may be reproduced, stored or distributed in any form or by any means, electronic or mechanical, including photocopying, without written permission from the publisher. Product or company names used in this set are for identification purposes only. Inclusion of the names of the products or companies does not indicate a claim of ownership by IGI Global of the trademark or registered trademark. Library of Congress Cataloging-in-Publication Data Developments in healthcare information systems and technologies : models and methods / Joseph Tan, editor. p. ; cm. Includes bibliographical references and index. Summary: "This book presents the latest research in healthcare information systems design, development, and deployment,investigating topics such as clinical education, electronic medical records, clinical decision support systems, and IT adoption in healthcare"--Provided by publisher. ISBN 978-1-61692-002-9 (hardcover) -- ISBN 978-1-61692-003-6 (ebook) 1. Medical informatics. 2. Information storage and retrieval systems--Medicine. I. Tan, Joseph K. H. [DNLM: 1. Medical Informatics. W 26.5] R858.D48 2011 610.285--dc22 2010027162 British Cataloguing in Publication Data A Cataloguing in Publication record for this book is available from the British Library. All work contributed to this book is new, previously-unpublished material. The views expressed in this book are those of the authors, but not necessarily of the publisher.

Table of Contents

Preface ................................................................................................................................................. xvi Chapter 1 Evaluating Health Information Services: A Patient Perspective Analysis ............................................. 1 Umit Topacan, Bogazici University, Turkey A. Nuri Basoglu, Bogazici University, Turkey Tugrul U. Daim, Portland State University, USA Chapter 2 Gastrointestinal Motility Online Educational Endeavor ...................................................................... 14 Shiu-Chung Au, State University of New York Upstate Medical University, USA Amar Gupta, University of Arizona, USA Chapter 3 Envisioning a National e-Medicine Network Architecture in a Developing Country: A Case Study ........................................................................................................................................ 35 Fikreyohannes Lemma, Addis Ababa University, Ethiopia Mieso K. Denko, University of Guelph, Canada Joseph K. Tan, Wayne State University, USA Samuel Kinde Kassegne, San Diego State University, USA Chapter 4 Assessing Physician and Nurse Satisfaction with an Ambulatory Care EMR: One Facility’s Approach ...................................................................................................................... 54 Karen A. Wager, Medical University of South Carolina, USA James S. Zoller, Medical University of South Carolina, USA David E. Soper, Medical University of South Carolina, USA James B. Smith, Medical University of South Carolina, USA John L. Waller, Medical University of South Carolina, USA Frank C. Clark, Medical University of South Carolina, USA

Chapter 5 Information Technology (IT) and the Healthcare Industry: A SWOT Analysis ................................. 65 Marilyn Helms, Dalton State College, USA Rita Moore, Dalton State College, USA Mohammad Ahmadi, University of Tennessee at Chattanooga, USA Chapter 6 Using a Neural Network to Predict Participation in a Maternity Care Coordination Program ............ 84 George E. Heilman, Winston-Salem State University, USA Monica Cain, Winston-Salem State University, USA Russell S. Morton, Winston-Salem State University, USA Chapter 7 Can IT Act as a Catalyst for Change in Hospitals? Some New Evidence ............................................ 94 Teemu Paavola, LifeIT Plc, Finland Chapter 8 Informatics Application Challenges for Managed Care Organizations: The Three Faces of Population Segmentation and a Proposed Classification System .................................................. 102 Stephan Kudyba, New Jersey Institute of Technology, USA Theodore L. Perry, Health Research Corporation, USA Jeffrey J. Rice, Independent Scholar, USA Chapter 9 Scrutinizing the Rule: Privacy Realization in HIPAA ....................................................................... 112 S. Al-Fedaghi, Kuwait University, Kuwait Chapter 10 In What Ways Does Web Technology Support the Individual in Choice Reforms in Health Care? A Comparison among Norway, Denmark, and Sweden .................................................................... 126 Agneta Ranerup, Göteborg University, Sweden Chapter 11 Characteristics of Good Clinical Educators from Medical Students’ Perspectives: A Qualitative Inquiry Using a Web-Based Survey System ................................................................ 145 Gary Sutkin, University of Pittsburgh School of Medicine, USA Hansel Burley, Texas Tech University, USA Ke Zhang, Wayne State University, USA Neetu Arora, Texas Tech University, USA Chapter 12 Open Source Software: A Key Component of E-Health in Developing Nations ............................... 162 David Parry, Auckland University of Technology, New Zealand Emma Parry, National Women’s Health, Auckland District Health Board, New Zealand Phurb Dorji, Jigme Dorji Wanchuck National Referral Hospital, Bhutan Peter Stone, University of Auckland, New Zealand

Chapter 13 An Empirical Investigation into the Adoption of Open Source Software in Hospitals ...................... 175 Gilberto Munoz-Cornejo, University of Maryland Baltimore County, USA Carolyn B. Seaman, University of Maryland Baltimore County, USA A. Güneş Koru, University of Maryland Baltimore County, USA Chapter 14 Intelligent Agent Framework for Secure Patient-Doctor Profiling and Profile Matching ................. 195 Masoud Mohammadian, University of Canberra, Australia Ric Jentzsch, Compucat Research Pty Limited, Australia Chapter 15 Towards a Conceptual Framework of Adopting Ubiquitous Technology in Chronic Health Care ......................................................................................................................................... 214 Jongtae Yu, Mississippi State University, USA Chengqi Guo, James Madison University, USA Mincheol Kim, Jeju National University, South Korea Chapter 16 E-Patients Empower Healthcare: Discovery of Adverse Events in Online Communities .................. 232 Roy Rada, University of Maryland Baltimore County, USA Chapter 17 Towards Process-of-Care Aware Emergency Department Information Systems: A Clustering Approach to Activity Views Elicitation ......................................................................... 241 Andrzej S. Ceglowski, Monash University, Australia Leonid Churilov, The University of Melbourne, Australia Chapter 18 Applying Dynamic Causal Mining in Health Service Management .................................................. 255 Yi Wang, Nottingham Trent University, UK Chapter 19 Application of Unified Modelling Language (UML) to the Modelling of Health Care Systems: An Introduction and Literature Survey ............................................................................................... 275 Christos Vasilakis, University College London, UK Dorota Lecnzarowicz, University of Westminster, UK Chooi Lee, Kingston Hospital, UK Chapter 20 TreeWorks: Advances in Scalable Decision Trees .............................................................................. 288 Paul Harper, Cardiff University, UK Evandro Leite Jr., University of Southampton, UK

Chapter 21 Ambient Intelligence and Pervasive Architecture Designed within the EPI-MEDICS Personal ECG Monitor ........................................................................................................................ 302 Hussein Atoui, Université de Lyon and INSERM, France David Télisson, Université de Lyon and INSERM, France Jocelyne Fyan, Université de Lyon and INSERM, France Paul Rubel, Université de Lyon and INSERM, France Compilation of References .............................................................................................................. 312 About the Contributors ................................................................................................................... 343 Index ................................................................................................................................................... 348

Detailed Table of Contents

Preface ................................................................................................................................................. xvi Chapter 1 Evaluating Health Information Services: A Patient Perspective Analysis ............................................. 1 Umit Topacan, Bogazici University, Turkey A. Nuri Basoglu, Bogazici University, Turkey Tugrul U. Daim, Portland State University, USA The objective of the chapter is to explore the factors that affect users’ preferences in the health service selection process. In the study, 4 hypothetical health services were designed by randomly selecting levels of 16 attributes and these services was evaluated by the potential users. Analytical Hierarchy Process (AHP), one of the decision making methods, was used to assess and select the best alternative. Chapter 2 Gastrointestinal Motility Online Educational Endeavor ...................................................................... 14 Shiu-Chung Au, State University of New York Upstate Medical University, USA Amar Gupta, University of Arizona, USA Medical information has been traditionally maintained in books, journals, and specialty periodicals. A growing subset of patients and caregivers are now turning to diverse sources on the internet to retrieve healthcare related information. The next area of growth will be sites that serve specialty fields of medicine, characterized by high quality of data culled from scholarly publications and operated by eminent domain specialists. One such site being developed for the field of Gastrointestinal Motility provides authoritative and current information to a diverse user base that includes patients and student doctors. Gastrointestinal Motility Online leverages the strengths of online textbooks, which have a high degree of organization, in conjunction with the strengths of online journal collections, which are more comprehensive and focused. Gastrointestinal Motility Online also utilizes existing Web technologies such as Wiki-editing and Amazon-style commenting, to automatically assemble information from heterogeneous data sources.

Chapter 3 Envisioning a National e-Medicine Network Architecture in a Developing Country: A Case Study ........................................................................................................................................ 35 Fikreyohannes Lemma, Addis Ababa University, Ethiopia Mieso K. Denko, University of Guelph, Canada Joseph K. Tan, Wayne State University, USA Samuel Kinde Kassegne, San Diego State University, USA Poor infrastructures in developing countries such as Ethiopia and much of Sub-Saharan Africa have caused these nations to suffer from lack of efficient and effective delivery of basic and extended medical and healthcare services. Often, such limitation is further accompanied by low patient-doctor ratios, resulting in unwarranted rationing of services. Apparently, e-medicine awareness among both governmental policy makers and private health professionals is motivating the gradual adoption of technological innovations in these countries. It is argued, however, that there still is a gap between current e-medicine efforts in developing countries and the existing connectivity infrastructure leading to faulty, inefficient and expensive designs. The particular case of Ethiopia, one such developing country where e-medicine continues to carry significant promises, is investigated and reported in this article. Chapter 4 Assessing Physician and Nurse Satisfaction with an Ambulatory Care EMR: One Facility’s Approach ...................................................................................................................... 54 Karen A. Wager, Medical University of South Carolina, USA James S. Zoller, Medical University of South Carolina, USA David E. Soper, Medical University of South Carolina, USA James B. Smith, Medical University of South Carolina, USA John L. Waller, Medical University of South Carolina, USA Frank C. Clark, Medical University of South Carolina, USA Evaluating clinician satisfaction with an electronic medical record (EMR) system is an important dimension to overall acceptance and use, yet project managers often lack the time and resources to formally assess user satisfaction and solicit feedback. This article describes the methods used to assess clinician satisfaction with an EMR and identify opportunities for improving its use at a 300-physician academic practice setting. We administered an online survey to physicians and nurses; 244 (44%) responded. We compared physician and nurse mean ratings across 5 domains, and found physicians’ satisfactions scores were statistically lower than nurses in several areas (p