Here is the podcast of my presentation.


http://cheryl-kraemer.podomatic.com/entry/2014-12-21T18_22_37-08_00

Cheryl Kraemer/ Module 7

Jain, K. (2011). The role of nanobiotechnology in the development of personalized medicine.  Medical Principles and Practice (20. 1-3.

Why was this article, blog, post, or multimedia chosen?

     I chose this article because its title contained two of this week’s topics:  nanotechnology and personalized medicine.

What makes it interesting, appropriate, or reputable?

     The article is interesting because it discusses the intertwining of nanotechnology and personalized medicine.  It discusses how personalized medicine can integrate nanotechnology into medicine to increase understanding of the pathomechanism of diseases and integration with therapeutics.  Nanobiotechnology contributes to personalized medicine with refinement of diagnostic studies and therapeutics, including the interactions among them.

Is it an opinion? Case study? Research study? Product review?

     It is an opinion. 

What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia?

     The issue is the continued quest for better diagnostics and treatments with fewer side effects.  

What was the solution for which technology had an answer?

     Biomarkers which are indicators of some diseases and guide treatments have been discovered by nanobiotechnology.  Nanobiotechnology has also provided refinements in drug discovery and formulations for targeted drug delivery.  The multifunctionality of nanotechnology makes it useful in several imaging modalities. 

What implications might this have in healthcare delivery?

     The implications of nanobiotechnology in personalized medicine include the diagnosis and treatment of presymptomatic diseases.  Nanobiosensors and nanobiochips are used to improve drug discovery leading to personalization at an earlier stage.  Additionally, nanoparticles can deliver contrast medium for diagnostic purposes and drug therapies simultaneously.   Nanoimmunochemotherapy is an example of a combination nanoparticle used in treating cancer.

What did you learn from it that might have application for your practice?

     I learned that nanotechnology and personalized medicine are interrelated.  Technology has the ability to fine tune diagnostics and therapeutics to provide the biggest benefit with the least amount of harm using nanotechnology combined with personalized medicine.

Cheryl Kraemer  Module 6

Glaser, J., & Overhage, J. M. (2013). The role of healthcare IT: becoming a learning organization. Hfm (Healthcare Financial Management), 67(2), 57-63.

Why was this article, blog, post, or multimedia chosen?

     This article was chosen because it discusses the Institute of Medicine’s 2012 Report “Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.  The report provides recommendations “for building a health care delivery system that learns from and evolves with every patient interaction”. (p57)

What makes it interesting, appropriate, or reputable?

       It is reputable because the recommendations are from the Institute of Medicine, a non-profit, non-governmental agency whose goal is to improve the nation’s health.  IOM suggests that “Americans should be served by a healthcare system that consistently delivers reliable performance and constantly improves, systematically and seamlessly, with each experience and transition” (p.57)    

Is it an opinion? Case study? Research study? Product review?

     It is an opinion or interpretation of the Institute of Medicine’s 2012 report.  

What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia?

     The need identified in the article is the failure of the American healthcare system to provide reliable care and best outcomes while reducing unnecessary care, excessive administrative costs, and missed prevention opportunities.

What was the solution for which technology had an answer?

     -Patient data captured in EHRs,imaging and molecular medicine data

     -Real time analytics and novel decision aids

     -Ease-of-use advancements and effective data capture methods

     -Extended reach of EHRs in gathering data from other processes and sources

What implications might this have in healthcare delivery?

     The implications in healthcare delivery are improved patient care as a result of decreased waste, streamlined care delivery and patient-centered care.  According to the article, a learning organization is described as somewhere people can continue to pursue the results they desire, creative thinking is nurtured and people are continually learning.  Continuous knowledge development is the basis for a learning organization in healthcare.   Business intelligence will be used to determine variations in practice, compare outcomes, realize new revenue opportunities, and reduce costs.  An example of real-time analytics mentioned assessment of costs and quality of alternative care settings.

What did you learn from it that might have application for your practice?

     One question that the article poses in relation to knowledge management is how an organization manages the processes of updating and retiring decision guidance.   This is something that in my organization we currently struggle with, particularly because we have decision support tied to some physician orders sets and there are some order sets that have not been reviewed in several years. 

Cheryl Kraemer/Module 5

California Health Care Foundation (February, 2014).Worth a thousand words: How to display health data.  Retrieved from: http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/W/PDF%20WorthThousandWordsDataViz.pdf

Why was this article, blog, post, or multimedia chosen?

          This article was chosen because it provides information on how to best present health data for clarity, storytelling and impact.  It includes case studies, a toolkit on presenting data visually, and strategies for sharing data.      

What makes it interesting, appropriate, or reputable?

          What makes it reputable is that it comes for the California HealthCare Foundation, a nonprofit whose goal is to improve clinical outcomes, reduce health disparities, and promote accountability in California’s health care system.  It provides steps to get data from its original format into a presentation.  The steps include identifying the data available, determining the format of the data as it is currently, deciding on the message to be conveyed, identifying how data will be updated to encourage continuous use of the information, and deciding on a presentation approach.

Is it an opinion? Case study? Research study? Product review?

          It is a presentation by Forum One a web strategy design and development firm using a grant from the California HealthCare Foundation.

What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia?

          The need that is addressed is how to make data presentable in order to better communicate a message. 

What was the solution for which technology had an answer?

          The solution is to use technology as a medium to translate complex data into simple messages. 

The presentation provided a case study of how one public health department communicated  short message to communicate health initiatives in the county.   Presenting data via charts and graphs make it clear and meaningful.  Chloropleth maps use animated graphics and allow users to change timeframes to view different sets of data.  Interactive visualizations allow users to look at different details.   Examples of interactive programming tools were provided for novice and advanced programmers.

 What implications might this have in healthcare delivery?

     The vast volumes of data that are provided with electronic health records make it easy to be overwhelmed by reports.  Having suggestions on how to display the data so it is meaningful is critical.  Too many reports are generated but the recipients of the reports do not understand what is trying to be conveyed.  Having key pieces of data displayed in easy to understand formats will make it more likely for the data to have an effect and possibly produce a change.

What did you learn from it that might have application for your practice?

          I am interested in learning more about reporting.  Having ideas about how to effectively display data will allow me to present information in a format that is meaningful to my audience.

Cheryl Kraemer Module 4

Manos, D. (2014).  5 Ways to avoid health data breaches.  Healthcare IT News.  Retrieved from:

http://www.healthcareitnews.com/news/5-ways-avoid-health-data-breaches

Why was this article, blog, post, or multimedia chosen?

          This article was chosen because it addresses steps healthcare organizations can take to decrease the risk of a data breach.  In one of my informatics classes last year, I read about one of Kaiser Permanente’s data breaches.  I have read of at least one other since then and am aware of the risk for healthcare organizations.  

What makes it interesting, appropriate, or reputable?

          The article indicates there was a 138% increase in data breaches in 2013.  Since 2009, 29.2 million patients have been affected by 804 breaches of healthcare information since 2009.

Is it an opinion? Case study? Research study? Product review?

          It probably fits into an opinion as it was based on information from Daniel Berger, president and CEO of Redspin, which lists itself as “the leader in penetration testing and application security testing”.

What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia?

          The issue is how to minimize the risk of a HIPAA breach at your organization.  According to Berger, the most important part of minimizing the risk of a data breach is to make your employees understand the key role they play in keeping patient health information safe.  Employees need to have a personal stake in keeping patient records safe.    

What was the solution for which technology had an answer?

          There were 5 key areas to decrease the risk of a healthcare data breach:

1)     Conduct an annual HIPAA security risk analysis

2)     Insist on data encryption on all portable devices

3)     Conduct more frequent vulnerability assessments and penetration testing

4)     Invest in security awareness of employees

5)     Engage business associates in your security awareness

 

What implications might this have in healthcare delivery?

     Making everyone aware of the risk to patient records by their actions will decrease the risk of a data breach.  Also informing employees of the costs associated with a data breach because of fines, potential class action lawsuits, attorney’s fees and negative publicity might heighten awareness of the negative impact to the organization.

What did you learn from it that might have application for your practice?

     While our IS department occasionally sends fake “phishing emails” (click this link to claim your prize), I am not aware that they perform external and internal penetration testing which mimics the paths of malicious attackers.  Additionally, other than the yearly required mandatory training, there are no reminders that create a culture of security awareness.  The article suggests screen saver reminders and monthly tips to keep patient record security on everyone’s mind.