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PSM in Biomedical and Health Informatics Program – Internship Presentations
April 9, 2020 @ 9:00 am - 11:00 am
Students in the Professional Science Master’s in Biomedical and Health Informatics Program complete an internship that synthesizes knowledge gleaned from the program curriculum. The purpose of the internship is to expand classroom learning to include “hands-on” experience in health IT.
In this occasion there will be two unique projects presented by Dale Henion and Tia Carmon:
Title: Linking Electronic Medical Record with National Cardiovascular Data Registry CathPCI Registry for Readmission and Mortality Tracking in a Single Healthcare System
Author(s): Dale Henion, Matthew Cavender, Joseph Rossi, UNC Medical Center, Chapel Hill, NC, USA
Time: 1:00pm
Abstract:
Background: UNC Healthcare linked CathPCI registry and electronic medical record data (EMR) data to pilot an internal database for the purpose of tracking quality, outcomes, and value (QOV).
Methods: Readmission and mortality fields were identified in the EMR data repository and joined with Cath-PCI registry data fields across account number. Dashboard views were built to display readmission and mortality rates distributed across socio-demographic characteristics at 30 day, 60 day, 90 day, 6 month, and 1 year intervals.
Results: A total of 14,021 cases were identified between 7/01/14 and 9/30/19. Internal process validation revealed a 99% accuracy between CathPCI and EMR account identifiers. Matched cases were used for readmission/mortality modeling. Post-PCI mortality was 3.1% at three months to 7.5% at one year. Readmission rate was 6.8% at three months and 22.5% at one year. The patient characteristics associated with the highest readmission rates were peripheral vascular disease and dialysis. The steep rise in readmissions within these populations beyond 30 days post discharge illustrates an opportunity for improvement in long-term care coordination and follow-up.
Conclusion: Database integration of the CathPCI registry and EMR data repository facilitates readmission analysis across patient subgroups. Expanding the evaluation model beyond 30 days and including mortality rates enables a holistic view of patient outcomes and can be a useful asset for quality improvement and readmission risk stratification.
and,
Title: A strategic approach to developing a digital health website
Author: Tia Carmon
Time: 2:00pm
Abstract: Wearable and sensor technologies provide an opportunity to improve how we conduct clinical trials; to benefit from these technologies the clinical trial industry must make operational adjustments. There needs to be an adjustment in patient support, engagement, and recruitment. To meet this need, we will develop a digital health study hub website. Successful web projects are those that begin with a proactive and strategic plan, rather than haphazard and reactive development. Our team took a deliberate approach to create a strategy and roadmap blueprint for creating a digital health study hub website. The blueprint we created outlines a roadmap that spans eight quarters. Within the blueprint, we include recommendations for, website information architecture, website content, creative design, branding, user interface design, workflows and processes, future work, and measuring success.