Professional: Making it work for

architectgroundhogInternet and Web Development

Dec 4, 2013 (3 years and 9 months ago)

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Technology for the Transplant
Professional: Making it work for
you instead of against you

Development of a Web
-
Based Mobile Technology Application for
Healthcare Providers in Transplant Care

Haley Hoy, PhD, ACNP

Susan Alexander, DNP, CNS, CRNP

Manil Maskey, Research Scientist, ITSC





haley.hoy@uah.edu


Where did that come from?



Clinical experience


Education


Opportunity


Networking





Results
-

Pre
-
test






Results
-

Post
-
Test





(p = 0.0045)




Results




(p = 0.0029)

Pre

post

Next Step


Parallel



Instrument Development


FGCU


VUMC



Mobile Web based application

Instrument Development


Factor loadings for Maximum Likelihood Factor Analysis
for the 23
-
item TXP
-
RN

Items


Factor 1

I would like to work with organ transplant patients

0.896

I would like to participate in transplant research

0.785


Factor 2


I know how to contact procurement services if organ donation is requested

0.001

0.793

I feel comfortable with the paperwork necessary for organ donation

0.046

0.849

Factor Analysis


Exploratory factor analysis was undertaken with
factor loadings >0.7 determined to be:



Desire to work in transplantation


Confidence in transplantation advocacy


Organ donation advocacy



Procurement 0.6
-

to be developed


Revised instrument


An alpha value of greater than 0.7 is generally
considered acceptable internal consistency
(Nunnally & Bernstein, 1994; Elliott, 2003).




Alpha = 0.94

URII



UAHuntsville Research Infrastructure
Investment Grant



Mobile Application


Web Based Technology for Transplant Nurses


Survey will be administered on the site

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/
).


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 communications

Michael, 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

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/


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/


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

Advantages of Collaborative
Environments

Technology Basics


Refresher Course


Content Management System


Drupal


Feeds


Resource Aggregation


Forums


Mobile Apps


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


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


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

Collaborative Environment for Transplant Professional

Pub.

workflow

Taxonomy

Search

RSS

Analytics

Blogs/

Wikis

Forums/

comments

Ratings

Tagging

Social

Networks

Content

Users

Transplant

Cases

Tools

Calculators

Mobile App

Extension

SEMANTIC LAYER

Content

Mgmt

System

Social

Softwar
e

Tools

DRUPAL

Transplant

Professional

Extension


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

Collaborative Environment
-

Web

Feed
Aggregator

Posted

Contents

Tools

Events

Features

Collaborate Using Forums

Resource Aggregation

CEU/Other Resources

CMS

Database

Architecture

Collaborative

Environment

Services

a
uthorize to update

a
uthentication for add/update

Report

Analysis

Mobile App

A

N

D

R

O

I

D


I

O

S


Mobile
App functionalities

Calculators

Forums/Threaded Discussions

Preliminary Results

prior to beta testing:

Preliminary Results

after beta testing:

Preliminary Results

prior to beta testing:

Preliminary Results


after beta testing:


Best practices medical applications




Reach


Compatibility


Tech Support


Constantly updated


Include reliable, valid content


……..TBA


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

So what?



Importance of nursing research




Teams



Institutional strengths


Next Step
-

HRSA
--
$300, 0000

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


Questions

?