Publications
A review of the use of mobile phone text messaging in clinical and healthy behavior interventions
By Jin Wei, Ilene Hollin, Stan Kachnowski
Journal of Telemedicine & Telecare. In Press.
PubMed ID : 21097565
Researchers reviewed the academic literature for studies on the use of text messaging for clinical and healthy behavior interventions. Among the 21 randomized controlled trials, 10 reported significant improvement with text messaging interventions and 6 reported differences suggesting positive trends. Text messaging received good acceptance and showed early efficacy in most studies.
Barriers to cross-institutional health information exchange: a literature review
By Ashley Edwards, Ilene Hollin, Jeffrey Barry, Stan Kachnowski
Journal of Healthcare Information Management. 2010 Summer; 24(3):22-34.
PubMed ID : 20677469
Health information exchange (HIE), or interoperable health information technology systems, may help reduce medical errors, improve patient care and optimize epidemiological research. To understand the barriers to HIE, researchers reviewed the literature and found that the predominant obstacles include current lack of standards, as well as concerns about security, economic loss to competitors, and federated systems.
Adopting EHRs to improve patient care
By Jeffrey Barry, Ilene Hollin, Stan Kachnowski
Advance for Health Information Professionals. April 6, 2010.
http://health-information.advanceweb.com/editorial/content/editorial.aspx?cc=218903
Despite high expectations for electronic health records (EHRs), the costs of establishing such systems are daunting and the financial returns are not yet clear. Improvements in patient outcomes, medication compliance, team-based care delivery, population-level disease tracking, and other advances from EHR innovations and interoperability, however, could motivate adoption.
Value of unstructured patient narratives
By Jeffrey Barry
Health Management Technology. July 2010.
http://www.healthmgttech.com/index.php/features/thought-leaders/value-of-unstructured-patient-narratives.html
Healthcare professionals and public health researchers should be aware that the growing adoption of electronic health records (EHRs) is threatening free-text physicians' notes. Current EHRs capture most information as structured data, making it difficult to enter and mine free text. For physicians, these notes are essential for communicating the patient narrative. For public health researchers, the information can support more nuanced, descriptive research.
Maximum daily 6 minutes of activity: An index of functional capacity derived from actigraphy and its application to older adults with heart failure
By Jason Howell, B. Michelle Strong, Jenny Weisenberg, Anagha Kakade, Qian Gao, Paul Cuddihy, Susan Delisle, Stan Kachnowski, Matthew S. Maurer
Journal of American Geriatrics Society. 2010 May; 58(5):931-6. Epub 2010 Mar 30.
PubMed ID : 20374397
Researchers conducted a prospective cohort study to gauge the prognostic utility of the maximum 6 minutes of daily activity (M6min) and standard measures of functional capacity in older adults with heart failure (HF). They found a high adherence to actigraphy and association with standard measures of functional capacity and independent association with subsequent morbid events, suggesting that it may be useful for monitoring older adults with HF.
Synchronous communication facilitates interruptive workflow for attending physicians and nurses in clinical settings
By Ashley Edwards, Leslie-Ann Fitzpatrick, Sara Augustine, Alex Trzebucki, Shing Lai Cheng, Candice Presseau, Cynthia Mersmann, Bruce Heckman, Stan Kachnowski
International Journal of Medical Informatics. 2009 Sep; 78(9):629-37.
PubMed ID : 19482544
Researchers conducted an observational study to gain a better understanding of inter-clinician communication behaviors, routine workflow patterns, and the use of information communication technologies (ICTs). Clinicians preferred using synchronous communication modes, which led to multitasking and created a highly interrupted workflow. This analysis may inform the development of communication devices to enhance inter-clinician communication by reducing or deferring interruptions to more appropriate times.
The prevalence and impact of anergia (lack of energy) in subjects with heart failure and its associations with actigraphy
By Matthew S. Maurer, Paul Cuddihy, Jenny Weisenberg, Susan Delisle, B. Michelle Strong, Qian Gao, Stan Kachnowski, Jason Howell
Journal of Cardiac Failure. 2009 Mar; 15(2):145-15.
PubMed ID : 19254674
Heart failure (HF) is a common chronic condition among older adults, and anergia (lack of energy) is one of its cardinal symptoms. Researchers characterized the degree of anergia in subjects with HF and evaluated its relevance to disease severity, functional performance, and quality of life. They found that anergia is associated with several HF domains: physical activity, circadian rhythm and an increased risk of hospitalizations. Accordingly, anergia may be a target for intervention among HF subjects.
The role of transparency in industry and government e-governance research and applications
By Stan Kachnowski, Shubhendu Pathak
Critical Thinking in E-Governance. New Delhi: Global Institute of Flexible Systems Management Publishing; 2009. p. 207-214.
This paper discusses how government- and industry-sponsored eGovernance research can borrow some of the processes from the IRB approval and peer review model currently used in academic and health care research. Greater participation by academia, even if government mandated, in the review and publication in eGovernance research could enhance transparency in e-Governance applications and accelerate the development and quality of the field.
Communication patterns and ICT usage in clinical settings
By Leslie-Ann Fitzpatrick, Andrea Melnikas, Michael Weathers, Stan Kachnowski
Journal of Healthcare Information Management. 2008 Summer; 22(3):34-41.
PubMed ID : 19267030
To understand how information communication technology (ICT) could be improved, researchers reviewed the literature on inter-clinician communication problems, impact on clinical workflows, and ICT usage. Generally, studies showed that clinical communication tends to flow along synchronous channels and is highly interruptive. Both electronic and non-electronic solutions to communication problems have met with mixed results. Implementation failures have been linked to factors such as age, gender and computer experience.
E-Health 3.0: How can the semantic web change the world of internet health information?
By Alex Trzebucki
Medical News Today. 2008 June 13.
http://www.medicalnewstoday.com/articles/111201.php
Research has shown that the Internet is trusted second only to one's physician, and is often used as a first resource for medical information. Clearly there is a need for improved, accurate and in-depth health information retrieval online. The answer may lie in the Semantic Web, a system for connecting Web information based on meaning and context. Leveraging field-specific dictionaries, or ontologies, Semantic Web health searches have the potential to bridge the gap in medical knowledge between experts and average individuals.
