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Searching for Meaningful Use of Health Information Technology: A Study of Cardiovascular Disease Care in Veterans General Hospitals
Title
Searching for Meaningful Use of Health Information Technology: A Study of Cardiovascular Disease Care in Veterans General Hospitals.
Creator
Thaldorf, Carey, Wan, Thomas, Fottler, Myron, Liberman, Aaron, Campbell, Robert, University of Central Florida
Abstract / Description
The cost of healthcare in the United States is on an upward trajectory towards an unsustainable level. In order to address this, Congress and the Obama Administration passed the American Recovery and Reinvestment Act (ARRA) of 2009 to begin the process of controlling these costs. Within the ARRA is the Health Information Technology for Economic and Clinical Health (HITECH) section which creates financial incentives to invest in Health Information Technology (HIT) and to develop a means to...
Show moreThe cost of healthcare in the United States is on an upward trajectory towards an unsustainable level. In order to address this, Congress and the Obama Administration passed the American Recovery and Reinvestment Act (ARRA) of 2009 to begin the process of controlling these costs. Within the ARRA is the Health Information Technology for Economic and Clinical Health (HITECH) section which creates financial incentives to invest in Health Information Technology (HIT) and to develop a means to measure the Meaningful Use of specific functions of Electronic Health Records (EHRs). This research examines the widely used Joint Commission datasets to determine their suitability as a basis of meeting the government mandated measuring of Meaningful Use. The datasets used for this study consists of hospital level performance measures with a sample size of 370 hospital samples of HIT Use Intensity and Cardiovascular Performance attained from the Veterans Health Administration (VHA). An Organizational Network Theoretical approach was applied to the data in a non-experimental, sample-resample design to data collected in 2007. A Structural Equation Model (SEM) was built to test for the strength of the correlation between HIT Use Intensity and Cardiovascular Performance and a Latent Growth Curve Model (LGM) was built to examine the effect of the trajectory of HIT Use Intensity on the trajectory of Cardiovascular Performance. The SEM found a weak (.18) correlation between HIT Use Intensity and Cardiovascular Performance and the model only captured 12 percent of the variance. The LGM found no convergence between the trajectories of HIT Use Intensity and Cardiovascular Performance. This may have been the result of the data being non-normally distributed and heavily skewed to the high end of the scale. The policy implications of this study indicate that while Joint Commission data capture only a small amount of the variance attributed to HIT Use it does show a weak but positive correlation between increases in HIT Use Intensity and Increases in Cardiovascular Performance at the hospital level. Future research into adjustments to Joint Commission data measures (or others) may prove to be valuable in measuring the Meaningful Use of HIT systems in order to help hospitals make educated decisions on which HIT systems to purchase and the potential benefits associated with them.
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Date Issued
2011
Identifier
CFE0004488, ucf:49319
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004488
Use of Performance Information by Local Government Administrators: Evidence from Florida
Title
Use of Performance Information by Local Government Administrators: Evidence from Florida.
Creator
Dimitrijevska-Markoski, Tamara, Kapucu, Naim, Martin, Lawrence, Hu, Qian, Wang, Xiaohu, University of Central Florida
Abstract / Description
This study examines the factors that facilitate and hinder the use of performance information by public administrators in local governments in Florida. Acknowledging the incompleteness of many theoretical and conceptual models in previous performance management studies and the absence of theory on the use of performance information; this study utilizes a grounded theory approach to develop and test a model analyzing the use of performance information. The research focuses on cities and...
Show moreThis study examines the factors that facilitate and hinder the use of performance information by public administrators in local governments in Florida. Acknowledging the incompleteness of many theoretical and conceptual models in previous performance management studies and the absence of theory on the use of performance information; this study utilizes a grounded theory approach to develop and test a model analyzing the use of performance information. The research focuses on cities and counties, members of the Florida Benchmarking Consortium (FBC), and surveys public administrators whose tasks are related with the collection and/or reporting of performance information. The study examines three research questions: First, to what extent and in what capacity do local government administrators use performance information? Second, what are the predictors of the use of performance information among local government administrators? Finally, to what extent does the design adequacy of a performance measurement system (PMS), institutionalization of performance measurement (IPM), organizational support (OS), individual factors (IF) and external influences (EI) impact the use of performance information among local government administrators? To collect data on the above questions, an online survey was administrated to public administrators involved in the 2015-2016 FBC data collection cycle. The data were analyzed with structural equation modeling (SEM). The results of the study demonstrate that institutionalization of performance measurement has the strongest statistically significant positive association with the use of performance information followed by the influence of the design adequacy of the performance measurement system. Organizational support, through institutionalization of performance measurement, has an indirect influence on the use of performance information. Interestingly, in this study individual factors were not found to be significantly associated with the use of performance information.
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Date Issued
2017
Identifier
CFE0006586, ucf:51261
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006586
The effect of Building Information Modeling on Design and Construction Industry
Title
The effect of Building Information Modeling on Design and Construction Industry.
Creator
Alassaf, Yahya, Oloufa, Amr, Tatari, Omer, Uddin, Nizam, Mouloua, Mustapha, University of Central Florida
Abstract / Description
Construction industry's evolution is, historically, in the lowest level, if compared to other industries, such as auto manufacturing. Construction is a multidisciplinary industry, considering that designers, contractors, and owners are all involved in the same project, each one seeking their own interests. The complex environment surrounding design and construction makes the decision-makers hesitate about adopting new methodology. Building Information Modeling (BIM) is a new method and...
Show moreConstruction industry's evolution is, historically, in the lowest level, if compared to other industries, such as auto manufacturing. Construction is a multidisciplinary industry, considering that designers, contractors, and owners are all involved in the same project, each one seeking their own interests. The complex environment surrounding design and construction makes the decision-makers hesitate about adopting new methodology. Building Information Modeling (BIM) is a new method and technology, which can improve both the design and the construction processes. The adoption of BIM is increasing significantly over the last years, and its effects can be seen on real life projects. In order to understand the effect of BIM on the design and construction industry, we have created a comprehensive survey, consisting of a general questionnaire and experts' interviews. The general questionnaire concentrated on most of BIM issues, while the interviews focused on specific points arisen from the general questionnaire. Most of the published papers in this area justify BIM adoption by focusing on BIM ROI, and the comparison between project with and without BIM. In this research, however, we tried first to understand BIM status at the AEC market, and then to measure its effects. Therefore, we have targeted all the players in the BIM field: engineers, architects, contractors, and owners. Through the general questionnaire, we have measured the relationship between the independent variables and outcome variables. The independent variables are: motivations, concerns, investment needed, software, valuable benefits, success measures, and BIM uses. The outcome variables include: companies' role, sector, specialty, market level, level of implementation, years of implementation, and experience. In the second part of the research, we have conducted a series of subject matter interviews to measure the effect of BIM uses and its intangible benefits. For the experts' interviews, we designed a structured interview which covers two major areas: BIM uses, and intangible benefits. Both areas derived from the general questionnaire, and we aimed to measure their effects on real life projects. After analyzing the general questionnaire by using Person Chi-Square test, the results shown a significant relationship between independent variables and outcome variables. Participants' responses shown that they share common objectives when establishing BIM such as: increasing communication, reducing rework, increasing coordination and collaboration between parties, improving quality, and increasing productivity. We have found that the use of BIM is varied, and the large companies are taking advantage of BIM technology. In addition, the majority of the participants indicate that BIM has a positive ROI, and its adoption generates more business. The experts' interviews uncovered the fact that AEC parties have common understanding about the intangible benefits, even though they perceive the benefits differently. The diverse views of intangibles' benefits were influenced by the distinct role of each party. Moreover, experts share information about BIM project, and the project outcomes are successful on the following metrics: cost, schedule, number of RFI, number of change orders, and quality.
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Date Issued
2016
Identifier
CFE0006432, ucf:51486
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006432
TRUST ON THE WEB: THE IMPACT OF SOCIAL CONSENSUS ON INFORMATION CREDIBILITY
Title
TRUST ON THE WEB: THE IMPACT OF SOCIAL CONSENSUS ON INFORMATION CREDIBILITY.
Creator
Del Giudice, Katherine, Hancock, Peter, University of Central Florida
Abstract / Description
Models of the need-driven information search and the information appraisal process were formed from a comprehensive literature review of factors affecting perceived credibility and trust in online information. The social component of online credibility has not, to date, been thoroughly researched. This componentÂÂ's impact on the development of the perceived credibility of online information was examined in two experiments. In the first experiment, the impact of...
Show moreModels of the need-driven information search and the information appraisal process were formed from a comprehensive literature review of factors affecting perceived credibility and trust in online information. The social component of online credibility has not, to date, been thoroughly researched. This componentÂÂ's impact on the development of the perceived credibility of online information was examined in two experiments. In the first experiment, the impact of positive, mixed, and negative social feedback on the development of the perceived credibility of a web page was evaluated. In the second experiment, the effect of social feedback on credibility was examined under two levels of motivation for information use to investigate whether social feedback becomes less important as motivation to obtain quality information increases. The results of Experiment 1 suggest that type of feedback can influence perceived web page credibility. Pages with negative audience feedback received the lowest credibility ratings, while pages with positive audience feedback received the highest credibility ratings. Pages with mixed or no audience feedback received higher credibility ratings than pages with negative feedback, but lower credibility ratings than pages with positive feedback. In Experiment 2, high motivation did not impact the number of web page elements participants reported that they used to determine credibility. High motivation for information use also did not reduce the impact of audience feedback on perceived credibility.
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Date Issued
2010
Identifier
CFE0003240, ucf:48540
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0003240
A framework for interoperability on the United States electric grid infrastructure
Title
A framework for interoperability on the United States electric grid infrastructure.
Creator
Laval, Stuart, Rabelo, Luis, Zheng, Qipeng, Xanthopoulos, Petros, Ajayi, Richard, University of Central Florida
Abstract / Description
Historically, the United States (US) electric grid has been a stable one-way power delivery infrastructure that supplies centrally-generated electricity to its predictably consuming demand. However, the US electric grid is now undergoing a huge transformation from a simple and static system to a complex and dynamic network, which is starting to interconnect intermittent distributed energy resources (DERs), portable electric vehicles (EVs), and load-altering home automation devices, that...
Show moreHistorically, the United States (US) electric grid has been a stable one-way power delivery infrastructure that supplies centrally-generated electricity to its predictably consuming demand. However, the US electric grid is now undergoing a huge transformation from a simple and static system to a complex and dynamic network, which is starting to interconnect intermittent distributed energy resources (DERs), portable electric vehicles (EVs), and load-altering home automation devices, that create bidirectional power flow or stochastic load behavior. In order for this grid of the future to effectively embrace the high penetration of these disruptive and fast-responding digital technologies without compromising its safety, reliability, and affordability, plug-and-play interoperability within the field area network must be enabled between operational technology (OT), information technology (IT), and telecommunication assets in order to seamlessly and securely integrate into the electric utility's operations and planning systems in a modular, flexible, and scalable fashion. This research proposes a potential approach to simplifying the translation and contextualization of operational data on the electric grid without being routed to the utility datacenter for a control decision. This methodology integrates modern software technology from other industries, along with utility industry-standard semantic models, to overcome information siloes and enable interoperability. By leveraging industrial engineering tools, a framework is also developed to help devise a reference architecture and use-case application process that is applied and validated at a US electric utility.
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Date Issued
2015
Identifier
CFE0005647, ucf:50193
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005647