Browsing by Author "Hripcsak, George"
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- ItemAutomated identification of shortcuts to patient data for a wireless handheld clinical information system.(2004-01-19) Chen, Elizabeth S; Hripcsak, George; Patel, Vimla L; Sengupta, Soumitra; Gallagher, Richard J; Cimino, James JInadequate access to patient information at the point of care has been identified as an impediment to the health care process To create clinical computing tools that are useful to and used by clinicians developers of clinical information systems must have accurate models of the users for whom their systems are intended To create these models the information needs of clinicians must be understood While the wireless handheld environment offers many advantages such as the ability to provide mobile access to information there are a number of challenges Developing for this environment differs from the laptop and desktop environments due to features such as processing power screen size input mechanism and bandwidth PalmCIS Palm based Clinical Information System is a clinical application being developed at New York Presbyterian Hospital NYPH that provides clinicians with access to patient data via a wireless handheld device We are using an automated technique to uncover patient specific information needs of clinicians while using a patient record system With the results we can enhance PalmCIS
- ItemColumbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design.(2001-12-25) Shea, Steven; Starren, Justin; Weinstock, Ruth S; Knudson, Paul E; Teresi, Jeanne; Holmes, Douglas; Palmas, Walter; Field, Lesley; Goland, Robin; Tuck, Catherine; Hripcsak, George; Capps, Linnea; Liss, DavidThe Columbia University Informatics for Diabetes Education and Telemedicine IDEATel Project is a four year demonstration project funded by the Centers for Medicare and Medicaid Services with the overall goals of evaluating the feasibility acceptability effectiveness and cost effectiveness of telemedicine in the management of older patients with diabetes The study is designed as a randomized controlled trial and is being conducted by a state wide consortium in New York Eligibility requires that participants have diabetes are Medicare beneficiaries and reside in federally designated medically underserved areas A total of 1 500 participants will be randomized half in New York City and half in other areas of the state Intervention participants receive a home telemedicine unit that provides synchronous videoconferencing with a project based nurse electronic transmission of home fingerstick glucose and blood pressure data and Web access to a project Web site End points include glycosylated hemoglobin blood pressure and lipid levels patient satisfaction health care service utilization and costs The project is intended to provide data to help inform regulatory and reimbursement policies for electronically delivered health care services
- ItemColumbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) project: technical implementation.(2001-12-25) Starren, Justin; Hripcsak, George; Sengupta, Soumitra; Abbruscato, C R; Knudson, Paul E; Weinstock, Ruth S; Shea, StevenThe Columbia University Informatics for Diabetes Education and Telemedicine IDEATel project is a four year demonstration project funded by the Centers for Medicare and Medicaid Services with the overall goal of evaluating the feasibility acceptability effectiveness and cost effectiveness of telemedicine The focal point of the intervention is the home telemedicine unit HTU which provides four functions synchronous videoconferencing over standard telephone lines electronic transmission for fingerstick glucose and blood pressure readings secure Web based messaging and clinical data review and access to Web based educational materials The HTU must be usable by elderly patients with no prior computer experience Providing these functions through the HTU requires tight integration of six components the HTU itself case management software a clinical information system Web based educational material data security and networking and telecommunications These six components were integrated through a variety of interfaces providing a system that works well for patients and providers With more than 400 HTUs installed IDEATel has demonstrated the feasibility of large scale home telemedicine