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Fundamental knowledge and skills in biomedical and health informatics (BMHI) are critical for the next generation of healthcare professionals. Implementing new programs, especially those targeted toward undergraduate students who are studying to become physicians, must be flexible and fit in an already busy schedule. Here, we share our experience and approach at the University of Cincinnati College of Medicine as we created an informatics experience for pre-medical and pre-healthcare students [...]

The Enhanced EHR-facilitated Cancer Symptom Control (E2C2) Trial is a pragmatic trial testing a collaborative care approach for managing common cancer symptoms. There were challenges in identifying cancer site and metastatic status.This study compares three different approaches to determine cancer site and six strategies for identifying the presence of metastasis using EHR and cancer registry data.The E2C2 cohort included 50,559 patients seen in the medical oncology clinics of a large [...]

Adoption of electronic health record (EHR)-based clinical decision support tools in community-based health centers might increase the provision of indicated cancer screening orders. We examined: (1) if the use of the care gaps smartset (CGS), an EHR tool that expedites ordering care, is associated with colorectal/cervical cancer (CRC/CVC) screening order rates; and (2) how selected implementation strategies, barriers, and facilitators impact CGS use.Within a sequential mixed methods design, we used [...]

This pilot study aimed to evaluate the impact of an ambient listening AI tool, DAX CoPilot (DAX), on clinical documentation efficiency among primary care providers in a community-based setting.We conducted a randomized controlled trial among volunteer clinicians (physicians, nurse practitioners, and physician assistants in family medicine, internal medicine, pediatrics, and urgent care), who were asked to use DAX with a standardized note template (n = 25) or to continue with traditional documentation [...]

Electronic health records (EHRs) data are increasingly used for research and analysis, but there is little empirical evidence to inform how automated and manual assessments can be combined to efficiently assess data quality in large EHR repositories.

Electronic health records (EHRs) have significantly impacted healthcare improving access to patient information and enhancing communication among the health care team. However, the lack of usability and increased documentation burden has greatly contributed to clinician burnout. Improvements in EHR design that include physician input are critical to developing specific changes that make EHRs more intuitive and less cumbersome to use; however, it can be challenging to gather input from physicians [...]

(1) Describe the evolution of Health Information Exchanges (HIEs) into Health Data Utilities (HDUs); (2) Provide motivation for HDUs as a public strategic investment target.

Despite the proven usefulness of appropriate clinical decision support (CDS) alerts, many CDS systems fire excessive, clinically irrelevant alerts that are often ignored by clinicians. We have developed a method to suppress false-positive alerts based on prior drug tolerance but encountered substantial barriers to integrating the method into widely adopted commercial electronic health record (EHR) systems.This study aimed to describe the challenges faced while attempting to integrate our method into [...]

Effective postoperative care is crucial for the success of total joint arthroplasty (TJA) and prevention of unnecessary emergency department (ED) visits. We explore the feasibility and acceptability of utilizing an Interactive Voice Response System (IVRS) to enhance postoperative monitoring in primary TJA patients.This pilot study was conducted with 24 participants undergoing primary TJA randomly assigned to an intervention group receiving IVRS calls (n = 12) or a control group (n = 12) receiving standard [...]