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Patient portals (PP) can enhance healthcare access for pediatric patients and families but disparities persist among patients with diverse preferred languages. Our objective was to optimize the PP user interface and associated activation workflows to improve activation rates for pediatric families with Spanish as preferred language (Spanish-speaking patients and/or parents/guardians).

Value-based care (VBC) represents a fundamental shift from volume-driven reimbursement to models focused on improving patient outcomes and reducing costs. Informatics plays an essential, but often underappreciated, role in enabling VBC. Traditional discussions of informatics emphasize data and technology; however, a broader sociotechnical view highlights how people, organizations, workflows, and policies interact with technology to influence the success of VBC initiatives. In this article, we apply the Informatics Stack as [...]

Patients often receive health care from multiple organizations. Privacy Preserving Record Linkage (PPRL) is a technology for linking patient records without releasing personally identifiable information. We compared a commercial PPRL tool that uses the XGBoost machine learning algorithm with Care Everywhere (CE), a widely used rule-based patient linkage module.

Predictive models of suicide risk have focused on features extracted from structured data found in electronic health records, with limited consideration of predisposing life events (LE) expressed in unstructured clinical text such as housing instability and marital troubles. This study aims to expand upon previous research, demonstrating how high-performance computing (HPC) and machine learning methodologies can be used to extract and annotate 8 LE across all Veterans Health Administration (VHA) [...]

This study applies object-centric process mining (OCPM) techniques to analyze laparoscopic cholecystectomy (LC) procedures. Traditional process mining techniques are limited in analyzing workflows involving multiple interacting entities (patients, surgeries, anesthesia physical status, etc.).This study aimed to construct an Object-Centric Event Log (OCEL) from LC procedures, discover multientity process patterns, identify workflow bottlenecks, and analyze how patient complexity affects perioperative dynamics.An OCEL representing 1,186 LC cases (1,108 performed, 78 cancelled) from [...]

Federal healthcare legislation has played a central role in shaping the digital transformation of U.S. healthcare. Key legislative milestones-including the Health Security Act of 1993, the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH) Act, the Patient Protection and Affordable Care Act (ACA), and the 21st Century Cures Act-collectively accelerated the adoption of electronic health records (EHRs), promoted interoperability, and expanded [...]

People with physical disabilities are one of the largest subgroups of people with disabilities, and this group experiences significant health disparities. Given the risk of preventable multimorbidity among this group, there is an opportunity to improve primary care for this population.The goal of this study was to use a clinical decision support (CDS) tool to improve preventive screenings in primary care for people with physical disabilities.We used a convergent mixed [...]