Technology for the Transplant Professional: Making it work for you instead of against youDevelopment of a Web-Based Mobile Technology
Application for Healthcare Providers in Transplant Care
Haley Hoy, PhD, ACNPSusan Alexander, DNP, CNS, CRNPManil Maskey, Research Scientist, ITSC
Where did that come from?
Clinical experience Education Opportunity Networking
Results- Pre-test
Results- Post-Test (p = 0.0045)
Results(p = 0.0029)
Pre post
Next Step Parallel
Instrument Development FGCU VUMC
Mobile Web based application
Instrument Development Factor loadings for Maximum Likelihood
Factor Analysis for the 23-item TXP-RNItems Factor 1 I would like to work with organ transplant patients0.896I would like to participate in transplant research 0.785 Factor 2 I know how to contact procurement services if organ donation is requested0.0010.793I feel comfortable with the paperwork necessary for organ donation0.0460.849
Factor Analysis Exploratory factor analysis was
undertaken with factor loadings >0.7 determined to be:
Desire to work in transplantation Confidence in transplantation advocacy Organ donation advocacy
Procurement 0.6- to be developed
Revised instrument An alpha value of greater than 0.7 is
generally considered acceptable internal consistency (Nunnally & Bernstein, 1994; Elliott, 2003).
Alpha = 0.94
URII
UAHuntsville Research Infrastructure Investment Grant
Mobile Application Web Based Technology for Transplant
Nurses Survey will be administered on the site
Web based portal In collaboration with Manil Maskey,
Dr. Susan Alexander, and Helen Conover, a prototype of the web-based portal has been developed (http://tpp.uah.edu/).
Technological Concerns Why do I need healthcare
technology? Healthcare providers are busy people
and need tools that move with them How do I choose what to use?
Not all apps are created equal Is it really all that necessary?
Mobile devices can improve efficiency, coordination of care for the patient, and provider communicationsMichael, S. (2011). Making mobile health work for your medical practice: What is ‘mhealth’ and how to plug into
it. Accessed from: Mobilehttp://www.welldoc.com/LinkClick.aspx?fileticket=dN_kaDt8Eco%3D&tabid=104
Healthcare Apps Electronic Health Record is the most
important application driving investment above 28% from HealthCare Industry. Next to it, Computerized Physician Order Entry and Medication Administration attracts investment above 13% individually (Source – Motorola)• Mobile Health Care applications will play vital role taking the Health Care systems to next level in future.
Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/
Mobile Health Care market to hit $2.1 billion by end of this year – growth by 17% in each of the past two years (Source – ComputerWorld)• Health Care Application set to become hugely popular and above 500 million consumers will be using the application in next 5 years (Source – Research2guidance)• More than 1/3 of 1.4 billion smartphone users will use atleast one Mobile HealthCare Application by 2015 (Source – Global Mobile Health Market Report 2010-2015)
Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/
Involve people, groups or teams to achieve common goals
Provide more effective ways to share ideas, documents, media, tools (not just emails, chats)
Allow users to submit or update contents Improve communication Control access Manage and index contents Categorize contents Integrate semantics Provide basis for Mobile App Knowledgebase
Advantages of Collaborative Environments
Technology Basics Refresher Course
Content Management System Drupal Feeds Resource Aggregation Forums Mobile Apps
Drupal A popular Web Content Management
System (CMS), open source (GPL), ~10 years old (Dries Buytaert)
Large user and developer community, thousands of contributed modules, science applications
Modular and extensible Framework written in PHP, runs on
major OS platforms
Core Features Content management
With admin user interface Custom content types Versioning Taxonomy support Search support
Template & theme system Separation of content from view* Many faces, same content
User management User authentication and role-based authorization Many extensions available, e.g., LDAP module
Concepts Administration Interface: build and administer a
site Node: underline storage units for all types (“base
class”) Comments: comments on a node Users and Roles Theme: assembles HTML, scripts to display
content Block: information placed on a display location
Collaborative Environment for Transplant Professional
Pub.workflow
Taxonomy
Search
RSS
Analytics
Blogs/Wikis
Forums/comments
Ratings
Tagging
SocialNetworksContent Users
TransplantCases
ToolsCalculators
Mobile AppExtension
SEMANTIC LAYER
ContentMgmtSystem
SocialSoftwareTools
DRUPAL
TransplantProfessionalExtension
• UAH developed customizable “software appliance” to build collaborative portals for transplant professionals
• Leverages Drupal, an open architecture platform, to provide the core Content Management System capabilities required by an online collaborative portal
Collaborative Environment - Web
Feed Aggregator
PostedContents
Tools
Events
FeaturesCollaborate Using Forums
Resource Aggregation
CEU/Other Resources
CMS Database
Architecture
CollaborativeEnvironment Services
authorize to update
authentication for add/update
ReportAnalysis
Mobile AppANDROID
IOS
Mobile App functionalities
Calculators Forums/Threaded Discussions
Preliminary Resultsprior to beta testing:
Preliminary Resultsafter beta testing:
Preliminary Resultsprior to beta testing:
Preliminary Results after beta testing:
Best practices medical applications
Reach Compatibility Tech Support Constantly updated Include reliable, valid content ……..TBA
Use of Web-based mobile applications to reduce healthcare inefficiency
Real patient care and clinical benefits
Prevent medication errors Prevent communication errors Avoid Delays/Links ……….- the sky is the limit
So what?
Importance of nursing research
Teams
Institutional strengths Next Step- HRSA--$300, 0000
Acknowledgements Grant-North American Transplant
Coordinators Association Grant-UA Huntsville-JFDR Grant –UAHuntsville-URII Research Team:
Susan Alexander, DNP Karen Frith PhD Manil Maskey, Information Technology &
Systems Center
Questions
?
