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

haley.hoy@uah.edu

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

SocialNetworks

Content 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 App

ANDROID

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

?