Inform Patient: Using Sematic Web, Ontologies and Social Bookmarking to Provide Customized Provider Approved Patient Education at the Point-of-Care
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Abstract
Background: Today’s fragmented health care ecosystem with brief office visits limits the ability of providers to adequately address patient education and counseling. While majority of patients can browse the Internet for health information, they are often unable to determine, by themselves, if health content on Internet is trustworthy to allow informed decision making.
Solution: UMLS Metathesaurus contains biomedical and clinical concepts from over 100 disparate terminology sources that have been semi- automatically integrated into a single resource containing a wide range of biomedical and clinical information. We have developed a device-agnostic web application, Inform Patient, which allows providers of any specialty to identify reliable health content from Internet relevant to their practice, bookmark and tag the content using Concept Unique Identifiers (CUI) from UMLS Metathesaurus and make it available to patients in their practice.
The key features of the application for providers include:
1)Providers can find relevant content for their practice and tag them using UMLS concepts.
2)Providers can create their own videos or write their own content using in-built wiki engine in Inform Patient application
3)Providers can find relevant semantically–tagged content from other providers within or outside their own specialty using “provider community†feature.
4)Providers can provide real-time demonstration to patients using HTML-5 based annotation tools for figures and diagrams.
The key features of the application for patients include:
1)Patients get immediate access to health content approved by their provider and relevant to their health status via any Internet- enabled device.
2)Patients can watch videos, read articles about their diseases, review medication knowledge basis and explore body diagrams approved by their provider at the Point-of-Care or home from any device connected to the Internet.
3)Patients can use web 2.0 community based-ranking feature to rank the content and input their questions for providers.
4)Patients can provide inform consent by providing digital signature on pen tablet or signature capture device
5)Patients can tag and save relevant information on cloud-based services for later access anywhere and at any time
Evaluation: We are using mixed methodology that is combining qualitative and quantitative approaches to evaluate Inform Patient application in both inpatient and outpatient practices. Qualitative inquiry will include patients’ and providers comments’ and semi-structured interviews, while quantitative inquiry will include web analytics (log-ins, time spent in the application, content watched or reviewed etc), content bookmarked and uploaded by providers and end-user surveys for both patients and providers. We are in the process of gathering evaluation data from our outpatient and inpatient practices.
Future direction: Our future strategies include automated indexing and tagging of health content from trusted patient education web-sites such as MedlinePlus, integration with electronic health records (EHRs) using web-services, expanding content to include all major medical and surgical specialties and developing native applications (apps) for Android, iOS and Windows 8.
Solution: UMLS Metathesaurus contains biomedical and clinical concepts from over 100 disparate terminology sources that have been semi- automatically integrated into a single resource containing a wide range of biomedical and clinical information. We have developed a device-agnostic web application, Inform Patient, which allows providers of any specialty to identify reliable health content from Internet relevant to their practice, bookmark and tag the content using Concept Unique Identifiers (CUI) from UMLS Metathesaurus and make it available to patients in their practice.
The key features of the application for providers include:
1)Providers can find relevant content for their practice and tag them using UMLS concepts.
2)Providers can create their own videos or write their own content using in-built wiki engine in Inform Patient application
3)Providers can find relevant semantically–tagged content from other providers within or outside their own specialty using “provider community†feature.
4)Providers can provide real-time demonstration to patients using HTML-5 based annotation tools for figures and diagrams.
The key features of the application for patients include:
1)Patients get immediate access to health content approved by their provider and relevant to their health status via any Internet- enabled device.
2)Patients can watch videos, read articles about their diseases, review medication knowledge basis and explore body diagrams approved by their provider at the Point-of-Care or home from any device connected to the Internet.
3)Patients can use web 2.0 community based-ranking feature to rank the content and input their questions for providers.
4)Patients can provide inform consent by providing digital signature on pen tablet or signature capture device
5)Patients can tag and save relevant information on cloud-based services for later access anywhere and at any time
Evaluation: We are using mixed methodology that is combining qualitative and quantitative approaches to evaluate Inform Patient application in both inpatient and outpatient practices. Qualitative inquiry will include patients’ and providers comments’ and semi-structured interviews, while quantitative inquiry will include web analytics (log-ins, time spent in the application, content watched or reviewed etc), content bookmarked and uploaded by providers and end-user surveys for both patients and providers. We are in the process of gathering evaluation data from our outpatient and inpatient practices.
Future direction: Our future strategies include automated indexing and tagging of health content from trusted patient education web-sites such as MedlinePlus, integration with electronic health records (EHRs) using web-services, expanding content to include all major medical and surgical specialties and developing native applications (apps) for Android, iOS and Windows 8.
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