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See also: The VA Databases and Methods Cyber Seminar Series
This monthly seminar presents expert discussion of key issues in clinical informatics for VA researchers. Join experts from the VA Information Resource Center (VIReC) and guest speakers for these lively and informative presentations. Objectives for the series are to:
- Learn about applications in clinical informatics in research and quality improvement efforts, both VA and non-VA efforts; and
- Understand approaches for evaluating clinical informatics and IT interventions.
Seminars are held on the third Tuesday of the month from 12 – 1 pm (Eastern). The following is a list of past and upcoming seminars (in reverse chronological order).
For more information on the series content or to be placed on the mailing list for this series, please contact Joanne Stevens.
To register for an upcoming course or access a past presentation (with audio), please refer to the HSR&D Cyber Seminar catalog.
2008 Calendar of Seminars
October 21, 2008
CPRS and BCMA Through the
Rearview Mirror – Retrospectively Evaluating Health IT Implementations
By Joanne Spetz, PhD
(slides)
At the completion of this
presentation, the audience will be able to:
- Understand how culture affects implementation and
improvement
- Recognize how staff view CPRS and BCMA today
- Identify needs and strategies for improvements in
IT systems
- Learn how to evaluate the success of implementation
and ongoing use of these systems
September 16, 2008
Identifying patients at
high risk of suicide/self harm: A demonstration of Clinical Reminder
Patient Lists and their potential use in research/Quality Improvement
By Carol Achtmeyer, MN, ARNP
(slides)
At the completion of this
presentation, the audience will be able to:
- VistA files and CPRS
- Approach to use of Clinical Reminder (CR) patient
lists
- Review example of risk of suicide/self harm
- Strengths and limitations
- Implications for research
- Other query tools in VistA
July 15, 2008
Research in Human-Computer Interaction for VA Clinical Decision Support
By Jason Saleem, PhD
(Q&A) (Video) (Slides) (Audio)
At the completion of this presentation, the audience will be able to:
- Provide brief overview of human factors and human-computer interaction (HCI)
- Describe the application of HCI research to the VA computerized clinical reminder system
- Demonstrate the new HCI / IT Laboratory at the VA Center of Excellence on Implementing Evidence-Based Practice (CIEBP)
- Describe current CIEBP human factors and implementation work funded by AHRQ
June 17, 2008
NetDSS: Facilitating Implementation of a Depression Care Management Intervention Using Web-based Decision Support
John Fortney, PhD
(slides)
At the completion of this presentation, the audience will be able to:
- Understand the process of converting an intervention protocol into a web-based decision support system to facilitate implementation.
- Learn how a decision support system can be used to promote fidelity to an evidence-based practice.
May 20, 2008
Information Overload and the Design and Implementation of Computerized Decision Support
Charlene Weir, PhD
(slides)
At the completion of this presentation, the audience will be able to:
- Identify concepts and causes of Information Overload in computerized clinical environments.
- Discuss the role of different memory systems in the perception of information overload in clinical work settings.
- Describe how to match clinical task characteristics and implementation strategies of computerized decision support technologies in order to minimize information overload.
April 15, 2008
My HealtheVet Personal Health Record
Kim Nazi, FACHE
(slides)
At the completion of this presentation, the audience will be able to:
- Provide an overview of VA's My HealtheVet Personal Health Record as a robust set of tools to improve health and health care delivery
- Identify how the RE-AIM Performance Evaluation Framework is being used to evaluate the My HealtheVet Program
- Share implementation strategies and lessons learned for this health information technology best practice
- Identify recent collaborations with VA Researchers and current strategies underway to further research collaboration efforts
March 18, 2008
IT and Patient Safety
Annette Valenta, DrPH
(slides)
(bibliography)
At the completion of this presentation, the audience will be able to:
- Summarize the sentinel articles on clinical informatics and patient safety
- Explain the conflicting findings in the context of sociotechnical fit
- Formulate guidelines that reframe implementation of clinical informatics in support of patient safety with the goal of mitigating unintended consequences
January 15, 2008
Patient Viewpoint: A Website for Patient-Reported Outcomes Assessment
Claire Snyder, PhD
Albert Wu, MD, MPH
(slides)
By the end of the session, the audience should:
- Determine what aspects of patient reported health would be most useful for evaluating the effectiveness and quality of outpatient oncology practice
- Explore desirable features for a web-based system to administer standardized questionnaires to patients
- Explore potential technical, cultural, ethical, and legal barriers to the use of such a system
- Develop a prototype website for use by outpatient oncology providers to collect patient-reported data in the clinical setting
2007 Calendar of Seminars
November 20, 2007
Using the Mental Health Assistant software for Outcomes Monitoring and Program Evaluation
Kathleen Lysell, PsyD
Rick Owen, MD
(slides)
By the end of the session, the audience should:
- Be familiar with the VHA Mental Health Assistant software, including its use and applications in clinical care;
- Understand how the software could be used in a research setting;
- Know about how the implementation of the software was evaluated; and
- Understand the process for creation of national database of MHA assessment data
October 16, 2007
Hypertension Self Management: The Use of Telemedicine as an Intervention Tool
Hayden B. Bosworth, PhD
(slides)
The course objectives are:
- Introduce the use of telemedicine in the use of hypertension self-management
- Highlight the challenges and advantages of the use of telemedicine for chronic disease management
- Explore future directions of the use telemedicine for future veteran interventions
September 18, 2007
Using Human Factors Principles in the (Re)Design of Bar Code Medication Administration
Emily Patterson, PhD, MS
(slides)
The course objectives are:
- To learn about application of human factors principles to Bar Code Medication Administration
- To understand usability testing and ethnographic observations as human factors approaches to evaluating clinical informatics and IT interventions
August 21, 2007
Using Registries in Practice, Quality Improvement, Research, and Education
Elizabeth O. Kern, MD, MS
Susan R. Kirsch, MD
David C. Aron, MD, MS
(slides)
The course objectives are:
- To understand how a disease Registry can be used to improve patient care and outcomes
- To understand the link between Registry data structure and its functionality
- To understand how a Registry can be created from the VistA database
July 17, 2007
Using Informatics in Management of Depression
Laura Bonner, PhD
Kathleen Lysell, PsyD
(slides)
The course objectives are:
- Provide an update on the progress of the Creating HealtheVet Informatics Applications for Collaborative Care project (CHIACC)
- Provide an overview of the care management approach to managing and effectively treating depression
- Describe informatics tools that are currently available and under development to address informatics needs for mental health
June 19, 2007
Sociotechnical Aspects of Health Care Computing
(slides)
Annette Valenta, DrPH
At the end of this presentation, the audience should be able to:
- Describe the importance and relevance of organizational constructs for IT implementation
- Describe strategies to manage organizational change inevitable with computerization
- Provide practical suggestions to increase the potential for effectively managing resistance
- Describe some of the challenges facing IT evaluators
May 15, 2007
Understanding Real Work Complexity for Design and Implementation of IT
(slides)
Patricia Ebright, BSN, MSN, DNS
Course Outline:
- Sharp End-Blunt End Framework (a theoretical model) for understanding actual work in complex work environments
- Research findings regarding nursing work, both inpatient and outpatient, in healthcare environments
- Implications for design of information technology to support nursing work - it's not just about making sure that certain errors are impossible to make
- Implications for implementing information technology into nursing work
- Implications for evaluating outcomes of information technology to support nursing work
April 17, 2007
The VA Cardiovascular Assessment Reporting and Tracking system for Cath Labs (CART-CL)
(slides)
John Rumsfeld, MD, PhD
Session Objectives:
- To understand the reasons for the development and current status of CART-CL.
- To understand how CART-CL will improve clinical care, coordination of care, patient safety, and promote quality improvement for VA cath labs.
- Audience questions
March 20, 2007
VistA Clinical Reminders and Patient Lists
(slides)
Robert Silverman, PharmD
Participants will:
- Understand the vocabulary of technical terms associated with VA's VistA Clinical Reminders package
- Recognize the potential capabilities of a clinical reminder and a reminder patient list for two aspects common to research: patient cohort selection and rapid data extraction, and
- Understand the relative processing time that certain applications of clinical reminders would be expected to take
- Audience questions
January 16, 2007
CHIACC: Creating HealtheVet Informatics Applications for Collaborative Care
(slides)
Amy Cohen, PhD
This presentation introduces the audience to the CHIACC study, which aims to develop, evaluate and implement software to support improving chronic illness care that is:
- rated high in usability
- improves efficiency
- can interface with MyHealtheVet and CPRS-R
2006 Calendar of Seminars
December 19, 2006
The Effect of Computers at the Point of Care: Practical Implications for Physicians and Patients
(slides)
Rich Frankel, PhD
This course provided a background and history of computers at the point of care and a discussion of Dr. Frankel’s research on how a computer in the examination room affects the provider – patient interaction.
November 21, 2006
Consumer Health Informatics: Using Technology to Enhance Partnerships with Our Patients
(slides)
Anna McDaniel, RN, DNS
The objectives for this presentation are:
- Describe current trends and future directions in consumer health informatics
- Examine issues surrounding consumers’ use of health information technology
- Discuss examples of consumer health informatics research
October 17, 2006
Improving Chronic Illness Care: Development of Routine Patient Self-Assessment
(slides)
Alex Young, MD, MSHS
The following is the course outline:
- Informatics to improve chronic illness care
- Challenges to improving mental health care
- Developing patient self-assessment
September 19, 2006
Guideline-Based Decision Support for Hypertension with ATHENA DSS: Organizational Issues in Implementation, Deployment, and Maintenance
(slides)
Mary Goldstein, MD
The objectives for this presentation are to:
- Share experience implementing information technology (IT) for clinical quality improvement (QI)
- Sociotechnological approach to implementing IT in VA health care settings
- Identify several key stakeholders
August 15, 2006
Telemedicine: Re-Envisioning the Telephone Consultation
(slides)
Julie McGowan, PhD
The agenda for the session is as follows:
- The definition of telemedicine
- A history of telemedicine
- The rationale behind telemedicine
- Telemedicine evaluation
July 18, 2006
Health Information Exchange: Nuts and Bolts
(slides)
Atif Zafar, MD
The agenda for the session is as follows:
- Introduction to HIE Technologies
- Strategies for Building a HIE
- The National Agenda for HIE
- Best Practices and Lessons Learned
June 20, 2006
Evaluation and Clinical Informatics
(slides)
Annette Valenta, DrPH
This session answers the following questions:
- What is clinical informatics?
- What is informatics evaluation?
- Why do informatics evaluations?
- Evaluation characteristics and typologies
May 16, 2006
IT Service Requests and New Commercial Technology Requests: A How-To Guide for VHA researchers
(slides)
David Douglas, MD
This session answers the following questions:
- Who is the Office of Information’s (OI) Informatics and Data Management Committee (IDMC)?
- What are new IT Service Requests (NSR’s) and New Commercial Technology (NCT’s) requests?
- What a researcher does a research need to do to place a request?
April 18, 2006
Strategies and Priorities to Using Health Information Technology to Implement Evidence-Based Practice
(slides)
Bradley Doebbeling, MD, MSc
This cyber seminar discusses:
- The need for healthcare change
- How information technology (IT) can be used to implement evidence-based healthcare change, and
- Strategies for IT implementation
March 21, 2006
Attributes of an Ideal Information System to Support Implementation Research
(slides)
Denise Hynes, PhD, RN
This session provides an overview of the cyber seminar series and presents information on:
- The key aspects to consider in a clinical information system
- The desired attributes of a clinical information system
- The barriers and facilitators to information technology in healthcare and research
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