Identifying Health Facilities outside the Enterprise: Challenges and Strategies for Supporting Health Reform and Meaningful Use

Objective: To support collation of data for disability determination, we sought to accurately identify facilities where care was delivered across multiple, independent hospitals and clinics. Methods: Data from various institutions' electronic health records were merged and delivered as continuity of care documents to the United States Social Security Administration (SSA). Results: Electronic records for nearly 8000 disability claimants were exchanged with SSA. Due to the lack of standard nomenclature for identifying the facilities in which patients received the care documented in the electronic records, SSA could not match the information received with information provided by disability claimants. Facility identifiers were generated arbitrarily by health care systems and therefore could not be mapped to the existing international standards. Discussion: We propose strategies for improving facility identification in electronic health records to support improved tracking of a patient's care between providers to better serve clinical care delivery, disability determination, health reform and meaningful use. Conclusion: Accurately identifying the facilities where health care is delivered to patients is important to a number of major health reform and improvement efforts underway in many nations. A standardized nomenclature for identifying health care facilities is needed to improve tracking of care and linking of electronic health records

Statement by D. W. Colvard

Statement by D. W. Colvard, President Mississippi State University, Relative to Participation in NCAA Championship Competitionhttps://scholarsjunction.msstate.edu/ua-msu-loyola-1963/1004/thumbnail.jp

Minimum Thermal Conductivity of Superlattices

The phonon thermal conductivity of a multilayer is calculated for transport perpendicular to the layers. There is a cross over between particle transport for thick layers to wave transport for thin layers. The calculations shows that the conductivity has a minimum value for a layer thickness somewhat smaller then the mean free path of the phonons.Comment: new results added, to appear in PR

An Analysis of the Interaction between the J3 and J4 War Planning Staffs during the Phases of Crisis Action Planning

A principal operational concept of Joint Vision 2020 is that of Focused Logistics, which promotes a merger of information and logistics technologies. The Defense Advanced Research Projects Agency\u27s Advanced Logistics Project (ALP) supports this concept of Focused Logistics and seeks to leverage information technologies to obtain control over the logistics pipeline. The current campaign planning process is limited by the information made available to the decision-makers. In order for ALP to assist the decision-maker in selecting a single optimal deployment plan, the founding assumptions of alternatives considered must be valid. Logistical issues are major constraints in the war planning process. Often, when planners are faced with Crisis Action Planning (CAP) the interaction between the operations planners and the logistics planners is limited due to the time sensitivity of the situation. Because logistics information is a main constraint in the CAP process, operational planners build their plans based on inappropriate logistic assumptions. This thesis will explore the contribution that ALP\u27s architecture could bring to the crisis action planning process. The focus of this research is to analyze the interaction between the operational and logistical communities and determine the ideal planning tool that will enhance the communication between the two communities

Public Health Nutrition Field Experience with the Chattanooga-Hamilton County, Tennessee, Health Department in 1973

This thesis describes and analyzes the student\u27s seven weeks of field training within the Nutrition Service of the Chattanooga-Hamilton County Health Department. This experience provided the student with appropriate background experience for her future role as a public health nutritionist. The field experience gives the student in public health nutrition an opportunity to work with allied health personnel under supervision and to apply the theories and principles of public health learned during the academic year to the practice of public health nutrition in the community. The experience was designed to strengthen the student\u27s philosophy and practical understanding of public health by introducing her to the practice of public health in the official health agency and the community. It provides a better understanding of the role of nutrition in the health agency, with a practical application to individuals and families. Experiences in a consultant capacity with other agencies was also offered. The student was given the opportunity to develop both her professional and personal abilities in carrying out applied nutrition programs in the health agency with community groups. Assignment to a specific area of the county provided responsibility similar to that of a new nutrition staff member in a county setting

Correlated terahertz acoustic and electromagnetic emission in dynamically screened InGaN/GaN quantum wells

We investigate acoustic and electromagnetic emission from optically excited strained piezoelectric In0.2Ga0.8N/GaN multiple quantum wells (MQWs), using optical pump-probe spectroscopy, time-resolved Brillouin scattering, and THz emission spectroscopy. A direct comparison of detected acoustic signals and THz electromagnetic radiation signals demonstrates that transient strain generation in InGaN/GaN MQWs is correlated with electromagnetic THz generation, and both types of emission find their origin in ultrafast dynamical screening of the built-in piezoelectric field in the MQWs. The measured spectral intensity of the detected Brillouin signal corresponds to a maximum strain amplitude of generated acoustic pulses of 2%. This value coincides with the static lattice-mismatch-induced strain in In0.2Ga0.8N/GaN, demonstrating the total release of static strain in MQWs via impulsive THz acoustic emission. This confirms the ultrafast dynamical screening mechanism in MQWs as a highly efficient method for impulsive strain generatio

The intelligibility of speech produced by young children with cochlear implants

Objective: The purpose of the current study was to examine the intelligibility of speech produced by young children with cochlear implants. Specifically the questions posed was, does intelligibility vary across different sampling methods, by post-implantation age, and by listener familiarity? Participants: Six preschool children participated in the study. These children were selected because they met the following criteria: 1) had pre-lingual deafness; 2) had severe to profound binaural hearing loss; 3) fitted with either a Clarion or Nucleus-24 multi-channel cochlear implant; 4) used verbal communication rather than signing during treatment; 5) had a receptive vocabulary within 2 standard deviations of the mean according to their age; 6) were implanted before age 4 years; and 7) had postimplantation age of at least 18 months. Method: Data was gathered through a conversational speech sample, the Children\u27s Speech Intelligibility Measure (CSIM), and rating scales. To assess percent intelligible in conversational speech, a thirty-minute language sample was collected and audio taperecorded. Two experienced listeners, who were unfamiliar with the speakers, listened to each tape individually and orthographically transcribed the samples. The listeners then developed one final transcription per child through a consensus method. Percent intelligible in conversation was then determined using a procedure described by Shriberg (1986). The CSIM was used to obtain percent intelligible in single words. Each child imitated 50 words. Their utterances were audio taped and played back to a panel of 3 inexperienced listeners. There were 18 listeners (3 per sample) total. The listeners were asked to identify the word they thought the child said. In addition, rating scales were filled out by both parents and the primary clinician of each child. These individuals reported how much they understood and how much they believed others understood of the child\u27s speech. Data Analysis: Spearman Rank-Order Correlation Coefficients were used to determine relationships among the variables. Results: The only factor to reach statistical significance was post-implantation age. The failure to find other statistically significant correlations may have been due to the small sample size used in the current study

Variations on Video: Building the Next Generation Library Media Management System

The Indiana University Libraries, in partnership with Northwestern University Library, recently received a grant from the U.S. Institute of Museum and Library Services (IMLS) to create an open source software system for academic libraries and archives to easily provide online access to video and audio collections. This project builds on IU's success in developing the open source Variations digital music library system and on Northwestern's long history of expertise in video digitization and delivery. The speakers will describe the project objectives and organization, explaining how the project ties in with such strategic IU initiatives as Empowering People, the IU Bloomington Media Preservation Initiative, and the Libraries' own strategic directions work. The expected product architecture will also be described, including how other open source community projects such as Fedora, Hydra, and Opencast Matterhorn are involved. Finally, some requirements for the system gleaned from user research will be described

The Impact of Open Educational Resources on Various Student Success Metrics

There are multiple indicators which suggest that completion, quality, and affordability are the three greatest challenges for higher education today in terms of students, student learning, and student success. Many colleges, universities, and state systems are seeking to adopt a portfolio of solutions that address these challenges. This article reports the results of a large-scale study (21,822 students) regarding the impact of course-level faculty adoption of Open Educational Resources (OER). Results indicate that OER adoption does much more than simply save students money and address student debt concerns. OER improve end-of-course grades and decrease DFW (D, F, and Withdrawal letter grades) rates for all students. They also improve course grades at greater rates and decrease DFW rates at greater rates for Pell recipient students, part-time students, and populations historically underserved by higher education. OER address affordability, completion, attainment gap concerns, and learning. These findings contribute to a broadening perception of the value of OERs and their relevance to the great challenges facing higher education today