e lise b rune d r. h su d r. m c coy t exas a&m u niversity b iomedical s cience cprit summer...
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EL I S E BR U N E
DR . HS U
DR . M C C O Y
TE XA S A&M UN I V E R S I T Y
B I O M E D I C A L SC I E N C E
CPRIT Summer Experience 2012: Innovation in Biomedical Informatics
and Cancer Prevention Research
Projects
Assessing the Impact of Health Care Shortages on Childhood Cancer Incidence and Mortality in Medically Underserved Texas Counties Within the U.S. it has been observed that childhood cancer
incidence and mortality may be related to differences in access and quality of health care
Recognize the impact of medical shortages on childhood cancer survivorship specifically for Texas
Spatial Scan Statistic methods used to identify high risk childhood cancer incidence and morality clusters. Results were overlaid with health service designation areas in ArcGIS
Lower childhood cancer survival is experienced in counties designated as medically underserved areas. Counties designated as MUP and GOV were inconclusive.
Projects
Evaluation of Clinical Decision Support Alerts for Medications Contraindicated in Cancer Patients Computerized provider order entry-based alert
systems are designed as a form of clinical decision support to aid health care providers in prescribing medications to patients
Describe alerts for contraindicated medications for cancer patients in order to understand reasons for alert overrides
Compiled and visually presented alert data
Results
0
60
120
180
Alerts by Reason
Overriden
Not Overri-den
Reason
Nu
mber
of
Ale
rts
1 2 30
20
40
60
80
100
Alerts by Priority
Over-ridenNot Over-riden
Priority
Nu
mber
of
Ale
rts
Nur
se
Phys
icia
n
Fello
w
Resea
rch
Nur
se P
ract
ition
er0
10203040506070
Alerts by Provider Type
OverridenNot Overriden
Provider Type
Nu
mber
of
Ale
rts
Results
Obstetrics/Gynecology
Family Medicine
Neurology
Oncology
Rheumatology
Dermatology
General Surgery
Pediatrics
Orthopedic Surgery
Pulmonary Medicine
0 10 20 30 40
Alerts by Provider Speciality
Over-ridden
Number of Alerts
Pro
vider
Speci
ali
ty Jun-
11
Aug-1
1
Oct
-11
Dec
-11
Feb-1
2
Apr-1
2
Jun-
120
10
20
30
Alerts by Month
OverridenNot Overriden
Month
Nu
mber
of
Ale
rts
0:00
3:00
6:00
9:00
12:0
0
15:0
0
18:0
0
21:0
0
05
1015202530
Alerts by Time of Day
OverridenNot Overriden
Time of Day
Nu
mber
of
Ale
rts
Projects
Evaluating Knowledge Changes of Breast Cancer Risk Factors in Underserved Vietnamese American Women Through a Culturally Targeted Prevention Program Revised manuscript, references, and formatted paper to
fulfill journal submission requirements Knowledge change was assessed through surveys completed
before and after workshops, as well as at a later mammography
Educational workshops with screening mammograms that were designed to accommodate the cultural needs of low-English proficiency Vietnamese American women were successful in improving knowledge of breast cancer risk factors
Involvement in the CPRIT Program
Orientation at Dr. Hsu’s lab On Being a Scientist: A Guide to Responsible Conduct in
Research Innovation Generation Texas Cancer Plan 2012 CITI (IRB) training ArcGIS and SaTScan Workshops Weekly meetings with Dr. Hsu and Dr. McCoy Working with Dr. Miller and Dr. Hsu with revising and
formatting breast cancer manuscript MD Anderson seminars Submission of CPRIT abstract Submission of poster proposal for AMIA conference Submission of Breast Cancer manuscript to a journal
Use of Innovation
Designed question based upon interest
Collaboration and teamwork
Asking many questions!
Learning from previously conducted research
Utilizing new tools!
Changing my viewpoint
Refraining from self-judgement when generating ideas
“Innovation, defined as creativity with a purpose, is widely considered to be the engine of scientific progress.” –Innovation Generation
Analogy!
Curiosity!
Brainstorming!
Personal Impact
New Experiences Informatics Learning how to construct and interpret maps using
GIS, SaTScan, and EpiInfo Submission of abstract to conference Process for submission research manuscript to journal
for publicationStrengthened my interest in public health
research and introduced me to the field of Biomedical Informatics
Motivated me to continue to learn and challenge myself