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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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 Experience 2012: Innovation in Biomedical Informatics and Cancer Prevention Research

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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.

Results: Using SaTScan and ArcGIS

Results: Using SaTScan and ArcGIS

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

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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

Thank you!

Thank you to the CPRIT program, University of Texas School of Biomedical Informatics, University of Texas School of

Public Health, Dr. Hsu, and Dr. McCoy!

Questions?