Theresa Cullen

Indiana University School of Medicine | IUSOM · Department of Family Medicine

Background Despite the popularity of maternal and infant health mobile apps, ongoing consumer engagement and sustained app use remain barriers. Few studies have examined user experiences or perceived benefits of maternal and infant health app use from consumer perspectives. Objective This study aims to assess users’ self-reported experiences with...

Introduction OpenMRS is an open source medical record system that was first released in 2004. This research study analyzed OpenMRS implementations by conducting a survey of implementers and by reviewing publicly available data reported to the OpenMRS Community to learn about the utilization and impact of OpenMRS over the past 15 years. Methods Dat...

BACKGROUND Despite the popularity of maternal and infant health mobile apps, ongoing consumer engagement and sustained app use remain barriers. Few studies have examined user experiences or perceived benefits of maternal and infant health app use from consumer perspectives. OBJECTIVE This study aims to assess users’ self-reported experiences with...

Maternal and infant health (MIH) mobile applications (apps) are increasingly popular and frequently used for health education and decision making. Interventions grounded in theory-based behavior change techniques (BCTs) are shown to be effective in promoting healthy behavior changes. MIH apps have the potential to be useful tools, yet the extent to...

Background Mobile health apps related to maternal and infant health (MIH) are prevalent and frequently used. Some of these apps are extremely popular and have been downloaded over 5 million times. However, the understanding of user behavior and user adoption of these apps based on consumer preferences for different app features and categories is li...

The Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technolo...

To examine the relationship between MCH app characteristics and two outcomes, users’ perceived satisfaction (star ratings), and intent to use (downloads).

Objective: We demonstrate an architecture for driving regional public health decisions with automated and semi-automated data collected from open source point of care systems in resource constrained environments.Introduction: Ministries of Health in Low and Middle Income Countries (LMIC) are making or trying to make public health decisions for infe...

Despite unprecedented spending, US maternal outcomes have worsened drastically over the past decade. In comparison, maternal outcomes of many Low and Middle-Income Countries (LMIC) have improved. Lessons learnt by their success may be applicable to the US. We performed a literature review to identify innovations that had met with success across LMI...

A Discussion on how to implement Global Health Informatics in the develop for Global Health Experiences

Objectives: Despite significant awareness on the value of leveraging patient relationships across the healthcare continuum, there is no research on the potential of using Electronic Health Record (EHR) systems to store structured patient relationship data, or its impact on enabling better healthcare. We sought to identify which EHR systems support...

Chronic care coordination efforts often focus on the needs of the healthcare team and not on the individual needs of each patient. However, developing a personalized care plan for patients with Chronic Kidney Disease (CKD) requires individual patient engagement with the health care team. We describe the development of a CKD e-care plan that focuses...

Recent focus on Precision medicine (PM) has led to a flurry of research activities across the developed world. But how can understaffed and underfunded health care systems in the US and elsewhere evolve to adapt PM to address pressing healthcare needs? We offer guidance on a wide range of sources of healthcare data / knowledge as well as other infr...

Objective: This study evaluated the current use of commercial-off-the-shelf Clinical Information Systems (CIS) for intensive care units (ICUs) and Anesthesia Record Keeping (ARK) for operating rooms and post-anesthesia care recovery settings at three Veterans Affairs Medical Centers (VAMCs). Clinicians and administrative staff use these applicatio...

Authors studied the United States (U.S.) Department of Veterans Affairs' (VA) Virtual Lifetime Electronic Record (VLER) Health pilot phase relative to two attributes of data quality - the adoption of eHealth Exchange data standards, and clinical content exchanged. The VLER Health pilot was an early effort in testing implementation of eHealth Exchan...

Health care has lagged behind other industries in its use of advanced analytics. The Veterans Health Administration (VHA) has three decades of experience collecting data about the veterans it serves nationwide through locally developed information systems that use a common electronic health record. In 2006 the VHA began to build its Corporate Data...

Objective Increasing use of electronic health records (EHRs) provides new opportunities for public health surveillance. During the 2009 influenza A (H1N1) virus pandemic, we developed a new EHR-based influenza-like illness (ILI) surveillance system designed to be resource sparing, rapidly scalable, and flexible. 4 weeks after the first pandemic cas...

The Indian Health Service (IHS), a federal health system, cares for 2 million of the country's 5.2 million American Indian and Alaska Native people. This system has increasingly focused on innovative uses of health information technology and telemedicine, as well as comprehensive, locally tailored prevention and disease management programs, to prom...

Pregnant women and American Indian and Alaska Native people are at elevated risk of severe disease and mortality from 2009 pandemic influenza A/H1N1. We validated an electronic health record-based algorithm used by Indian Health Service to identify pregnant women in near real-time surveillance of pandemic influenza A/H1N1. We randomly selected a st...

The US Indian health system utilizes a diverse range of health information technology and innovative tools to enhance health service delivery for American Indians and Alaska Natives. This article provides an overview of efforts and experience using such tools to achieve health equity for American Indian and Alaska Native communities. Specific atten...

We reviewed charts of newly diagnosed STD patients in three health facilities to determine the proportion who received follow-up STD screening. In a 12-month period, the three facilities had 140 STD cases. STD screening was not indicated for 50 (36%) patients. Among the 90 remaining STD patients, 29 (32%) were screened and 61 (68%) not screened. Am...

Although Native Americans experience substantial disparities in health outcomes, little information is available regarding healthcare delivery for this population. To analyze trends in ambulatory quality of care and physician reports of barriers to quality improvement within the Indian Health Service (IHS). Longitudinal analysis of clinical perform...

The Indian Health Service (IHS) provides information technology tools to diagnose, monitor, and effectively manage the public health and health care problems that confront nearly 1.5 million active patients in the American Indian/Alaskan Native population. Many people served by the IHS live the most remote and poverty-stricken areas of the country...

Background: The Indian Health Service (IHS), which provides care to 1.4 million American Indians and Alaska Natives, uses an electronic health record system, called the Resource and Patient Management System (RPMS), at the majority of its health care facilities. In response to the pandemic H1N1 (2009) influenza outbreak, IHS developed a new, near-r...

Public health organizations in different nations face similar needs for gathering and analyzing population health data to detect and manage infectious disease outbreaks, including outbreaks of the 2009 Novel H1N1 Influenza A virus or "swine flu." This paper presents our progress to date on the design and assessment of a multi-national public health...

The uninsured are an invisible face in America. Their health care needs are great and are met by a patchwork of venues scattered throughout their communities. Access to health information technology may appear to be unnecessary, given the overwhelming needs of individual patients. In fact, health information technology (HIT) represents one possible...

There are limited data regarding implementing electronic health records (EHR) in underserved settings. We evaluated the implementation of an EHR within the Indian Health Service (IHS), a federally funded health system for Native Americans. We surveyed 223 primary care clinicians practicing at 26 IHS health centers that implemented an EHR between 20...

The American Indian/Alaska Native population experiences a disproportionate burden of disease across a spectrum of conditions. While the recent National Healthcare Disparities Report highlighted differences in quality of care among racial and ethnic groups, there was only very limited information available for American Indians. The Indian Health Se...

We reviewed changes in blood glucose, blood pressure, and cholesterol levels among American Indians and Alaska Natives between 1995 and 2001 to estimate the quality of diabetes care in the Indian Health Service (IHS) health care delivery system. We conducted a cross-sectional analysis of data from the Indian Health Service Diabetes Care and Outcome...

Say, for instance, your mother was dying. A new technology used in a few hospitals would possibly save her life. However, the cost of this procedure is equal to the cost of providing routine immunizations for one hundred children for one year. You are aware that there are limited revenues available for health care expenditures in your community. Ho...